Objective: To compare the clinical effect of wheat grain moxibustion and warming acupuncture on chronic superficial gastritis of spleen-stomach deficiency and cold.
Methods: A total of 200 patients with chronic superficial gastritis of spleen-stomach deficiency and cold were randomly divided into a wheat grain moxibustion group (100 cases, 13 cases dropped off ) and a warming acupuncture group (100 cases, 16 cases dropped off ). The acupoints of Zhongwan (CV 12), Tianshu (ST 25), Qihai (CV 6), Liangqiu (ST 34) and Zusanli (ST 36) were selected in both groups. The patients in the wheat grain moxibustion group were treated with wheat grain moxibustion, and 5 cone were given on every acupoint each time. Moxibustion was performed after acupuncture in the warming acupuncture group, and 3 cone each acupoint. Both groups were treated every other day for 15 times. The scores of clinical symptoms and signs, scores of physical component summary (PCS) and mental component summary (MCS) of quality of life in the two groups were recorded before and after treatment and during follow-up 1 month after treatment, and the clinical effects of the two groups were evaluated after treatment and during follow-up.
Results: After treatment and during follow-up, the scores of clinical symptoms and signs of the two groups were lower than before treatment (P<0.05), and the scores of PCS and MCS of quality of life were higher than before treatment (P<0.05). At follow-up, the score of clinical symptoms and signs in the wheat grain moxibustion group was lower than that in the warming acupuncture group (P<0.01), and the scores of PCS and MCS of quality of life were higher than those in the warming acupuncture group (P<0.001). The total effective rate of the wheat grain moxibustion group was 93.1% (81/87), which was higher than 82.1% (69/84) of the warming acupuncture group at follow-up (P<0.001).
Conclusion: The wheat grain moxibustion can effectively improve the clinical symptoms, signs and quality of life in patients with chronic superficial gastritis of spleen-stomach deficiency and cold, and its long-term effect is better than warming acupuncture.
目的：比较麦粒灸与温针灸治疗脾胃虚寒型慢性浅表性胃炎的临床疗效。方法：将200例脾胃虚寒型慢性浅表性胃炎患者随机分为麦粒灸组（100例，脱落13例）和温针灸组（100例，脱落16例）。两组均取中脘、天枢、气海、梁丘、足三里穴。麦粒灸组采用麦粒灸治疗，每穴每次灸5壮；温针灸组针刺后行温针灸，每穴每次灸3壮，两组均隔日1次，共治疗15次。分别于治疗前后及治疗后1个月随访时记录两组患者临床症状体征积分、生活质量生理总评分（PCS）和心理总评分（MCS），并于治疗后及随访时评定两组患者临床疗效。结果：治疗后及随访时，两组患者临床症状体征积分均低于治疗前（P<0.05），生活质量PCS和MCS评分均高于治疗前（P<0.05）。随访时，麦粒灸组患者临床症状体征积分低于温针灸组（P<0.01），生活质量PCS和MCS评分均高于温针灸组（P<0.001）；麦粒灸组总有效率为93.1%（81/87），高于温针灸组的82.1%（69/84，P<0.001）。结论：麦粒灸可有效改善脾胃虚寒型慢性浅表性胃炎患者临床症状体征及生活质量，其远期疗效优于温针灸。.
Keywords: chronic superficial gastritis; randomized controlled trial (RCT); spleen-stomach deficiency and cold; warming acupuncture; wheat grain moxibustion.