首页|加味当归芍药散联合耳穴贴压对慢性萎缩性胃炎患者胃黏膜功能及NF-κB、COX-2的影响

加味当归芍药散联合耳穴贴压对慢性萎缩性胃炎患者胃黏膜功能及NF-κB、COX-2的影响

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目的:研究加味当归芍药散联合耳穴贴压对慢性萎缩性胃炎患者胃黏膜功能及NF-κB、COX-2 的影响.方法:选取 2022 年 2 月~2024 年 3 月医院收治的 86 例慢性萎缩性胃炎患者为研究对象,根据治疗方法的不同,分为观察组(n=45)和对照组(n=41),两组患者均给予常规药物治疗,对照组患者在此基础上给予耳穴贴压治疗,观察组患者在对照组上联合加味当归芍药散口服治疗.比较两组患者的临床疗效和不良反应.并比较两组患者治疗前后的胃黏膜功能[胃泌素-17(G-17)、胃蛋白酶(PG)Ⅰ、PG Ⅱ以及PG Ⅰ/PG Ⅱ)水平]、临床症状评分(胃脘痛、胃脘胀满、大便不爽、食少纳呆、神疲乏力、气短懒言)以及核因子-κB(NF-κB)、环氧化酶-2(COX-2)水平.结果:观察组的临床总效率为 95.56%,明显高于对照组的 71.11%.两组患者的G-17、PG Ⅰ、PG Ⅱ以及PG Ⅰ/PG Ⅱ水平均高于治疗前,且观察组高于对照组(P<0.05).两组患者的胃脘痛、胃脘胀满、大便不爽、食少纳呆、神疲乏力、气短懒言评分以及血清NF-κB、COX-2 水平均低于治疗前,且观察组低于对照组(P<0.05).两组患者的不良反应相比差异无统计学意义(P>0.05).结论:加味当归芍药散联合耳穴贴压对慢性萎缩性胃炎患者的治疗效果较为显著,可促进胃黏膜的恢复,有效降低NF-κB、COX-2 的分泌.
Effects of modified Danggui Shaodian powder combined with auricular point on gastric mucosal function,NF-κB and COX-2in patients with chronic atrophic gastritis
Objective:To study the effects of modified Danggui Shaodian powder combined with auricular point sticking on gastric mucosal function,NF-κB and COX-2in patients with chronic atrophic gastritis.Methods:Eighty-six patients with chronic atrophic gastritis admitted to the hospital from February 2022to March 2024were selected as the study objects.According to different treatment methods,they were divided into observation group(n=45)and control group(n=41).Both groups were given conventional drug treatment,while patients in the control group were given auricular point sticking treatment on this basis.Observation group was treated orally with supplemented Danggui Shaoyao powder in control group.The clinical efficacy and adverse reactions were compared between the two groups.The gastric mucosal function(gastrin-17(G-17),pepsin(PG)Ⅰ,PG-Ⅱ and PG-Ⅰ/PGⅡ)before and after treatment were compared between the two groups Ⅱ)level],clinical symptom score(epigastric pain,full epigastric distention,poor bowel movements,lethargy,fatigue,shortness of breath)and nuclear faction-κB(NF-κB)and cyclooxygenase-2(COX-2)levels.Results:The total clinical efficiency of the observation group was 95.56%,which was significantly higher than that of the con-trol group(71.11%).The levels of G-17,PG-Ⅰ,PG-Ⅱ and PG-Ⅰ/PG-Ⅱ in 2groups were higher than before treatment,and the observation group was higher than the control group(P<0.05).The scores of epigastric pain,epigastric fullness,uncomfortable stool,eating less and eating less,mental fatigue,shortness of breath and lazy speech,and serum NF-κB and COX-2levels in 2groups were lower than before treatment,and the observation group was lower than control group(P<0.05).There was no significant differ-ence in adverse reactions between the two groups(P>0.05).Conclusion:Modified Danggui Shaodian powder combined with auricular point sticking has a remarkable therapeutic effect on chronic atrophic gastritis patients,which can promote the recovery of gastric mu-cosa and effectively reduce the secretion of NF-κB and COX-2.

Supplemented Danggui Shaoyao PowderAuricular point stickingChronic atrophic gastritisGastric mucosal func-tion

石方臻、张永亮、邝生

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昆山市第六人民医院消化内科,江苏 昆山 215321

加味当归芍药散 耳穴贴压 慢性萎缩性胃炎 胃黏膜功能

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(12)