摘要
目的:比较麦粒灸治疗复发性口腔溃疡与传统治疗方法的临床疗效差异。方法:将66例患者按1:1比例随机分配为麦粒灸组(33例)和西药组(33例)。麦粒灸组:溃疡发作期:合谷、太冲、中脘、足三里;恢复期:足三里、神阙、涌泉,每周治疗3次,2周为1个疗程,共治疗6次。西药组使用西瓜霜喷雾剂,1次适量,每天6次,共治疗2周。采用复发性口腔溃疡症候体征观察量表与中医脾肾阳虚证候评分量表,观察两组积分,并比较两组临床疗效。结果:①症状积分:两组在最后一次治疗后分别与组内基线评分值相比较,提示症状改善具有显著性差异;麦粒灸组在第二、三、六次治疗后症状积分明显低于西药组(P<0.001)。②中医脾肾阳虚评分:两组第六次治疗后分别与其基线相比较差异有统计学意义(P<0.001);第二、四、五、六次治疗后,麦粒灸组在中医脾肾阳虚症候评分方面明显低于西药组(P<0.001)。结论:麦粒灸对治疗复发性口腔溃疡,改善口腔溃疡症状较快,改善中医脾肾阳虚症状效果更好。
Objective:To compare the clinical efficiency between Seed-sized Moxibustion and routine treatment in the management of recurrent oral ulcer.Methods:Sixty-six patients were randomly divided into a Seed-sized moxibustion group(33 cases)and a western medicine group(33 cases)on a 1∶1 ratio.Acupoint selection for treatment group:Hegu,Taichong,Zhongwan,Zusanli during acute attack;on convalescent,Zhongwan,Shenque,Yongquan.Seed-sized moxibustion was carried 3 times a week,2 weeks for one course,all in all 6 sessions.While the controlled group received Water Melon Cream Spray,6 times a day,a total of 2 weeks.Symptoms and signs observation scale and scores?of?TCM?syndromes-Yin deficiency of spleen and kidney were outcome measurements.Results:(1)Symptoms and signs observation scale:compared with the baseline,the two groups were all improved in scores after the last treatment(P<0.001);between groups,the score in the Seed-sized moxibustion group was significantly lower than that in the western medicine group respectively,after the second,third and sixth treatment(P<0.001).(2)Scores?of?TCM?syndromes-spleen-kidney Yang deficiency:compared with the baseline,the two groups had also got an inner-group improvement respectively,compared with their baseline(P<0.001).After the second,fourth,fifth and last session,score of the seed-sized moxibustion group was significantly lower than that of western medicine group(P<0.001).Conclusion:Seed-sized moxibustion can improve the symptoms of oral ulcer within one week,and it is also better inrelieving symptoms of spleen-kidney Yang deficiency.
作者
杨梅
陈欣
兰颖
胡利
YANG Mei;CHEN Xin;LAN Ying(Center of Preventive Treatment of Diseases,Hospital of Chengdu Universityof Traditional Chinese Medicine/Traditional Chinese Medicine Hospital of Sichuan Province,Chengdu Sichuan 710032,China;College of Acupuncture-moxibustion and Tuina,Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 710072,China)
出处
《四川中医》
2022年第8期180-182,共3页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省卫健委干部保健课题(川干研2020-503)
成都中医药大学附属医院科技发展基金(编号:2016-D-YY-38)
关键词
麦粒灸
复发性口腔溃疡
脾肾阳虚
Seed-sized moxibustion
Recurrent oral ulcer
Yin deficiency of spleen and kidney
