代针膏穴敷治疗消化性溃疡临床的研究.docVIP

代针膏穴敷治疗消化性溃疡临床的研究 　　梁繁荣1　鄢路洲2　朱慧民1　何　刚2　任亚东3　王黎明4 　　(1.成都中医药大学,四川610075;2.四川省自贡市中医医院;3.四川省新津县中医医院;4.四川省绵阳市中医医院)[摘　要]　将93例消化性溃疡(PU)患者随机分为穴敷组33例、针灸组30例和西药组30例,进行临床对比观察。经治疗1月,结果中医证候总有效率分别为87.88%,86.67%,63.33%;胃镜总有效率分别为84.85%,86.66%,63.33%;3组比较差异无显著意义(P0.05)。代针膏穴敷与针灸均明显减少溃疡面积(P0.01),使幽门螺杆菌(HP)明显消失(P0.05),使血清IgG、IgM明显升高(P0.05)。说明代针膏具有类似针灸的抑制胃酸分泌、促进溃疡愈合的作用。 　　[主题词]　穴位贴敷法;消化性溃疡/穴位疗法;消化性溃疡/针灸疗法 　　Clinical Study on Treatment of Peptic Ulcer with Acupoint Application of Dai Zhen Gao 　　Liang Fanrong1,Yan Luzhou2,Zhu Huimin1,He Gang2,Ren Yadong3,Wang Liming4(1.Chengdu University of Traditional Chinese Medicine and Pharmacy,Sichuan Province 610075;2.Zigong Municipal Hospital of Traditional Chinese Medicine,Sichuan Province;3.Xinjin County Hospital of TCM;Mianyang Municipal Hospital of TCM,Sichuan Province) 　　[Abstract]　Purpose　To observe the therapeutic effect of acupoint application of Dai Zhen Gao on peptic ulcer.Methods　93 cases of peptic ulcer were randomly divided into acupoint application group(group A,33 cases),acupuncture and moxibustion group(group B,30 cases)and Western medicine group(group C,30 cases),and their therapeutic effects were compared.Results　After treatment for one month,the total effective rate for clinical manifestations in the three groups was 87.88%,86.67% and 63.33%, and the total effective rate for gastric endoscopy was 84.85%,86.66% and 63.33% respectively,with no statistically significant difference among the three groups(P0.05).The ulcer areas were significantly reduced in the groups A and B(P0.01)and HP disappeared(P0.05)and serum IgG and IgM contents significantly elevated (P0.05)in the groups A and B.Cunclusion　Dai Zhen Gao has the same effect as that of acupuncture and moxibustion,inhibiting secretion of gastric acid and promoting healing of peptic ulcer. 　　[Key words]　Peptic Ulcer/acupoint ther;Acupoint Sticking Therapy;Peptic Ulcer/acup ther. 　　 　　消化性溃疡(PU)是指发生于胃和十二指肠的慢性溃疡,是临床常见病、多发病。目前治疗多采用药物内服为主,有关药物外贴较少,而穴位贴敷治疗消化性溃疡的系统化临床研究尚未见报道。