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针刺治疗慢性萎缩性胃炎的临床观察

[Clinical observation on acupuncture for treatment of chronic atrophic gastritis].

作者信息

Gu Wei, Hu Qi-chao

机构信息

Section of Acupuncture and Moxibustion, The First Affiliated Hospital, Tianjin University of TCM, Tianjin 300193, China.

出版信息

Zhongguo Zhen Jiu. 2009 May;29(5):361-4.

Abstract

OBJECTIVE

To compare the therapeutic effects of acupuncture and western medicine for treatment of chronic atrophic gastritis.

METHODS

Eighty cases of chronic atrophic gastritis were randomly divided into an observation group and a control group, 40 cases in each group. The observation group was treated with acupuncture and moxibustion on Guanyuan (CV 4), Qihai (CV 6), Zusanli (ST 36), Xuehai (SP 10), Geshu (BL 17); and the control group with oral administration of western medicine, Omeprazole and Amoxicillin, etc. Evaluation of the scores of clinical symptoms, gastroscopic inspection and histopathologic examination of the gastric mucosa were carried out before treatment and after treatment of 4 and 8 weeks in each group to compare the therapeutic effects between the two groups.

RESULTS

The total effective rate of 92.5% in the acupuncture group was better than 75.0% in the con trol group (P < 0.05). For the pathologic changes of gastric mucosa by the gastroscopic inspection, the total effec tive rate of 85.0% in the acupuncture group was superior to 65.0% in the control group (P < 0.05), and for the improvement of histopathologic aspect, the total effective rate of 87.5% in the acupuncture group was better than 65.0% in the control group (P < 0.05).

CONCLUSION

Acupuncture therapy can significantly improve the clinical symptoms, gastroscopic expression and histopathologic situation in the patients of chronic atrophic gastritis, and its therapeutic effect is better than that of the western medicine.

摘要

目的

比较针灸与西药治疗慢性萎缩性胃炎的疗效。

方法

将80例慢性萎缩性胃炎患者随机分为观察组和对照组,每组40例。观察组采用针刺艾灸关元(CV 4)、气海(CV 6)、足三里(ST 36)、血海(SP 10)、膈俞(BL 17)治疗;对照组口服西药奥美拉唑、阿莫西林等。分别于治疗前及治疗4周、8周后对两组患者进行临床症状评分、胃镜检查及胃黏膜组织病理学检查,比较两组疗效。

结果

针刺组总有效率为92.5%,优于对照组的75.0%(P < 0.05)。胃镜检查胃黏膜病理改变方面,针刺组总有效率为85.0%,优于对照组的65.0%(P < 0.05);组织病理学改善方面,针刺组总有效率为87.5%,优于对照组的65.0%(P < 0.05)。

结论

针灸疗法能显著改善慢性萎缩性胃炎患者的临床症状、胃镜表现及组织病理学状况,其疗效优于西药。

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