针灸治疗慢性萎缩性胃炎疗效对比观察

目的:比较针灸与西药治疗慢性萎缩性胃炎的疗效差异.方法:将80例患者随机分成观察组和对照组,每组40例.观察组采用针灸治疗,穴取关元、气海、足三里、血海、膈俞;对照组采用西药治疗,口服奥美拉唑、阿莫西林等药物.治疗前、治疗4周及8周分别对两组进行临床症状评估、胃镜检查以及胃黏膜组织病理检查,比较疗效差异.结果:观察组临床症状总有效率为92.5%,优于对照组的75.0%(P＜0.05);观察组胃镜下改善黏膜病变程度总有效率为85.0%,优于对照组的65.0%(P＜0.05),且观察组改善组织病理总有效率亦优于对照组(87.5%、65.0%,P＜0.05).结论:针灸可显著改善慢性萎缩性胃炎患者的临床症状、内镜下表现及组织病理情况,疗效优于西药治疗.

Clinical observation on acupuncture for treatment of chronic atrophic gastritis

Objective To compare the therapeutic effects of acupuncture and western medicine for treatment of chronic atrophic gastritis. Methods Eighty cases of chronic atrophic gastritis were randomly divided into an observation group and a control group, 40 cases in each group. The observation group was treated with acupuncture and moxibustion on Guanyuan (CV 4), Qihai (CV 6) , Zusanli (ST 36), Xuehai (SP 10), Geshu (BL 17) ; and the control group with oral administration of western medicine, Omeprazole and Amoxicillin, etc. Evaluation of the scores of clinical symptoms, gastroscopic inspection and histopathologic examination of the gastric mucosa were carried out before treatment and after treatment of 4 and 8 weeks in each group to compare the therapeutic effects between the two groups. Results The total effective rate of 92. 5% in the acupuncture group was better than 75. 0% in the control group (P<0. 05). For the pathologic changes of gastric mucosa by the gastroscopic inspection, the total effective rate of 85. 0% in the acupuncture group was superior to 65. 0% in the control group (P<0. 05), and for the improvement of histopathologic aspect, the total effective rate of 87. 5% in the acupuncture group was better than 65.0% in the control group (P<0. 05). Conclusion Acupuncture therapy can significantly improve the clinical symptoms, gastroscopic expression and histopathologic situation in the patients of chronic atrophic gastritis, and its therapeutic effect is better than that of the western medicine.