电针联合体表胃起搏治疗脊髓损伤患者胃肠功能紊乱的疗效观察  

Electro-acupuncture combined with surface gastric pacing in the treatment of gastrointestinal dysfunction after spinal cord injury

作　　者：刘一苇[1] 郑余银[1] 高勇[1] 徐辉[2] 陈翔[1] 

机构地区：[1]温州医科大学附属第二医院康复科,温州325027 [2]温州医科大学附属第二医院胃肠动力室

出　　处：《中华物理医学与康复杂志》2015年第3期205-209,共5页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：温州市科技计划项目（Y20080140）

摘　　要：目的 观察电针联合体表胃起搏治疗脊髓损伤（SCI）患者胃肠功能紊乱的疗效.方法 选取SCI并发胃动力紊乱/胃功能障碍患者75例,按照随机数字表法将其分为电针治疗组、胃起搏治疗组、联合治疗组,每组25例.电针治疗组每日给予1次电针治疗,每次30 min,胃起搏治疗组每日给予2次胃起搏治疗,每次30 min,联合治疗组在电针治疗基础上辅以胃起搏治疗.治疗前、治疗10d后（治疗后）,采用临床症状评分和胃电图检查对患者的疗效进行评估,同时观察不良反应情况.结果 治疗后,3组患者上腹痛、上腹不适、腹胀、早饱、恶心、呕吐、暖气、食欲下降等症状均有所好转（P＜0.05）.电针治疗组、胃起搏治疗组、联合治疗组治疗前临床症状总评分分别为[（8.87±1.53）分]、[（8.46±2.13）分]、[（8.23±1.78）分],组间比较差异无统计学意义（P＞0.05）.电针治疗组、胃起搏治疗组、联合治疗组治疗后临床症状总评分分别为[（3.23±1.04）分]、[（3.57±1.36）分]、[（2.84±1.31）分],组间比较发现联合治疗组患者治疗后临床症状总积分显著低于电针治疗组及胃起搏治疗组（P＜0.05）.与电针治疗组治疗后比较,胃起搏治疗组临床症状总积分较高,差异无统计学意义（P＞0.05）.电针治疗组、胃起搏治疗组除餐前B％外,剩余指标均较组内治疗前改善（P＜0.05）.与组内治疗前比较,联合治疗组治疗后所有胃电图检查指标均较前有显著改善（P＜0.05）.联合治疗组治疗后N％、B％、T％较电针治疗组、胃起搏治疗组显著改善,差异有统计学意义（P＜0.05）.结论 电针或体表胃起搏治疗均能有效改善SCI患者的胃肠功能紊乱症状及胃电图电生理指标,两者联合应用的治疗效果显著优于单一治疗的疗效.Objective To explore the effects of electro-acupuncture combined with surface gastric pacing on gastrointestinal dysfunction for patients with spinal cord injury （SCI）.Methods Seventy-five SCI patients with gastrointestinal dysfunction were divided randomly into an electro-acupuncture group （group A）,a gastric pacing treatment group （group B） and a group for which electro-acupuncture was combined with gastric pacing （group C）.There were 25 cases in each group.Members of group A were given 30 minutes of electro-acupuncture per day ; those of group B had 30 minutes of gastric pacing treatment twice per day ; group C was provided with both 30 minutes of electro-acupuncture and one 30-minute gastric pacing treatment per day.All of the interventions lasted ten days.Before and after the treatment,all patients were assessed using a clinical symptoms score and with electrogastrograms,and any adverse effects were observed.Results There was a significant improvement in upper abdominal pain and epigastric discomfort,bloating and early satiety,nausea,vomiting,as well as belching and loss of appetite in each group after treatment.Before treatment there was no significant difference in the average clinical symptom scores of the three groups.After treatment the values had decreased,and those of group C were significantly lower than group A or B.The average scores of groups B and A were not significantly different.The electrogastrogram results showed than after treatment there was significant improvement in N% and T% in groups A and B,and also significant improvement in N%,B% and T% in group C compared to before treatment.Group C＇s improvements were all significantly greater than those observed in groups A and B.Conclusion Electro-acupuncture or gastric pacing alone can give some improvement in gastrointestinal function and its electrophysiological indicators,but their combined effects are better than when either is used alone.

关 键 词：电针 体表胃起搏 脊髓损伤 

分 类 号：R651.2[医药卫生—外科学]