针刺肩井穴对慢性胆囊炎患者胆囊收缩功能影响的随机对照研究  

Effects of Acupuncture of Jianjing(GB 21) on Gallbladder Volume and Symptoms of Cholecystitis Patients

作　　者：温峰云[1] 李双成[2] 王国明[1] 李丽霞[1] 宋永强[1] 

机构地区：[1]廊坊市中医医院针灸科,廊坊065000 [2]河北医科大学基础教研室,石家庄050017

出　　处：《针刺研究》2012年第5期398-402,共5页Acupuncture Research

基　　金：廊坊市科技局科技支撑计划项目(2007010302)

摘　　要：目的:观察针刺肩井穴与非经非穴对胆囊炎患者胆囊收缩功能的影响,探讨肩井-胆囊之间的内在联系。方法:将60例慢性胆囊炎患者随机分为肩井组和非穴组,每组30例。肩井组针刺右侧肩井穴,非穴组针刺第6与第7颈椎棘突间右侧旁开2寸处,均留针30min。分别于针刺前、针刺15min时及出针30min后采用彩色多普勒超声测量胆囊的长径、宽径、厚度,计算胆囊容积,并分别评价两组治疗后肩背及右上腹疼痛、胃胀恶心变化情况。结果:肩井组疼痛缓解率优于非穴组(P<0.05);非穴组患者胃胀或恶心等症状缓解率与肩井组比较,差异无统计学意义(P>0.05)。治疗前后比较,非穴组患者胆囊扩大的未见明显缩小,胆囊缩小变形的未见明显扩大(均P>0.05);肩井组患者胆囊扩大的均有缩小,胆囊缩小的均有扩大(均P<0.01)。两组胆囊缩小患者胆囊容积针刺后比较,肩井组明显大于非穴组(P<0.01);两组胆囊扩大患者针刺后胆囊容积比较,肩井组明显小于非穴组(P<0.01)。结论:肩井穴能双向良性调节胆囊炎患者胆囊收缩功能,明显缓解胆绞痛及其所引起的肩背部牵涉痛。Objective To observe the effect of acupuncture of Jianjing （GB 21） and non-acupoint on gallbladder volume and clinical symptoms of chronic cholecystitis patients. Methods Sixty cases of chronic cholecystitis patients were equally ran- domized into Jianjing （GB 21） group and non-acupoint group. A filiform needle was inserted into Jianjing （GB 21） or non-acupoint （2 curt lateral to the mid-point between the spinous processes of the 6th and 7th cervical vertebrae） on the right side, manipulated for a while till ＂Deqi＇, and retained for 30 min. A color Doppler ultrasound scanner was used to detect the volume of the gallblad- der before and 15 min after acupuncture stimulaton and 30 min after withdrawal of the acupuncture needle. Changes of the pa- tients＇ symptoms of shoulder-back pain, stomachache, distension and nausea were evaluated according to the patients＇ com- plaints. Results After acupuncture intervention, the remission rates of shoulder-back pain and stomachache in non-acupoint and GB 21 groups were 56.67% and 90.00% respectively, while the effective rates of the patients＇ gastric distention and nausea in non-acupoint and GB 21 groups were 16.67 % and 23.33%, respectively. The therapeutic effect of Jianjing （GB 21） was appa- rently superior to that of non-acupoint in pain relief （ P〈0.05）. Fifteen min following acupuncture stimulation and 30 min after with- drawal of the acupuncture needle, the gallbladder volume in cholecystitis patients with deflated gallbladder was increased appa- rently in GB 21 group （P〈0.01 ）, and that in patients with expanded gallbladder was decreased significantly （P〈0.01 ）. No sig- nificant differences were found among pre-, during and post-treatment in the non-acupoint group in the effects of acupuncture on regulation of the deflated and expanded gallbladder volume （P〉O. 05）. Conclusion Acupuncture stimulation of Jianjing （GB 21） can effectively relieve shoulder-back pain and stomachache, and regulate the volume of the def

关 键 词：慢性胆囊炎 针刺 肩井穴 胆囊容积 临床症状 

分 类 号：R224.2[医药卫生—中医基础理论]