| 引用本文: |
余展波, 老膺荣, 何敏然, 许铛瀚, 刘钊汐, 温春琳, 方芳.基于五运六气理论指导下的针刺对慢性胃炎的临床研究[J].湖南中医药大学学报,2024,44(12):2252-2256[点击复制] |
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| 基于五运六气理论指导下的针刺对慢性胃炎的临床研究 |
| 余展波,老膺荣,何敏然,许铛瀚,刘钊汐,温春琳,方芳 |
| (广州中医药大学, 广东 广州 510006;广州市海珠区瑞宝街社区卫生服务中心, 广东 广州 510288;广东省中医院, 广东 广州 510120;广州医科大学附属中医医院, 广东 广州 510130) |
| 摘要: |
| 目的 本研究旨在探讨五运六气理论指导下的针刺对慢性胃炎患者的影响，评估其在缓解胃部症状和改善生活质量方面的效果。方法 本研究为一项回顾性队列研究，采用倾向性评分匹配方法，将慢性胃炎患者根据是否接受五运六气指导下的针刺分为观察组和对照组。通过比较两组患者治疗前后的胃肠道症状评分量表（gastrointestinal symptom rating scale,GSRS）、36条目健康调查简表（36-item short form survey,SF-36）、汉密尔顿焦虑量表（Hamilton Anxiety Scale,HAMA）和汉密尔顿抑郁量表（Hamilton Depression Scale,HAMD）评估治疗效果。结果 与治疗前比较，治疗后对照组GSRS评分降低（P＜0.05），观察组GSRS、HAMA、HADM评分降低（P＜0.05）；且观察组低于对照组（P＜0.001）；与治疗前比较，治疗后两组SF-36评分均升高（P<0.05），且观察组高于对照组（P＜0.001）。结论 五运六气理论指导下的针刺治疗可有效改善慢性胃炎患者的胃部症状、提高生活质量和改善焦虑及抑郁状态。 |
| 关键词: 五运六气 慢性胃炎 倾向性评分匹配 队列研究 针刺 胃肠道症状评分量表 汉密尔顿抑郁量表 |
| DOI：10.3969/j.issn.1674-070X.2024.12.017 |
| 投稿时间：2024-10-01 |
| 基金项目:广东省科技厅2022年海外名师项目（粤财科教〔2022〕184号）。 |
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| Clinical study of acupuncture for chronic gastritis based on the theory of five movements and six qi |
| YU Zhanbo, LAO Yingrong, HE Minran, XU Danghan, LIU Zhaoxi, WEN Chunlin, FANG Fang |
| (Guangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong 510006, China;Rui Bao Street Community Health Service Center, Haizhu District, Guangzhou, Guangdong 510288, China;Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong, 510120, China;The Affiliated Traditional Chinese Medicine Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 510130, China) |
| Abstract: |
| Objective To investigate the effects of acupuncture on patients with chronic gastritis under the guidance of five movements and six qi, and to evaluate its effectiveness in relieving gastric symptoms and improving quality of life. Methods A retrospective cohort study was conducted. Using a propensity score matching (PSM) method, patients with chronic gastritis were divided into an observation group and a control group based on their willingness to received acupuncture guided by the theory of five movements and six qi. The efficacy was assessed by comparing the scores of the gastrointestinal symptom rating scale (GSRS), 36-item short form survey (SF-36), Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD) before and after treatment between the two groups. Results Compared with before treatment, the GSRS, HAMA, and HAMD scores of both groups decreased after treatment (P<0.05), with the observation group showing lower scores than the control group (P<0.001); the SF-36 scores of both groups increased after treatment (P<0.05), with the observation group having higher scores than the control group (P<0.001). Conclusion Acupuncture guided by the theory of five movements and six qi can effectively reduce gastric symptoms, enhance quality of life, and alleviate anxiety and depression in patients with chronic gastritis. |
| Key words: five movements and six qi chronic gastritis propensity score matching cohort study acupuncture gastrointestinal symptom rating scale Hamilton Depression Scale |
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