[1]沙志惠,王捷虹王倩,尤金枝,等.三伏灸、三伏贴联合黄芪建中汤对脾胃虚寒型慢性胃炎临床结局质量研究[J].现代中医药,2023,(01):078-82.[doi:10.13424/j.cnki.mtcm.2023.01.015]
 SHA Zhihui?WANG Jiehong?WANG QianYOU Jinzhi?LI Li ?GONG Shanshan?YU Yong.A Study on Quality of Clinical Outcome of Sanfu Moxibustion,Sanfu Paste and Huangqi Jianzhong Decoction for Chronic Gastritis of Spleen and Stomach Deficiency Cold Type[J].Modern Traditional Chinese Medicine,2023,(01):078-82.[doi:10.13424/j.cnki.mtcm.2023.01.015]
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三伏灸、三伏贴联合黄芪建中汤对脾胃虚寒型慢性胃炎临床结局质量研究()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年01期
页码:
078-82
栏目:
出版日期:
2023-01-20

文章信息/Info

Title:
A Study on Quality of Clinical Outcome of Sanfu Moxibustion,Sanfu Paste and Huangqi Jianzhong Decoction for Chronic Gastritis of Spleen and Stomach Deficiency Cold Type
文章编号:
1672-0571(2023)01-0078-05
作者:
沙志惠1王捷虹1王倩1尤金枝1李力1龚珊珊1于勇2
1.陕西中医药大学附属医院,陕西 咸阳 712000;
2.西安市中医医院,陕西 西安 710000
Author(s):
SHA Zhihui1?WANG Jiehong2?WANG Qian1YOU Jinzhi1?LI Li 1?GONG Shanshan1?YU Yong 2
1.Affiliated Hospital of Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712000,China;
2.Xi’an Hospital of Chinese Medicine,Xi’an 710000,China
关键词:
三伏贴三伏灸黄芪建中汤脾胃虚寒慢性胃炎冬病夏治临床结局质量
Keywords:
Sanfu PasteSanfu MoxibustionHuangqi Jianzhong DecoctionSpleen and stomach deficiency coldChronic gastritisWinter disease treated in summerQuality of clinical outcome
分类号:
R256.33
DOI:
10.13424/j.cnki.mtcm.2023.01.015
文献标志码:
A
摘要:
目的 探讨三伏灸、三伏贴联合黄芪建中汤对脾胃虚寒型慢性胃炎临床结局情况,为此病冬病夏治规范化治疗提供可靠依据。方法 随机选择2019年7月12日—2021年8月19日门诊脾胃虚寒型慢性胃炎66例,随机分两组,对照组30例,治疗组30例,脱落6例。对照组给予三伏贴联合黄芪建中汤加减口服,连续3年,治疗组在此基础上给予三伏灸治疗。比较两组治疗第1、2、3年的临床有效率、睡眠指标以及临床结局质量。结果 治疗组治疗第1、2、3年临床总有效率显著高于对照组,有统计学意义(P<0.05);治疗组与对照组睡眠指标、临床结局质量评分治疗第1、2、3年均降低,但治疗组降低更加显著,与同期对照组比较,有统计学意义(P<0.05)。结论 三伏灸、三伏贴联合黄芪建中汤通过调节脾胃虚寒型慢性胃炎患者大脑内部氨基酸水平,达到激素平衡,调畅脾胃升降气机,改善睡眠质量,对疾病远期疗效有一定推导作用,为此病冬病夏治规范化治疗提供可靠依据。
Abstract:
Objective To explore the clinical outcome of Sanfu Moxibustion,Sanfu Paste and Huangqi Jianzhong Decoction on chronic gastritis of spleen stomach deficiency cold type,and provide reliable basis for standardized treatment of winter disease in summer.Methods From July 12,2019 to August 19,2021,66 outpatients with chronic gastritis of spleen stomach deficiency cold type were randomly selected and divided into two groups:the control group (30 cases),the treatment group (30 cases) and the exfoliation group (6 cases).The control group was given Sanfu Paste combined with Huangqi Jianzhong Decoction for 3 consecutive years,and the treatment group was given Sanfu Moxibustion on this basis.The clinical effective rate,sleep index and quality of clinical outcome were compared between the two groups in the first,second and third years of treatment.Results The total clinical effective rate of the treatment group was significantly higher than that of the control group in the first,second and third years of treatment (P<0.05);The sleep index and clinical outcome quality score of the treatment group and the control group decreased in the first,second and third years of treatment,but the decrease of the treatment group was more significant than that of the control group in the same period,with statistical significance (P<0.05).Conclusion Sanfu Moxibustion,Sanfu Paste and Huangqi Jianzhong Decoction can regulate the level of amino acids in the brain of patients with chronic gastritis of spleen stomach deficiency cold type,achieve hormone balance,regulate the spleen stomach Qi raising and lowering mechanism,and improve the quality of sleep,which has a certain deductive effect on the longterm effect of the disease,and provide a reliable basis for the standardized treatment of winter disease in summer.

参考文献/References:

[1]邓水仙.针灸联合康复治疗对于脾胃虚寒型慢性胃炎的临床疗效及其对血管活性肠肽胃泌素及血清胃动素影响的研究[J].山西医药杂志,2022,51(2):179-182.
[2]葛艳杰,薛士梅,王宏双,等.右归丸联合胶体果胶铋胶囊对脾胃虚寒型慢性浅表性胃炎患者的疗效及机制分析[J].医学理论与实践,2022,35(3):410-412.
[3]祖国秀,黄海量,韩涛,等.慢性胃炎中医诊疗共识变化分析[J].山东中医药大学学报,2021,45(6):757-761.
[4]任良娟,陈德凤,陈曾丽,等.温脾贴治疗脾胃虚寒型胃脘痛疗效观察[J].成都医学院学报,2021,16(4):508-511.
[5]蔡玉梅,陆霞娟,郑继范,等.麦粒灸治疗脾胃虚寒型慢性浅表性胃炎临床观察[J].中国针灸,2021,41(5):511-514.
[6]王倩,王捷虹,沙志惠,等.优化中医护理方案干预慢性胃炎胃脘痛临床研究[J].现代中医药,2021,41(5):108-111.
[7]刘红华,欧阳里知,葛君芸,等.浅析三伏灸的理论基础与临床运用[J].中国针灸,2020,40(7):745-748.
[8]孙小月,王修银,韩常安,等.基于数据挖掘的冬病夏治三伏贴(灸)适应症及选穴用药规律研究[J].中国民间疗法,2019,27(16):12-15.
[9]房静远,杜奕奇,刘文忠,等.中国慢性胃炎共识意见(2017年,上海)[J].胃肠病学,2017,22(11):670-687.
[10]张声生,唐旭东,黄穗平,等.慢性胃炎中医诊疗专家共识意见(2017)[J].中华中医药杂志,2017,32(7):3060-3064.
[11]张喜艳,杨洋,徐勇,等.计算机化认知行为治疗对喉癌围术期病人情绪及睡眠质量的影响[J].护理研究,2021,35(7):1300-1304.
[12]唐旭东,王萍,刘保延,等.基于慢性胃肠疾病患者报告临床结局测量量表的编制及信度、效度分析[J].中医杂志2009,50(1):27-29.
[13]倪伟,徐重明.冬病夏治与夏病冬治[M].上海:上海中医药大学出版社,2002.
[14]章璐,李硕,石瑜杰,等.冬病夏治敷贴疗法联合清肺定喘汤治疗哮喘-慢性阻塞性肺疾病重叠综合征[J].长春中医药大学学报,2021,37(6):1342-1346.
[15]晏燕.冬病夏治穴位贴敷结合西医常规治疗肺肾气虚型慢性阻塞性肺疾病临床观察[J].西部中医药,2021,34(9):118-121.
[16]李红华.冬病夏治穴位贴敷治疗支气管哮喘临床疗效及对血清S1P、LXA4表达水平影响[J].辽宁中医药大学学报,2022,24(2):153-156.
[17]张鼎,黄烈弥,桂星花,等.冬病夏治温针灸治疗脾胃虚寒型胃痛临床研究[J].陕西中医,2021,42(4):527-530.
[18]李俊,邹静,汪宇翔,等.冬病夏治三伏灸治疗慢性脾胃病的临床研究[J].基层医学论坛,2021,25(10):1448-1449.
[19]高志平.冬病夏治论析[J].中国针灸,2014,34(4):401-404.
[20]杨国志,高生.基于数据挖掘分析穴位贴敷治疗功能性消化不良选穴与用药规律[J].河南中医,2019,39(11):1767-1770.
[21]李盈.温补脾肾方贴敷神阙加艾灸中脘干预阳虚质结直肠息肉摘除术后临床研究[J].新中医,2021,53(18):179-183.
[22]龙顺钦,肖舒静,周宇姝,等.艾箱灸神阙、中脘穴防治含铂类化疗方案所致消化道副反应[J].新中医,2012,44(7):138-139.
[23]姜劲峰,徐旺芳,俞兴根,等.基于血管生物学的神阙穴特异性解析[J].中国针灸,2017,37(12):1304-1308.
[24]沙志惠,梁晓雅,王倩,等.隔药饼灸治疗脾胃虚寒型胃脘痛60例[J].陕西中医药大学学报,2020,43(3):89-91.
[25]王倩,王捷虹,沙志惠,等.辰时温中健脾饼灸联合五行音乐干预急性胰腺炎恢复期肝郁脾虚型胃肠道功能研究[J].现代中医药,2021,41(6):57-61.
[26]艾灸红外物理特性及效应机理[J].上海医学,2021,44(10):700.
[27]龙飞宇,王瑶,王茂华,等.艾灸贴刺激安眠穴对拟行甲状腺手术患者术前睡眠质量及焦虑状态的影响[J].成都医学院学报,2022,17(2):188-192,196.
[28]张艳梅.艾灸联合中医情志护理对失眠者睡眠质量和生命质量的影响[J].世界睡眠医学杂志,2021,8(8):1378-1379.
[29]许文倩,秦雪梅,刘月涛,等.基于网络药理学的黄芪建中汤治疗慢性萎缩性胃炎作用机制研究[J].中草药,2018,49(15):3550-3561.

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备注/Memo

备注/Memo:
基金项目:十三五重点研发计划“中医药现代化研究”专项课题(2017YFC1703703);陕西中医药大学附属医院科研课题(2020XZ001)
更新日期/Last Update: 2023-01-20