本文選題：慢性淺表性胃炎 + 脾胃虛寒型��； 參考：《南京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：通過(guò)對(duì)脾胃虛寒型慢性淺表性胃炎患者行火針治療的臨床觀察及癥狀量表評(píng)估,明確火針治療脾胃虛寒型慢性淺表性胃炎的安全性和有效性。方法：將2015年1月-2016年1月就診于南京中醫(yī)藥大學(xué)第三附屬醫(yī)院南京市中醫(yī)院針灸科門(mén)診、脾胃科病房和門(mén)診60例慢性淺表性胃炎患者按照隨機(jī)數(shù)字法分為火針治療組和藥物對(duì)照組。治療組采用細(xì)火針針刺法,患者采用臥位,對(duì)穴位嚴(yán)格消毒,然后將賀氏細(xì)火針在酒精燈上燒紅至白亮,隨即針尖迅速刺入中脘、建里、氣海、梁丘、足三里、三陰交穴后立即出針(約0.05s),然后用消毒干棉球按壓針孔。每周兩次,4周為一療程,共治療1個(gè)療程。對(duì)照組患者口服小建中膠囊,每次20mg,每天2次。4周為一療程,共治療1個(gè)療程。分別在治療前及治療結(jié)束時(shí)分別讓患者填寫(xiě)慢性淺表性胃炎癥狀分級(jí)表。結(jié)果：(1)火針治療組及藥物對(duì)照組所有入組患者在入組前對(duì)其一般情況(年齡、性別)進(jìn)行統(tǒng)計(jì)分析,結(jié)果提示兩組入組患者一般情況無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。(2)組內(nèi)比較：分別對(duì)兩組治療前和治療結(jié)束時(shí)臨床癥狀進(jìn)行總積分比較,經(jīng)配對(duì)t檢驗(yàn),治療組與對(duì)照組均P0.05,差異具有統(tǒng)計(jì)學(xué)意義。組間比較：對(duì)兩組治療前癥候積分進(jìn)行比較,各項(xiàng)癥候積分統(tǒng)計(jì),經(jīng)兩樣本t檢驗(yàn),P0.05,差異無(wú)統(tǒng)計(jì)學(xué)意義。兩組治療結(jié)束時(shí)癥候積分進(jìn)行比較,兩組各項(xiàng)癥候積分經(jīng)統(tǒng)計(jì),經(jīng)兩樣本t檢驗(yàn),P0.05,差異有統(tǒng)計(jì)學(xué)意義。(3)總有效率：火針治療組為93.33%,口服藥物組為70%,兩組療效經(jīng)二項(xiàng)分布檢驗(yàn),P0.05,差異有統(tǒng)計(jì)學(xué)意義。結(jié)論：采用火針治療期間未發(fā)生不良反應(yīng),表明火針治療具有安全性：慢性淺表性胃炎患者在患病后有較明顯的腹脹、腹痛、納食減少癥狀,同時(shí)會(huì)伴有不同程度的納差、惡心、噯氣、反酸/燒心、便溏、疲乏等癥狀加重。經(jīng)火針治療后和藥物治療后患者各項(xiàng)癥狀均有所改善,同時(shí)火針治療的療效明顯優(yōu)于藥物治療。
[Abstract]:Objective: to evaluate the efficacy and safety of fire acupuncture in the treatment of chronic superficial gastritis with deficiency of spleen and stomach. Methods: from January 2015 to January 2016, the Department of Acupuncture and moxibustion of Nanjing traditional Chinese Medicine Hospital, the third affiliated Hospital of Nanjing University of traditional Chinese Medicine, were treated. Sixty patients with chronic superficial gastritis in spleen and stomach ward and outpatient department were randomly divided into fire acupuncture treatment group and drug control group. In the treatment group, the fine fire needle acupuncture was used, and the patient used the supine position to sterilize strictly the acupoints. Then he's fine fire needle was burned to the white light on the wine concentrate lamp, and then the tip of the needle was rapidly punctured into the central epigastric, Jianli, Qihai, Liang Qiu, Zusanli, Sanyinjiao point immediately after the needle (about 0.05 sou, then sterilize dry cotton ball press pinhole. Two times a week for 4 weeks as a course of treatment, a total of one course of treatment. Patients in the control group were treated with Xiaojianzhong capsule 20 mg twice a day for 4 weeks. Before and at the end of treatment, patients were asked to fill out the symptom scale of chronic superficial gastritis. Results (1) the general situation (age, sex) of all the patients in the fire acupuncture treatment group and the drug control group were statistically analyzed before entering the group. The results showed that there was no significant difference in general conditions between the two groups (P0.05. 2). The total scores of clinical symptoms before and at the end of treatment were compared between the two groups respectively, and the results were compared by paired t test, and the clinical symptoms of the two groups were compared before and at the end of the treatment. The treatment group and the control group were P 0.05, the difference was statistically significant. Comparison between groups: the symptom score of two groups before treatment were compared. There was no significant difference between the two groups after t-test (P0.05). The symptom scores of the two groups were compared at the end of treatment. The total effective rate was 93.33 in the fire needle treatment group and 70 in the oral drug group. The difference was statistically significant by binomial distribution test (P0.05). Conclusion: there is no adverse reaction during the treatment of fire acupuncture, which indicates that fire acupuncture therapy is safe: patients with chronic superficial gastritis have obvious abdominal distension, abdominal pain, reduced appetite and different degrees of anorexia. Nausea, belching, acid regurgitation / heartburn, loose stools, fatigue and other symptoms aggravated. The symptoms were improved after fire acupuncture treatment and drug therapy, and the curative effect of fire needle therapy was better than that of drug therapy.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R246.1

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