按揉新人迎穴配合摩腹推拿法治疗慢性胃炎（脾胃虚寒证）的临床观察

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1、提要目的观察按揉新人迎穴配合摩腹推拿法治疗脾胃虚寒型慢性非萎缩性胃炎的临床疗效，探讨新人迎穴对调节胃肠功能的作用。方法根据课题制定的诊断标准、纳入标准及排除标准，将入选的60例慢性非萎缩性胃炎（脾胃虚寒证）患者，随机分为治疗组和对照组，每组30例。治疗组按揉新人迎穴配合摩腹推拿法，并口服替普瑞酮胶囊(施维舒)，对照组口服替普瑞酮胶囊(施维舒)治疗。2结果治疗组总有效率为93.3%，对照组总有效率为86.7%，经x检验两组有显著差异（P＜0.05）。治疗组患者治疗前与治疗2周后、治疗4周后各临床证候积分经单因素方差

2、分析，P＜0.01，治疗前后具有非常显著差异。对照组治疗前与治疗2周后、治疗4周后各临床证候积分经单因素方差分析，P＜0.05，治疗前后具有显著差异。两组患者证候积分在治疗2周后、治疗4周后分别统计分析（单因素方差分析），结果证候总积分都具有非常显著差异，P＜0.01。结论两组治疗方法对慢性非萎缩性胃炎（脾胃虚寒证）都具有很好的疗效，但按揉新人迎穴配合摩腹推拿法在改善喜温喜按、遇寒痛甚等症状上疗效更好，且本法操作安全，无痛苦，患者易于接受，值得临床推广。关键词新人迎穴；摩腹；慢性胃炎；推拿疗法；临床观察Clini

3、calObservationonChronicGastritis(TheSpleenandStomachDeficiency-ColdZheng)byKneadingNewRenyingPointwithRubbingAbdomenSpeciality：Acupuncture&MoxibustionandTuinaAuthor：YaoWeiweiTutor：Prof.LiHuadongAbstractObjective:Toobserveandresearchtheclinicaltherapeuticresul

4、tsofthespleenandstomachdeficiency-coldzhengofnon-atrophicgastritisbykneadingthenew-Renyingpointwithrubbingtheabdomen,andexploretheeffectofthenew-Renyingpointonregulatingthegastrointestinalfunction.Methods:Accordingtothediagnosticcriteria,inclusivecriteriaande

5、xclusivecriteriaforthescheduledresearchsubject,60patientsofthespleenandstomachdeficiency-coldzhengofnon-atrophicgastritiswereselectedandrandomlydividedintotwogroups:thetreatmentgroupandthecontrolgroup.30casesineachgroup.Thetreatmentgroupwastreatedbykneadingth

6、enew-Renyingpointwithrubbingtheabdomen,andprofessingtoconvincedtakeorallySelbex,whilethecontrolgroupbyprofessingtoconvincedtakeorallySelbex.Result:Thetotaleffectivenessofthetreatmentandcontrolgroupwas93.3%aswellas73.3%respectively(P＜0.05).Theclinicalsyndromei

7、ntegralsofthetreatmentgroupabout“beforetreated”、“2weeksaftertreated”and“4weeksaftertreated”wereanalysedbyone-wayANOVA,andtheresultswereP＜0.01,whichmeansthereweresignificantdifferencesbeforeandaftertreatment.Whiletheclinicalsyndromeintegralsofthecontrolgroupab

8、out“beforetreated”、“2weeksaftertreated”and“4weeksaftertreated”wereanalysedbyone-wayANOVA,andtheresultswereP＜0.05,whichmeansthereweredifferencesbeforeandaftertreatment.Theclinicalsyndromei