摘要
[目的]观察温通针刺中脘+常规针刺治疗萎缩性胃炎(脾胃虚寒)疗效。[方法]使用随机平行对照方法,将68例住院患者病志号抽签方法随机分为两组。对照组34例常规针刺:中脘、足三里、内关、公孙、气海、脾俞、胃俞,捻转补法;针刺中脘,左手为押手,右手进针,0.30mm×75mm针灸针,有针下感后右手拇指向前施力,食指向后轻微施力,逆时针捻转90°,50~90次/min;其他穴位单式手法,得气后留针30min,15min行针1次,提插、捻转后出针,1次/d。治疗组34例温通针中脘,左手为押手,右手进针,用0.30mm×75mm针灸针,左手不断增加压力,有针感后右手拇指向前施力捻、按9次,达到气体上至充分的效果,在针尖拉着有感应位置反复重插、轻提9次,右手拇指再用力向前捻、按9次,直到患者反应针下生热,守气1min后停针,若未感觉针下生热,重复操作≤3次;其他穴位同对照组。连续治疗5d为1疗程。观测临床症状、中医证候积分、不良反应。治疗1疗程(5d),判定疗效。[结果]治疗组显效19例,有效13例,无效2例,总有效率94.12%;对照组显效12例,有效14例,无效8例,总有效率76.47%;治疗组疗效优于对照组(P<0.05)。胃痛、胃胀、喜按喜温两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]温通针刺中脘+常规针刺治疗萎缩性胃炎(脾胃虚寒),疗效满意,无严重不良反应,值得推广。
[Objective] To observe the therapeutic effect of warming acupuncture combined with traditional Chinese medicine in treating atrophic gastritis （spleen stomach deficiency cold）. [Methods] Random parallel control method was used to divide 68 cases of hospitalized patients by random sampling into two groups. In the control group, 34 cases of conventional acupuncture： Zhongwan, Zusanli, Neiguan, Gongssun, Qihai, spleen shu, Weishu, twisting and filling; acupuncture in Zhongwan, the left hand as the hand, the right hand into the needle, 0.30ram x 75mm acupuncture needle, the right hand thumb force after the needle feeling, the index finger backward slight force, the counter clockwise twisting 90 degrees, 50-90 times/min; the other acupoints Single digit manipulation, 30min after breathing, 15min 1 times, 1 times/d after inserting and twisting. In the treatment group, 34 cases of warm needle in the stomach, the left hand for the hand, the right hand into the needle, the needle with the 0.30mm × 75mm needle, the left hand continuously increase the pressure, the fight hand thumb after the right hand twist, according to the 9, to the full effect of the gas, at the tip of the needle at the induction position repeatedly reinserted, 9 times, the fight thumb is hard to twist forward, then the fight thumb is hard to twist, then the fight thumb is hard to twist, then the fight thumb is hard forward, then the right thumb forwards forward, then the right thumb forwards forward, then the thumbs forcibly forwards, According to the 9 time, until the patient＇s reaction needle heat, lmin after gas stop needle, if there is no sensation under the needle heating, repeated operation is less than 3 times; other points with the control group. The continuous treatment of 5d was 1 courses. Observation of clinical symptoms, TCM syndromescores, adverse reactions. The 1 course of treatment （5d） was treated and the curative effect was determined. [Results] 19 cases were found in the treatment group, 13 cases were effective, 2 cases were invalid, the total effective rate was 94.12%, the control group was 12 cases, 14 cases were effective, 8 cases were invalid and the total effective rate was 76.47%. The curative effect of the treatment group was better than the control group （P〈0.05）. The stomachache, stomach distention, and Xiwen Xi, an were improved in the two groups （P〈：0.01）, and the improvement in the treatment group was better than that in the control group （P〈0.01）. [Conclusion] the treatment of atrophic gastritis （spleen stomach deficiency cold） by warming the needling of Zhongwan plus conventional acupuncture has satisfactory curative effect, no serious adverse reactions, and is worthy of promotion.
作者
袁志荣
YUAN Zhirong(Department of Gastroenterology,Wuyang County Hospital of Traditional Chinese Medicine,Wuyang 462600,Henan,China)
出处
《实用中医内科杂志》
2018年第7期62-65,共4页
Journal of Practical Traditional Chinese Internal Medicine
关键词
萎缩性胃炎
胃脘痛
温通针
中脘
针刺
中医证候积分
胃痛
胃胀
喜按喜温
随机平行对照研究
atrophic gastritis
epigastric pain
Wentong acupuncture
Zhongwan
acupuncture
TCM syndrome integrals
stomachache
gastric distension
Xiwen Xi,an
randomized parallel control study
