穴位埋线治疗肝硬化患者胃动力障碍的疗效观察  

Observation on Therapeutic Effect of Acupoint Catgut Embedding Therapy for Liver Cirrhosis Patients with Gastric Motility Disorder

作　　者：王甍[1] 盛庆寿[1] 陈黎[1] 张红星[1] 涂燕云[1] 

机构地区：[1]广西中医药大学附属瑞康医院,南宁530011

出　　处：《世界科学技术-中医药现代化》2014年第2期421-424,共4页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：广西中医药管理局科技专项(GZKZ10-061):穴位埋线对非酒精性脂肪肝大鼠JNK1/胰岛素信号通路的调控;负责人:刘旭东

摘　　要：目的:观察穴位埋线对肝硬化患者胃动力障碍的治疗作用。方法:将60例患者随机分为埋线组和西药组,各30例。埋线组采用穴位埋线治疗,选穴:肝俞、脾俞、中脘、足三里;西药组口服西沙比利片,4周为一疗程,连续治疗1个疗程后,观察两组患者治疗前后临床症状、肝功能及胃电参数情况。结果:两组治疗后临床症状、肝功能及胃电参数情况均明显改善(P<0.05);与西药组比较,埋线组症状、肝功能及胃电参数各项指标明显改善(P<0.05);埋线组总有效率90.0%,西药组总有效率60.0%,埋线组疗效优于西药组(P<0.05)。结论:穴位埋线是治疗肝硬化患者胃动力障碍的有效的方法。This study was aimed to observe the therapeutic effect of acupoint catgut embedding （ACE） therapy on gastric motility disorders in patients with liver cirrhosis. A total of 60 patients were randomly divided into the ACE group and western medicine group, with 30 cases in each group. In ACE group, ACE therapy was used on acupoints of BL18-Ganshu, BL20-Pishu, RN12-Zhongwan and ST36-Zusanli. In western medicine group, oral administration of cisapride was given. Four weeks was one treatment course. After one treatment course, clinical symptoms of patients before and after treatment, liver function and gastric electrical parameters were observed in both groups. The results showed that there were obvious improvement on clinical symptoms, liver function and gastric electrical parameters after treatment （P 〈 0.05）. Compared with the western medicine group, there were obvious improvement on clinical symptoms, liver function and gastric electrical parameters in the ACE group （P 〈 0.05）. The total effectiveness rate of the ACE group was 90.0%; and the total effectiveness rate of the western medicine group was 60 . 0%. The therapeutic effect of the ACE group was better than the western medicine group （ P 〈 0 . 05 ） . It was concluded that ACE is an effective method in the treatment of gastric motility disorders among patients with liver cirrhosis.

关 键 词：肝硬化 胃动力障碍 穴位埋线 胃电图 

分 类 号：R256.4[医药卫生—中医内科学]