中药热奄包烫熨治疗脾胃虚寒型胃脘痛的疗效观察 [中文引用][英文引用]

目的 探讨中药热奄包烫熨疗法在脾胃虚寒型胃脘痛患者中的应用效果。方法 选取 2023 年 2 月— 9 月在本院急诊科就诊的 160 例脾胃虚寒型胃脘痛患者作为研究对象，采用随机分组的方式分为试验组和对照组，每组各 80 例。对照组患者接受常规西医治疗及护理；试验组患者在对照组的基础上，联合使用中药热奄包烫熨治疗。比较两组患者治疗后30min、60min 疼痛视觉模拟（visual analogue pain scale，VAS）评分、治疗后中医证候积分、48h 内胃脘痛复发率、复发时间和安全性指标。结果 试验组治疗开始后 30min、60min VAS 评分低于对照组［2.00（2.00，3.00）vs 3.00（2.00，4.00），0（0，1.00）vs3.0（2.00，3.00），均 P<0.05］，随着时间延长，试验组疼痛缓解趋势较对照组好（P<0.001）；试验组止痛有效率高于对照组（98.75%vs 61.25%，P<0.05）；治疗后试验组中医证候积分低于对照组（P<0.05）；试验组胃脘痛复发率低于对照组（32.50% vs 48.75%，P<0.05），复发间隔时间长于对照组［7.00（4.80，13.50）h vs 4.00（3.00，5.00）h，P<0.05］，两组患者治疗过程中均未出现皮肤烫伤及其他治疗相关不良事件。结论 常规治疗基础上联合中药热奄包烫熨治疗脾胃虚寒型胃脘痛能改善患者症状、降低复发率、延长复发间隔时间，且具有较好的安全性。

Objective To investigate the application efficacy of Traditional Chinese Medicine（TCM）herbal hot compress therapy at emergency department for the patients with stomachache of spleen-stomach deficiency-cold syndrome. Methods Totally 160 patients who visited the emergency department of our hospital with stomachache of spleen-stomach deficiency-cold syndrome from February to September 2023 were enrolled and randomly assigned to an experimental group（n=80）and a control group（n=80）. Patients in the control group received conventional western medicine treatment and nursing care，while those in the experimental group received a TCM herbal hot compress therapy in addition to the control group. The two groups were compared with visual analogue scale（VAS）scores at 30，and 60 minutes after treatment，scores of TCM syndrome，48-hour recurrence rate of stomachache，interval of recurrence and safety indicators. Results At 30 and 60 minutes after treatment，the VAS scores in the experimental group were lower than those in the control group［2.00（2.00，3.00）vs. 3.00（2.00，4.00）；0（0，1.00）vs. 3.00（2.00，3.00），both P<0.05］. Over the time，patients in the experimental group showed a better trend of pain relief than those in the control group（P<0.001）. The analgesic effective rate was significantly higher in the experimental group than that in the control group（98.75% vs. 61.25%，P<0.05）. After treatment，the scores of TCM syndrome in the experimental group were significantly lower than those of the control group（P<0.05）. The experimental group also had a lower 48- hour recurrence rate of stomachache（32.50% vs. 48.75%，P<0.05）and a longer recurrence interval［7.00（4.80，13.50）h vs. 4.0（3.00， 5.00）h，P<0.05］in comparison with the control group. No skin burns or other treatment-related adverse event occurred in either group during the treatment. Conclusion On the basis of conventional treatment，additional TCM herbal hot compress therapy for the patients with stomachache of spleen-stomach deficiency-cold syndrome can effectively improve the symptoms，reduce a recurrence rate，prolong a recurrence interval and have a favourable safety profile.