温针配合中药贴脐法治疗脾虚湿困型复发性口腔溃疡临床研究
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摘要
目的观察温针配合中药贴脐法治疗脾虚湿困型复发性口腔溃疡与常规西药治疗的疗效差异。方法将60例患者随机分为治疗组(30例)和对照组(30例)。治疗组采用针刺加中药疗法,对照组采用常规西医治疗。治疗结束后评价临床疗效,并对比两组复发情况。结果治疗组总有效率为96.7%,对照组总有效率为83.3%,治疗组总有效率明显优于对照组,差异有统计学意义(P <0.05)。随访12个月,治疗组复发5例(16.7%)、对照组复发16例(53.3%),治疗组复发率明显低于对照组,差异有统计学意义(P <0.05)。结论与单纯的西药治疗比较,温针配合中药贴脐法治疗脾虚湿困型复发性口腔溃疡疗效显著,复发率低,值得临床推广。
Objective To observe the difference of curative effect between warm needling and Chinese medicine umbilicus in treating recurrent aphthous ulcer of spleen deficiency and dampness. Methods Sixty patients were randomly divided into treatment group(30 cases) and control group(30 cases). The treatment group was treated with acupuncture plus Chinese medicine, while the control group was treated with conventional western medicine. After the treatment, the clinical efficacy was evaluated and the recurrence of the two groups was compared. Results The total effective rate of the treatment group was 96.7%, The total effective rate of the control group was 83.3%, The total effective rate of the treatment group was better than that of the control group, and the difference between the two groups was significant(P < 0.05). After 12 months of follow-up, 5 cases(16.7%) recurred in the treatment group, and 16 cases(53.3%) recurred in the control group, the recurrence rate of the treatment group was significantly lower than that of the control group, and the difference between the two groups was significant(P < 0.05). Conclusion Compared with the simple treatment of Western medicine, the therapeutic effect of warm needling combined with traditional Chinese medicine on the treatment of recurrent oral ulcer of spleen deficiency dampness type is remarkable, and the recurrence rate is low. It is worth popularizing in clinic.
Objective To observe the difference of curative effect between warm needling and Chinese medicine umbilicus in treating recurrent aphthous ulcer of spleen deficiency and dampness. Methods Sixty patients were randomly divided into treatment group(30 cases) and control group(30 cases). The treatment group was treated with acupuncture plus Chinese medicine, while the control group was treated with conventional western medicine. After the treatment, the clinical efficacy was evaluated and the recurrence of the two groups was compared. Results The total effective rate of the treatment group was 96.7%, The total effective rate of the control group was 83.3%, The total effective rate of the treatment group was better than that of the control group, and the difference between the two groups was significant(P < 0.05). After 12 months of follow-up, 5 cases(16.7%) recurred in the treatment group, and 16 cases(53.3%) recurred in the control group, the recurrence rate of the treatment group was significantly lower than that of the control group, and the difference between the two groups was significant(P < 0.05). Conclusion Compared with the simple treatment of Western medicine, the therapeutic effect of warm needling combined with traditional Chinese medicine on the treatment of recurrent oral ulcer of spleen deficiency dampness type is remarkable, and the recurrence rate is low. It is worth popularizing in clinic.
引文
[1]陈夏凉,袁晓,姚华.复发性阿弗他溃疡的中医治疗研究进展[J].黑龙江中医药,2016,45(1):78-79.
[2]李冬梅,刘寨华,李同达,等.许彭龄从脾胃论治复发性口腔溃疡经验[J].中国中医基础医学杂志,2012,18(7):747-749.
[3]杜卫华.醒脾汤治疗复发性口腔溃疡120例[J].长春中医药大学学报,2011,27(1):125.
[4]古群山,李星光,田勇,等.中西医结合治疗阿弗他溃疡的临床研究[J].中医临床研究,2017,9(19):11-13.
[5]周曾同,冯安心.口腔黏膜病学[M].第4版.北京:人民卫生出版社,2012.
[6]杨红明,陈齐鸣.“沙冬肉桂汤”治疗复发性口腔溃疡40例临床观察[J].江苏中医药,2016,48(5):48-49.
[7]金绍康.青黛平溃汤治疗复发性阿弗他溃疡30例疗效观察[J].西部中医药,2013,26(1):84-86.
[8]程旺,陈双双,陈仁寿.复发性阿弗他溃疡中医证型和用药规律文献分析[J].辽宁中医药大学学报,2015,17(6):135-138.
[9]周莹,汪洋.参苓白术散治疗脾胃虚弱型复发性阿弗他溃疡31例[J].中西医结合研究,2015(1):33-33,35.
[10]但寒.中西医结合治疗复发性口腔溃疡临床观察[J].湖北中医杂志,2016,38(10):31-32.
[11]蔡剑,胡佳艺,吴国荣.辨证分型治疗复发性阿弗他溃疡[J].中医临床研究,2016,8(8):69-71.
[12]王俊,王玥,乔会侠,等.复发性口腔溃疡与胃黏膜疾病及中医证型的相关性研究[J].世界中西医结合杂志,2017,12(8):1041-1044.
[13]董伟,倪诚,英孝,等.从湿热体质论治复发性口腔溃疡[J].中医杂志,2014,55(15):1339-1340,1348.
[14]于庆,王春艳.复发性口腔溃疡中西医结合治疗的临床观察[J].中国当代医药,2013,20(33):113-115.
[15]翟阳,宋立群.宋立群教授从脾胃论治复发性口腔溃疡[J].吉林中医药,2013,33(4):338-339.
[16]朱叶珊,靳松,时建华,等.从脾胃论治复发性阿弗他溃疡的经验举隅[J].中国民间疗法,2016,24(12):8-9.
[17]楼亚萍,徐勤业.健脾助阳方剂治疗脾胃虚寒型复发性口腔溃疡79例疗效分析[J].中国中医药科技,2015,22(6):674-675.
[18]周萍,向阳红,周滢,等.针药并用治疗复发性口腔溃疡的临床研究[J].中成药,2015,37(3):501-504.
[19]周东新.中医分型配合外用缓释贴片治疗复发性阿弗它溃疡32例[J].陕西中医,2011,32(9):1152-1154.
[2]李冬梅,刘寨华,李同达,等.许彭龄从脾胃论治复发性口腔溃疡经验[J].中国中医基础医学杂志,2012,18(7):747-749.
[3]杜卫华.醒脾汤治疗复发性口腔溃疡120例[J].长春中医药大学学报,2011,27(1):125.
[4]古群山,李星光,田勇,等.中西医结合治疗阿弗他溃疡的临床研究[J].中医临床研究,2017,9(19):11-13.
[5]周曾同,冯安心.口腔黏膜病学[M].第4版.北京:人民卫生出版社,2012.
[6]杨红明,陈齐鸣.“沙冬肉桂汤”治疗复发性口腔溃疡40例临床观察[J].江苏中医药,2016,48(5):48-49.
[7]金绍康.青黛平溃汤治疗复发性阿弗他溃疡30例疗效观察[J].西部中医药,2013,26(1):84-86.
[8]程旺,陈双双,陈仁寿.复发性阿弗他溃疡中医证型和用药规律文献分析[J].辽宁中医药大学学报,2015,17(6):135-138.
[9]周莹,汪洋.参苓白术散治疗脾胃虚弱型复发性阿弗他溃疡31例[J].中西医结合研究,2015(1):33-33,35.
[10]但寒.中西医结合治疗复发性口腔溃疡临床观察[J].湖北中医杂志,2016,38(10):31-32.
[11]蔡剑,胡佳艺,吴国荣.辨证分型治疗复发性阿弗他溃疡[J].中医临床研究,2016,8(8):69-71.
[12]王俊,王玥,乔会侠,等.复发性口腔溃疡与胃黏膜疾病及中医证型的相关性研究[J].世界中西医结合杂志,2017,12(8):1041-1044.
[13]董伟,倪诚,英孝,等.从湿热体质论治复发性口腔溃疡[J].中医杂志,2014,55(15):1339-1340,1348.
[14]于庆,王春艳.复发性口腔溃疡中西医结合治疗的临床观察[J].中国当代医药,2013,20(33):113-115.
[15]翟阳,宋立群.宋立群教授从脾胃论治复发性口腔溃疡[J].吉林中医药,2013,33(4):338-339.
[16]朱叶珊,靳松,时建华,等.从脾胃论治复发性阿弗他溃疡的经验举隅[J].中国民间疗法,2016,24(12):8-9.
[17]楼亚萍,徐勤业.健脾助阳方剂治疗脾胃虚寒型复发性口腔溃疡79例疗效分析[J].中国中医药科技,2015,22(6):674-675.
[18]周萍,向阳红,周滢,等.针药并用治疗复发性口腔溃疡的临床研究[J].中成药,2015,37(3):501-504.
[19]周东新.中医分型配合外用缓释贴片治疗复发性阿弗它溃疡32例[J].陕西中医,2011,32(9):1152-1154.