艾灸辅助治疗慢性浅表性胃炎的文献分析
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摘要
目的了解我国传统中医护理技术艾灸辅助治疗慢性浅表性胃炎的研究现状,分析其存在的问题,为今后的临床护理工作提供依据。方法以"艾灸"、"隔姜灸"、"灸法"、"灸"、"雷火灸"、"温和灸"、"隔物灸"和"慢性胃炎"、"慢性浅表性胃炎"、"胃脘痛"、"痞满"等为主题词,检索中国期刊全文数据库(CNKI)、万方数据库、维普数据库(VIP)及中国生物医学数据库(CBM)收录的相关文献,采用End Note X3软件查重,采用Excel软件进行统计分析。结果共检索出35篇有效文献;研究均证实艾灸疗法能辅助治疗慢性浅表性胃炎,缓解其相关症状;有18篇文献对慢性浅表性胃炎进行的症候分型,其中14篇干预症型为脾胃虚寒型、4篇干预症型为脾胃虚弱型;35篇文献中艾灸在穴位选择、艾灸方式、是否隔物、艾灸时间、疗程、随访及评价指标等方面缺乏统一标准;文献质量一般,未达到循证要求。结论艾灸能一定程度上辅助治疗慢性浅表性胃炎,缓解相关症状,但在文献质量及艾灸疗法标准化研究方面仍需进行更为深入的研宄。
Objective To investigate the current status by statistical analysis of clinical observation studies on mobilization treatment of chronic superficial gastritis in order to provide references for its further clinical development. Methods Computer retrieved the Chinese knowledge resources database which is China national knowledge infrastructure(CNKI),VIP Chinese journal full text database(VIP),Wanfang data resource system(WF),and Chinese biomedical literature database(CBM). which are given priorities to keywords,such as " Moxibustion ", " Ginger moxibustion ", " Thunder-fire moxibustion", " Mild moxibustion", " Indirect moxibustion" and " Chronic gastritis", " Chronic superficial gastritis", " Stomachache" and " Fullness" for the search terms for content retrieval. Using End Note X3 software to check duplication,Input excel and to establish a database for statistical analysis. Results There were 35 studies of clinical observation reference on mobilization treatment of chronic superficial gastritis were collected. All of which confirmed that moxibustion therapy can help treat chronic superficial gastritis. There are 18 studies on the classification of symptoms of chronic superficial gastritis. 14 of the studies were spleen-stomach vacuity cold type,and 4 of the articles were spleen-stomach weakness. The results showed that the 35 studies had some short comings,including lack uniform standards for moxibustion pattern,acupoint selection,whether it is separated moxibustion,moxibustion time,course of treatment,follow-up,and evaluation indicators. The quality of the literatures are general,and evidence-based requirements have not been met. Conclusions Moxibustion showed significant clinical effect on chronic superficial gastritis,However,more in-depth research is still needed on the quality of literature and the standardization of moxibustion therapy.
Objective To investigate the current status by statistical analysis of clinical observation studies on mobilization treatment of chronic superficial gastritis in order to provide references for its further clinical development. Methods Computer retrieved the Chinese knowledge resources database which is China national knowledge infrastructure(CNKI),VIP Chinese journal full text database(VIP),Wanfang data resource system(WF),and Chinese biomedical literature database(CBM). which are given priorities to keywords,such as " Moxibustion ", " Ginger moxibustion ", " Thunder-fire moxibustion", " Mild moxibustion", " Indirect moxibustion" and " Chronic gastritis", " Chronic superficial gastritis", " Stomachache" and " Fullness" for the search terms for content retrieval. Using End Note X3 software to check duplication,Input excel and to establish a database for statistical analysis. Results There were 35 studies of clinical observation reference on mobilization treatment of chronic superficial gastritis were collected. All of which confirmed that moxibustion therapy can help treat chronic superficial gastritis. There are 18 studies on the classification of symptoms of chronic superficial gastritis. 14 of the studies were spleen-stomach vacuity cold type,and 4 of the articles were spleen-stomach weakness. The results showed that the 35 studies had some short comings,including lack uniform standards for moxibustion pattern,acupoint selection,whether it is separated moxibustion,moxibustion time,course of treatment,follow-up,and evaluation indicators. The quality of the literatures are general,and evidence-based requirements have not been met. Conclusions Moxibustion showed significant clinical effect on chronic superficial gastritis,However,more in-depth research is still needed on the quality of literature and the standardization of moxibustion therapy.
引文
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[11]色布乐玛,特古斯,扎拉嘎夫.蒙药结合艾灸治疗慢性浅表性胃炎133例疗效观察[J].中国民族医药杂志,2017,23(3):11-12.
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[13]领小.蒙药结合艾灸治疗慢性浅表性胃炎疗效观察[J].中国民族医药杂志,2016,22(8):13-14.
[14]莫日根.蒙药配合艾灸治疗慢性浅表性胃炎临床观察[J].中国民族医药杂志,2017,23(7):30-31.
[15]王路然,伊柔.蒙医药结合艾灸治疗慢性浅表性胃炎83例疗效观察[J].中国民族医药志,2016,22(8):34-35.
[16]郑路照,王亚辉,李斌.内外合治治疗脾胃虚寒型慢性浅表性胃炎临床观察[J].辽宁中医药大学学报,2016,8(8):203-205.
[17]严伟,殷建权,李立红.中药发酵温灸贴治疗慢性浅表性胃炎40例[J].山东中医杂志,2010,4(29):254-255.
[18]王东.中药配合艾灸治疗慢性浅表性胃炎疗效观察[J].中国社区医师,2014,4(30):72-73.
[19]陈红梅,刘小琼,马春玲.自拟温阳益胃汤结合艾灸治疗慢性浅表性胃炎75例[J].内蒙古中医药,3013,32(14):7-8.
[20]钱晨,王硕硕,吴焕淦,等.艾灸治疗慢性胃炎的疗效观察及对血清脑肠肽影响的临床研究[J].上海针灸,2016,14(2):101-109.
[21]石帮敏.艾条温和灸胃中脘治疗慢性胃炎的治疗和护理[J].中国医学,2012,10(11):115-116.
[22]陈克盛,林浩元,张德炎.隔姜灸在慢性浅表性胃炎患者中的应用与评价[J].中外医学研究,2016,26(14):14-15.
[23]周学寻,罗海英.腹部隔姜灸治疗脾胃虚弱型慢性浅表性胃炎疗效观察[J].广西中医药大学学报,2013,2(16):39-40.
[24]钟绍敏,朱启梦,邹艳红.寒性胃脘痛的艾灸治疗与护理[J].中国中医急症,2014,10(23):1956-1958.
[25]郭克勤.隔药铺灸治疗慢性浅表性胃炎临床观察[J].河北中医药学报,2013,1(28):36-37.
[26]雷震霄,廖春妮.黄芪建中汤配合艾灸治疗脾胃虚寒型慢性胃炎疗效观察[J].山西中医,2014,2(30):36-37.
[27]蓝仕.加味柴胡疏肝散合药线点灸治疗慢性浅表性胃炎100例[J].光明中医,2013,9(28):1857-1858.
[28]夏晓丽.胃复春配合艾箱灸治疗脾胃虚寒型慢性胃炎的疗效观察[J].中医临床研究,2016,14(8):33-34.
[29]曾庆朗,杨立志,曾庆明.温和灸治疗慢性浅表性胃炎及其对血清表皮生长因子的影响[J].中国康复,2010,3(25):225-226.
[30]唐艳红,汪莉,周武坚,等.穴位贴敷联合雷火灸治疗脾胃虚寒型慢性胃炎的效果观察[J].广西中医药大学学报,2014,2(17):17-19.
[31]宋宁.壮医药线点灸配合中药治疗慢性浅表性胃炎疗效观察[J].中国民族医药杂志,2010,9(9):7-8.
[32]张向飞.艾箱灸治疗脾胃虚弱型慢性浅表性胃炎临床疗效观察[D].广州:广州中医药大学,2010.
[33]宋炯.不同灸法治疗慢性浅表性胃炎脾胃虚寒证的临床观察[D].长沙:湖南中医药大学,2011.
[34]林春秀.温和灸治疗慢性浅表性胃炎的临床研究[D].武汉:湖北中医学院,2009.
[35]彭艳红.温和灸治疗脾胃虚寒型慢性胃炎临床研究[J].中医学报,2015,210(30):1680-1682.
[36]贺成功,龙红慧,蔡圣朝.温针灸疗法及应用[J].中医学报,2015,30(1):143-145.
[37]贺成功,龙红慧,蔡圣朝,等.周楣声点灸笔灸法治疗经验[J].中国中医基础医学杂志,2014,20(5):660-662.
[38]许焕芳,赵百孝.艾灸疗法作用机理浅述[J].上海针灸杂志,2012,31(1):6-9.
[39]王晓艳.人种间体质差异与艾灸效应的探讨[J].北京中药,2008,27(7):514-516.
[2]王金周.艾灸治疗慢性浅表性胃炎58例疗效观察[J].国医论坛,2013,3(28):42-43.
[3]谢华.不同灸治时间对浅表性胃炎脾胃虚寒证患者胃肠激素的影响[D].长沙:湖南中医药大学,2011.
[4]易展.不同灸治时间隔姜灸治疗慢性浅表性胃炎脾胃虚寒证的临床研究[D].长沙:湖南中医药大学,2011.
[5]刘宝良,李莹莹.二式三法配合重灸法治疗慢性浅表性胃炎36例疗效观察[J].中国民间疗法,2016,9(24):34-35.
[6]常燕,王丽娜,梁瑞丽.腹针配合艾灸神阙治疗脾胃虚寒型慢性浅表性胃炎32例临床观察[J].河北中医药学报,2013,2(28):31-32.
[7]黄秀,云玉慧,孙慧.恒温雷火灸治疗脾胃虚寒型慢性浅表性胃炎的应用研究[J].护理实践与研究,2017,15(14):138-139.
[8]王小辉,黄慧芝,葛来安.黄芪建中汤加减联合艾灸治疗慢性浅表性胃炎的疗效观察[J].云南中医中药杂志,2016,12(37):41-42.
[9]叶敏谊.雷火灸治疗脾胃虚寒型慢性浅表性胃炎临床观察[D].广州:广州中医药大学,2012.
[10]卢一斌,马效东.铝碳酸镁片配合艾灸治疗慢性浅表性胃炎的疗效观察[J].中国医药指南,2012,25(9):139.
[11]色布乐玛,特古斯,扎拉嘎夫.蒙药结合艾灸治疗慢性浅表性胃炎133例疗效观察[J].中国民族医药杂志,2017,23(3):11-12.
[12]德格吉日胡,额日德木吐.蒙药结合艾灸治疗慢性浅表性胃炎的疗效观察[J].世界最新医学信息文摘,2017,57(17):201.
[13]领小.蒙药结合艾灸治疗慢性浅表性胃炎疗效观察[J].中国民族医药杂志,2016,22(8):13-14.
[14]莫日根.蒙药配合艾灸治疗慢性浅表性胃炎临床观察[J].中国民族医药杂志,2017,23(7):30-31.
[15]王路然,伊柔.蒙医药结合艾灸治疗慢性浅表性胃炎83例疗效观察[J].中国民族医药志,2016,22(8):34-35.
[16]郑路照,王亚辉,李斌.内外合治治疗脾胃虚寒型慢性浅表性胃炎临床观察[J].辽宁中医药大学学报,2016,8(8):203-205.
[17]严伟,殷建权,李立红.中药发酵温灸贴治疗慢性浅表性胃炎40例[J].山东中医杂志,2010,4(29):254-255.
[18]王东.中药配合艾灸治疗慢性浅表性胃炎疗效观察[J].中国社区医师,2014,4(30):72-73.
[19]陈红梅,刘小琼,马春玲.自拟温阳益胃汤结合艾灸治疗慢性浅表性胃炎75例[J].内蒙古中医药,3013,32(14):7-8.
[20]钱晨,王硕硕,吴焕淦,等.艾灸治疗慢性胃炎的疗效观察及对血清脑肠肽影响的临床研究[J].上海针灸,2016,14(2):101-109.
[21]石帮敏.艾条温和灸胃中脘治疗慢性胃炎的治疗和护理[J].中国医学,2012,10(11):115-116.
[22]陈克盛,林浩元,张德炎.隔姜灸在慢性浅表性胃炎患者中的应用与评价[J].中外医学研究,2016,26(14):14-15.
[23]周学寻,罗海英.腹部隔姜灸治疗脾胃虚弱型慢性浅表性胃炎疗效观察[J].广西中医药大学学报,2013,2(16):39-40.
[24]钟绍敏,朱启梦,邹艳红.寒性胃脘痛的艾灸治疗与护理[J].中国中医急症,2014,10(23):1956-1958.
[25]郭克勤.隔药铺灸治疗慢性浅表性胃炎临床观察[J].河北中医药学报,2013,1(28):36-37.
[26]雷震霄,廖春妮.黄芪建中汤配合艾灸治疗脾胃虚寒型慢性胃炎疗效观察[J].山西中医,2014,2(30):36-37.
[27]蓝仕.加味柴胡疏肝散合药线点灸治疗慢性浅表性胃炎100例[J].光明中医,2013,9(28):1857-1858.
[28]夏晓丽.胃复春配合艾箱灸治疗脾胃虚寒型慢性胃炎的疗效观察[J].中医临床研究,2016,14(8):33-34.
[29]曾庆朗,杨立志,曾庆明.温和灸治疗慢性浅表性胃炎及其对血清表皮生长因子的影响[J].中国康复,2010,3(25):225-226.
[30]唐艳红,汪莉,周武坚,等.穴位贴敷联合雷火灸治疗脾胃虚寒型慢性胃炎的效果观察[J].广西中医药大学学报,2014,2(17):17-19.
[31]宋宁.壮医药线点灸配合中药治疗慢性浅表性胃炎疗效观察[J].中国民族医药杂志,2010,9(9):7-8.
[32]张向飞.艾箱灸治疗脾胃虚弱型慢性浅表性胃炎临床疗效观察[D].广州:广州中医药大学,2010.
[33]宋炯.不同灸法治疗慢性浅表性胃炎脾胃虚寒证的临床观察[D].长沙:湖南中医药大学,2011.
[34]林春秀.温和灸治疗慢性浅表性胃炎的临床研究[D].武汉:湖北中医学院,2009.
[35]彭艳红.温和灸治疗脾胃虚寒型慢性胃炎临床研究[J].中医学报,2015,210(30):1680-1682.
[36]贺成功,龙红慧,蔡圣朝.温针灸疗法及应用[J].中医学报,2015,30(1):143-145.
[37]贺成功,龙红慧,蔡圣朝,等.周楣声点灸笔灸法治疗经验[J].中国中医基础医学杂志,2014,20(5):660-662.
[38]许焕芳,赵百孝.艾灸疗法作用机理浅述[J].上海针灸杂志,2012,31(1):6-9.
[39]王晓艳.人种间体质差异与艾灸效应的探讨[J].北京中药,2008,27(7):514-516.