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浮针治疗慢性胃炎并观察血清胃功能指标:1例报告

Fu's subcutaneous needling for chronic gastritis with observations on serum gastric function indices: A case report.

作者信息

Shi Juanjuan, Zhang Ziyue, Lu Jin, Liu Xiang, Fei Lina, Yu Hongyi

机构信息

Department of Acupuncture, Nanjing Hospital of Traditional Chinese Medicine, Nanjing, China.

Faculty of Chinese Medicine, Macau University of Science and Technology, Macau, China.

出版信息

Medicine (Baltimore). 2025 Jul 18;104(29):e43438. doi: 10.1097/MD.0000000000043438.

DOI:10.1097/MD.0000000000043438
PMID:40696593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12282703/
Abstract

RATIONALE

Fu's subcutaneous needling (FSN) is an innovative acupuncture therapy derived from traditional techniques. It employs disposable floating needles and auxiliary needle guides to conduct a broad, swaying motion. The therapy aims to enhance blood perfusion and oxygen supply to local muscles, activate the body's self-healing mechanisms, and ultimately promote drug-free recovery. This case study examines FSN's application in treating chronic gastritis (CG) and and its effects on serum gastric function indices.

PATIENT CONCERNS

A 44-year-old female patient presented with complaints of epigastric discomfort, nonspecific pain or a burning sensation, along with occasional belching, anorexia, nausea, and vomiting. Additionally, the patient reported poor sleep quality and the presence of formless stools.

DIAGNOSES

The patient was diagnosed with CG by gastroscopy.

INTERVENTIONS

FSN was administered 3 times/wk. No adverse or unanticipated events were observed during the treatment period. The entire treatment course spanned a duration of 4 weeks.

OUTCOMES

Following the treatment, the patient reported the absence of significant discomfort in her epigastrium, and noted the resolution of both vague pain and burning sensation. Additionally, she experienced an increase in appetite, regular bowel movements, and improved sleep quality.

LESSONS

FSN has been demonstrated to significantly alleviate epigastric discomfort associated with CG and to have a positive impact on appetite, sleep quality, and bowel movements. Moreover, FSN demonstrates a significant and sustained improvement in serum gastric function indices, with no observed relapse. However, due to the limitations inherent in a single clinical observation case, further randomized controlled clinical trials are warranted.

摘要

理论依据

浮针疗法是一种源于传统技术的创新针灸疗法。它使用一次性浮针和辅助针管进行广泛的摇摆运动。该疗法旨在增强局部肌肉的血液灌注和氧气供应,激活身体的自我修复机制,最终促进无药物康复。本案例研究探讨浮针疗法在治疗慢性胃炎及其对血清胃功能指标的影响方面的应用。

患者情况

一名44岁女性患者主诉上腹部不适、非特异性疼痛或烧灼感,伴有偶尔的嗳气、食欲不振、恶心和呕吐。此外,患者报告睡眠质量差,有不成形大便。

诊断

通过胃镜检查诊断为慢性胃炎。

干预措施

每周进行3次浮针治疗。治疗期间未观察到不良或意外事件。整个疗程持续4周。

结果

治疗后,患者报告上腹部无明显不适,隐痛和烧灼感消失。此外,她的食欲增加,排便规律,睡眠质量改善。

经验教训

浮针疗法已被证明能显著缓解与慢性胃炎相关的上腹部不适,并对食欲、睡眠质量和排便有积极影响。此外,浮针疗法能使血清胃功能指标得到显著且持续的改善,未观察到复发情况。然而,由于单个临床观察病例存在固有局限性,有必要进行进一步的随机对照临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/12282703/62eb8d21ac0a/medi-104-e43438-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/12282703/c973c7482540/medi-104-e43438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/12282703/290a13680b94/medi-104-e43438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/12282703/62eb8d21ac0a/medi-104-e43438-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/12282703/c973c7482540/medi-104-e43438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/12282703/290a13680b94/medi-104-e43438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/12282703/62eb8d21ac0a/medi-104-e43438-g003.jpg

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本文引用的文献

1
History of chronic gastritis: How our perceptions have changed.慢性胃炎的历史:我们的认知是如何改变的。
World J Gastroenterol. 2024 Apr 7;30(13):1851-1858. doi: 10.3748/wjg.v30.i13.1851.
2
Gastric cancer screening in Western countries: A call to action.西方国家的胃癌筛查:行动呼吁。
Dig Liver Dis. 2024 Oct;56(10):1653-1662. doi: 10.1016/j.dld.2024.02.008. Epub 2024 Feb 24.
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Differential value of PGI, PGII and G-17 in chronic atrophic gastritis and early gastric cancer.PGI、PGII和G-17在慢性萎缩性胃炎和早期胃癌中的鉴别价值。
Minerva Pediatr (Torino). 2023 Oct;75(5):753-755. doi: 10.23736/S2724-5276.23.07261-0. Epub 2023 May 8.
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Effects of moxibustion and acupuncture at Zusanli (ST 36) and Zhongwan (CV 12) on chronic atrophic gastritis in rats.艾灸和针刺足三里(ST36)和中脘(CV12)对大鼠慢性萎缩性胃炎的影响。
J Tradit Chin Med. 2020 Oct;40(5):827-835. doi: 10.19852/j.cnki.jtcm.2020.05.013.