埋线对肝胃不和型慢性萎缩性胃炎主要症状及SF-36评分的影响(1)
【摘 要】 目的：观察埋线对改善肝胃不和型慢性萎缩性胃炎患者主要症状和生存质量的影响。方法：收集中山市陈星海医院收治的符合标准的60例肝胃不和型慢性萎缩性胃炎患者，分成对照组和治疗组各30例，对照组采用针刺治疗，选取三足里、中脘、脾俞;治疗组采用穴位埋线治疗，穴位同对照组。治疗干预前后，通过中医症状分级量化表、SF-36生存质量表对相应指标评分、进行统计学分析，评判治疗效果。结果：治疗前，两组4大主要症状和8个维度的组间差异两两比较无统计学意义(P>0.05); 治疗后，治疗组4大主要症状和8个维度前后积分差值比较有统计学意义(P<0.05);对照组胃脘痛、胁肋胀痛、嗳气3大主要症状和8个维度前后积分差值比较有统计学意义(P<0.05)，泛酸症状前后积分比较无统计学意义(P>0.05);治疗后，两组4大主要症状和8个维度前后差值比较有统计学意义(P<0.05)。结论：穴位埋线可以改善肝胃不和型慢性萎缩性胃炎患者的主要症状并提高生存质量，值得临床推广。
【關键词】 埋线;慢性萎缩性胃炎;肝胃不和;SF-36
【中图分类号】R573.3+2 【文献标志码】 A 【文章编号】1007-8517(2020)7-0094-04
Abstract：Objective To analyze the effect of embedding on the improvement of main symptoms and quality of life in patients with chronic atrophic gastritis. Methods Collecting 60 patients with chronic atrophic gastritis of liver and stomach disharmony admitted to Chen Xinghai Hospital of Zhongshan City， The cases were divided into the reatment group and the control group， and each group had 30 patients. The control group was treated with acupuncture. Zusanli， Zhongwan and Spleen were selected for acupuncture. The treatment group was treated with catgut embedding at the acupoints. Acupoints and control group. Before and after the treatment intervention， the corresponding indicators were scored by the TCM Symptoms Quantification Table and the SF-36 Quality of Life Table， and statistical analysis was performed to judge the treatment effect.Results Before treatment， there were no significant differences between the two groups in the four main symptoms and the eight dimensions (P>0.05). After treatment， the difference between the 4 major symptoms and the 8 dimensions of the treatment group was statistically significant (P<0.05). In the control group， the main symptoms of gastroparesis， flank pain， and sputum were statistically significant (P<0.05)， while the scores before and after pantothenic acid were not statistically significant(P>0.05). );After treatment， the difference between the four major symptoms and the eight dimensions of the two groups was statistically significant (P<0.05).Conclusion Acupoint embedding can improve the main symptoms of patients with chronic atrophic gastritis and improve the quality of life， which is worthy of clinical promotion.
Keywords：Catgut embedding; Chronic atrophic gastritis; Liver and stomach disharmony; SF-36
慢性萎缩性胃炎(chronicatrophicgastritis，CAG)是临床上常见且难治的一种消化系统疾病，其发病机理复杂，久治难愈，为胃癌的主要癌前病变，西医药对本病尚无特效治疗手段[1]，中医从业者通过长期的临床实践，发现穴位埋线治疗本病疗效确切，李素荷等[2] 研究表明穴位埋线对促进胃黏膜修复，抑制腺体的萎缩具有积极作用。从生物-心理-社会医学模式的角度而言，慢性萎缩性胃炎同时又是一种身心疾病，在评判慢性萎缩性胃炎疗效时，应该把该病的客观指标和患者的自我感受结合起来综合评价[3]，加大对患者生存质量评价的权重，目前许多学者把SF-36量表用作评价国内人群的生命质量[4]。笔者观察埋线对于CAG患者主要症状和生活质量的改善，现报道如下。, http://www.100md.com(马林 唐纯志 章小梅)
【關键词】 埋线;慢性萎缩性胃炎;肝胃不和;SF-36
【中图分类号】R573.3+2 【文献标志码】 A 【文章编号】1007-8517(2020)7-0094-04
Abstract：Objective To analyze the effect of embedding on the improvement of main symptoms and quality of life in patients with chronic atrophic gastritis. Methods Collecting 60 patients with chronic atrophic gastritis of liver and stomach disharmony admitted to Chen Xinghai Hospital of Zhongshan City， The cases were divided into the reatment group and the control group， and each group had 30 patients. The control group was treated with acupuncture. Zusanli， Zhongwan and Spleen were selected for acupuncture. The treatment group was treated with catgut embedding at the acupoints. Acupoints and control group. Before and after the treatment intervention， the corresponding indicators were scored by the TCM Symptoms Quantification Table and the SF-36 Quality of Life Table， and statistical analysis was performed to judge the treatment effect.Results Before treatment， there were no significant differences between the two groups in the four main symptoms and the eight dimensions (P>0.05). After treatment， the difference between the 4 major symptoms and the 8 dimensions of the treatment group was statistically significant (P<0.05). In the control group， the main symptoms of gastroparesis， flank pain， and sputum were statistically significant (P<0.05)， while the scores before and after pantothenic acid were not statistically significant(P>0.05). );After treatment， the difference between the four major symptoms and the eight dimensions of the two groups was statistically significant (P<0.05).Conclusion Acupoint embedding can improve the main symptoms of patients with chronic atrophic gastritis and improve the quality of life， which is worthy of clinical promotion.
Keywords：Catgut embedding; Chronic atrophic gastritis; Liver and stomach disharmony; SF-36
慢性萎缩性胃炎(chronicatrophicgastritis，CAG)是临床上常见且难治的一种消化系统疾病，其发病机理复杂，久治难愈，为胃癌的主要癌前病变，西医药对本病尚无特效治疗手段[1]，中医从业者通过长期的临床实践，发现穴位埋线治疗本病疗效确切，李素荷等[2] 研究表明穴位埋线对促进胃黏膜修复，抑制腺体的萎缩具有积极作用。从生物-心理-社会医学模式的角度而言，慢性萎缩性胃炎同时又是一种身心疾病，在评判慢性萎缩性胃炎疗效时，应该把该病的客观指标和患者的自我感受结合起来综合评价[3]，加大对患者生存质量评价的权重，目前许多学者把SF-36量表用作评价国内人群的生命质量[4]。笔者观察埋线对于CAG患者主要症状和生活质量的改善，现报道如下。, http://www.100md.com(马林 唐纯志 章小梅)