针刺穴位与脂餐试验在超声诊断胆囊炎中的临床价值  

Clinical value of ultrasound after acupuncture and lipoid-food test in diagnosis of cholecystitis

作　　者：张延彬[1] 曹子洋[1] 吕培瑾[1] 高伟[1] 许玉静[1] 

机构地区：[1]山东省泰山医学院附属聊城市第二人民医院,252600

出　　处：《中国临床实用医学》2009年第11期23-24,共2页China Clinical Practical Medicine

摘　　要：目的 探讨针刺穴位与脂餐试验在超声监测胆囊收缩功能诊断胆囊炎中的临床价值。方法临床上已经确诊的136例胆囊炎病例随机分为针刺穴位组及脂餐试验组。针刺穴位组首先进行超声检查，并测量相关径线，然后运用针刺相关穴位，使胆囊收缩，在针刺后10、20、30min分别进行超声检查，测量相关径线，然后运用胆囊容积计算公式计算出收缩前后胆囊容积，计算胆囊收缩功能。脂餐试验组在脂餐试验胆囊收缩前后30、60、120min进行超声检查，计算胆囊收缩功能，以进行对比研究。将两组作两样本均数比较的t检验。结果针刺穴位组与脂餐试验组在诊断胆囊炎方面无明显差异（t〉0．01）。结论超声监测胆囊在针刺穴位及脂餐试验后的收缩功能，可以对胆囊炎进行诊断，并且具有无损伤、痛苦小、患者易接受、可重复等优点，是一种很有发展潜力诊断方法。Objective Monitoring the gallbladder contrctility by ultrasound after puncturing the points and lipoid-food test,to evaluate the contribution in diagnosing cholecystitis. Methods 136 cholecystitis cases were examined by ultrasound. The gallbladders were monitored by ultrasound at 10 min ,20 rain ,30min after acupuncture and 30 min, 60min, 120 min after lipoid-food test separately. Calculating the volume of gallbladder by utilizing gallbladder volume calculation formula in different time was performed, then comment the gallbladder contrctility. Two method series were compared by T test. Results The gallbladder contrctility of two series has no obviously diference in diagnosing cholecystitis（t 〈 0. 01 ）. Conclusion Ultrasound with acupunrcture and lipoid-food test can be used to evaluate the gallbladder contrctility in order to diagnose the cholecystitis. It has many merits, such as no risk, little suffering, easily receiving, easily repetition, etc; And it is a useful diagnosing cholecystitis method.

关 键 词：针刺穴位 脂餐试验 胆囊收缩功能 超声诊断 胆囊炎 

分 类 号：R657.4[医药卫生—外科学]