【作者】 郑婷瑜；

【导师】 李艳慧；

【作者基本信息】 广州中医药大学 ， 针灸推拿学， 2010， 硕士

【摘要】 研究目的对比观察温针与电针治疗脾胃虚弱证慢性浅表性胃炎的疗效,并初步探讨其作用机理,为临床探索一种疗效确切、易于操作的治疗方法。研究方法将脾胃虚弱证慢性浅表性胃炎患者60例随机分为温针组30例和电针组30例。两组选取相同穴位,隔天治疗一次,连续治疗15次之后评价疗效。疗效评价参照1995年卫生部《中药新药临床研究指导原则(第二辑)》中慢性浅表性胃炎中医症状分级和2003年全国慢性胃炎专题研讨会胃镜分级标准,观察总的临床疗效和上腹部不规则疼痛,上腹胀,纳呆少食等主要症状的变化情况以及治疗前后胃镜表现变化。研究结果治疗后温针组总有效率为93.4%；电针组总有效率为80.0%。两组间疗效比较,经秩和检验,P<0.05,差异有统计学意义,温针组疗效优于电针组。两组患者治疗后胃脘痛、上腹胀及食少症状均有较明显的改善,治疗前后比较,P<0.05,差异有统计学意义,且温针组改善比电针组更明显,组间比较,P<0.05,差异有统计学意义。治疗后两组患者胃镜检查情况均有明显改善,治疗前后比较,P<0.05,差异有统计学意义,但组间比较, P>0.05,差异无统计学意义,两组改善胃镜表现情况类似。研究结论温针与电针均可以治疗脾胃虚弱证慢性浅表性胃炎,都可以改善患者胃镜表现,但温针临床疗效更佳,且在改善患者主要症状上有更明显的优势,值得更加深入的研究和推广更多还原

【Abstract】 Objective:To compare the curative effects between the acupuncture with warmed needle and Electro-Acupuncture in the treatment of chronic superficial gastritis, differentiation of syndromes in TCM is hypofunction of the spleen and stomach so as to explore the clinical treatment approach that has acknowledge effect and is easy to use.Methods:According to the inclusion criteria,60 chronic superficial gastritis were selected and randomly divided into acupuncture with warmed needle group and Electro-Acupuncture group, with 30 cases in each group. The acupuncture with warmed needle group were treated with warming needle, while the Electro-Acupuncture group were treated by electropuncture. For both groups, the same acuponts were chosen and the treatment frequence was once every two days, continues course treatment of 15 times. Efficacy evaluation was conducted after 15 times’treatment according to the ((The gudie to clincial study of Chinese medicine and new drugs)) maded by Ministry of Health in 1995, and "The Diagnostic and Treatment Standards of Gastroscopy in Chronic Gastritis" cited in 2003. the TCM classification of chronic superficial gastritis. Observed the symptom of irregular pain in upper abdomen, epigastric distention, indigestion and loss of appetite, gastroscopy results before and after the treatment. Result:The acupuncture with warmed needle group had an a total effective rate of 93.4%, while the Electro-Acupuncture group were 80.0%, respectively.After the treatment, comparing the overall effects of the two groups by Ridit test, the difference was statistically significant(p<0.05), the symptoms in both groups improved, the warmed needle group had better effect than the Electro-Acupuncture group at irregular pain in upper abdomen and epigastric distention and indigestion and loss appetite, by analytical statistics,the difference was statistically significant (p<0.05). The gastrescopy results after treatment in both group were better than before treatment (p<0.05). And the improvement seen resemble between the two groups (p>0.05, respectively). Conclusion:The symptoms in both groups improved, with the warmed needle group having a more significant improvement than the Electro-Acupuncture group (p<0.05, respectively). Inproving the symptom at irregular pain in upper abdomen and epigastric distention,indigestion and loss of appetite,the acupuncture with warmed needle was better than even electro-acupuncture (p<0.05, respectively).And it was corresponding the correspond reinforcein sufficiency and reduce excessiveness.更多还原