针刺阳陵泉和胆囊穴对急性胆囊炎的镇痛作用观察  

Pain-relieving effects of acupuncture at Yanglingquan and Dannang acupoints in acute cholecystitis

作　　者：李财宝[1] 朱建明[1] 黄建平[1] 

机构地区：[1]上海中医药大学附属曙光医院外科,上海200021

出　　处：《上海中医药杂志》2011年第9期56-57,共2页Shanghai Journal of Traditional Chinese Medicine

摘　　要：目的观察针刺阳陵泉穴和胆囊穴对胆囊炎急性右上腹疼痛的镇痛作用。方法对246例急性胆囊炎患者在静脉补液治疗之前,予针刺胆囊穴和阳陵泉穴;留针20min后,采用目测类比评分法评价镇痛效果。结果 246例患者经针刺治疗,12例疼痛感完全消失2,0例无变化,总有效率达91.9%(226/246);治疗前后VAS评分比较,差异有统计学意义(P<0.05)。246例患者中最后行急诊手术者172例,手术率为69.9%;173例镇痛效果明显(减分≥5分)的患者有112例进行了急诊手术(64.7%)7,3例镇痛效果不明显(减分<5分)患者有60例(82.2%)进行了急诊手术。结论针刺阳陵泉和胆囊穴对急性胆囊炎的镇痛作用效果明显,使部分患者避免了急诊手术。Objective To observe the pain-relieving effect of acupuncture at Yanglingquan （GB34） and Dannang （EX-LE8） acupoints in acute choleeystltis. Methods Total 246 patients with acute cholecystitis were punetured at acupoints of Yanglingquan（GB34） and Dannang（EX-LE8）. The pain was assessed by visual analogue seale（VAS）, Results After treatment, the pain disappeared in 12 patients, relieved in 214 cases and remained unchanged in 20 cases; the total effect tire rate was 91.9%. There was a significant difference in VAS between before and after treatment（P 〈0.05 ）. Among 246 cases, 172 cases（69.9% ） underwent surgery.; 112 cases of 173 eases（64.7% ） with eased pain underwent surgery; 60 irresponsive cases of 73 cases （82.2%） underwent sm-gery. Conclusion Acupuncture at Yanglingquan（ GB34 ） and Dannang（EX-LES） acupoints is effective to relieve pain in acute choleeystitis.

关 键 词：急性胆囊炎 针刺疗法 阳陵泉 胆囊穴 镇痛 

分 类 号：R246[医药卫生—针灸推拿学]