热敏灸联合针刺治疗肝郁脾虚型神经性厌食症的临床研究OA
Clinical Study on Heat-Sensitive Moxibustion Combined with Acupuncture in Treatment of AN of Liver-Qi Stagnation and Spleen Deficiency Type
目的:观察热敏灸联合针刺治疗肝郁脾虚型神经性厌食症(AN)的临床效果.方法:选取2023年8月-2024年8月,60例肝郁脾虚型神经性厌食症患者为研究对象,按照随机数字表法分为观察组和对照组,各30例,分别采用热敏灸联合针刺治疗和普通针刺治疗.两组治疗均1次/d,3次/周,连续治疗4周.治疗后比较两组临床疗效、中医症状积分、血清胃泌素、唾液淀粉酶与体格指标.结果:治疗后,观察组总有效率为93.33%(28/30),高于对照组的83.33%(25/30),差异具有统计学意义(P<0.05);观察组中医症状积分、血清胃泌素和唾液淀粉酶水平均优于对照组,差异具有统计学意义(P<0.05).结论:热敏灸联合针刺治疗可有效改善肝郁脾虚型神经性厌食症患者相关症状,疗效优于普通针刺治疗.
Objective:To observe the clinical efficacy of heat-sensitive moxibustion combined with acupuncture in treating anorexia nervosa(AN)of Liver-Qi stagnation and Spleen deficiency type.Methods:A total of 60 patients diagnosed with AN of Liver-Qi stagnation and Spleen deficiency type were randomly assigned into the observation group and the control group,with 30 patients in each group.The control group was treated with conventional needling;on which basis,the observation group was also treated with heat-sensitive moxibustion.Both groups received treatment once daily,three times per week,for 4 consecutive weeks.Clinical efficacy,TCM symptom scores,serum gastrin level,salivary amylase levels,and physical indicators were compared between the two groups after the treatment.Results:The total effective rate was 93.33%(28/30)in the observation group,which was higher than 83.33%(25/30)in the control group(P<0.05).The observation group also showed significantly better outcomes than the control group in terms of TCM symptom scores,serum gastrin level and salivary amylase level(P<0.05).Conclusion:Heat-sensitive moxibustion combined with acupuncture can effectively improve the symptoms of patients with AN of Liver-Qi stagnation and Spleen deficiency type,showing better therapeutic efficacy than conventional acupuncture alone.
王玉情;雷强;袁帅;吴佳丽;高明玥;毛强健;迟振海
江西中医药大学,江西南昌 330004江西中医药大学,江西南昌 330004江西中医药大学,江西南昌 330004江西中医药大学,江西南昌 330004江西中医药大学,江西南昌 330004江西中医药大学附属医院,江西南昌 330004江西中医药大学附属医院,江西南昌 330004
医药卫生
神经性厌食症热敏灸针刺
Anorexia nervosaHeat-sensitive moxibustionAcupuncture
《针灸临床杂志》 2026 (1)
45-49,5
江西中医药大学校级研究生创新专项资金项目,编号:JZYC23S81.
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