针刺联合穴位贴敷治疗消化道恶性肿瘤术后胃瘫综合征  

Postoperative Gastroparesis Syndrome Treated by Acupuncture Combined with Acupoint Application

作　　者：田桢[1] 李泉旺[1] 肖俐[1] 孙韬[1] 乔占兵[1] 张可睿[1] 胡凯文[1] TIAN Zhen;LI Quanwang;XIAO Li;SUN Tao;QIAO Zhanbing;ZHANG Kerui;HU Kaiwen(Dongfang Hospital of Beijing University of Chinese Medicine,Beijing China 100078)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《中医学报》2018年第6期953-957,共5页Acta Chinese Medicine

基　　金：北京中医药大学2017年度青年教师项目(2017-JYB-JS-198)

摘　　要：目的:观察针刺联合穴位贴敷治疗消化道恶性肿瘤术后胃瘫综合征的临床疗效。方法:选取85例消化道恶性肿瘤术后胃瘫综合征的患者,随机分为西医治疗组24例,穴位贴敷组29例,针刺联合穴位贴敷组32例,西医治疗组给予营养支持及对症治疗;穴位贴敷组在西医治疗组基础上采用自拟胃瘫外敷方加味穴位贴敷,每日1次;针刺联合穴位贴敷组在穴位贴敷组治疗基础上加用普通针刺治疗,针刺主穴选取足三里、三阴交、太冲、内关穴,每日1次,共治疗14 d。观察治疗后3组患者临床疗效、恢复经口进食时间及不良反应发生情况。结果:治疗后西医治疗组有效率为41.67%,穴位贴敷组有效率为68.97%,针刺联合穴位贴敷组有效率为90.60%,3组有效率两两比较,差异均有统计学意义(P<0.05)。分层统计发现,3组发生率较高的胃癌、胰腺癌、十二指肠癌患者,西医治疗组有效率为40.00%,穴位贴敷组有效率为66.67%,针刺联合穴位贴敷组有效率为96.43%,3组有效率比较,差异均有统计学意义(P<0.05)。3组患者恢复经口进食时间分别为西医治疗组(10.80±3.16)d,穴位贴敷组(7.10±4.41)d,针刺联合穴位贴敷组(6.69±2.70)d,穴位贴敷组、针刺联合穴位贴敷组与西医治疗组患者恢复经口进食时间比较,差异有统计学意义(P<0.05),但穴位贴敷组与针刺联合穴位贴敷组比较,差异无统计学意义(P>0.05)。所有患者均未出现皮肤不良反应及针刺相关不良反应。结论:针刺联合穴位贴敷治疗消化道恶性肿瘤术后胃瘫综合征疗效确切,无明显不良反应。Objective： To observe the clinical effect of acupuncture combined with acupoint application in treating postoperative gastroparesis syndrome of gastrointestinal cancer. Methods： A retrospective study of 85 cases of patients with postoperative gastroparesis of gastrointestinal cancer were randomly divided into three groups according to the different treatment methods： 24 in western medicine treatment group,29 in acupoint application group and 32 in acupuncture combined with acupoint application group. The western medicine treatment group was given nutritional support and symptomatic treatment,and the acupoint application group was treated with modified self-made gastroparesis prescription external application for acupoint application,once a day. Acupuncture combined with acupoint application group was treated with common acupuncture on the basis of acupoint application group. The main acupuncture points were selected Zusanli（ ST36）,Sanyinjiao（ SP6）,Taichong（ LI3）,Neiguan（ PC6） points,once a day for14 days. Results： After observation of 14 days,the effective rate of the western medicine group was 41. 67%,while the effective rates in the acupoint application group and the acupuncture combined with acupoint application group were respectively 68. 97%and 90. 60%. The effective rate between any two groups was significantly different（ P 〈 0. 05）. Stratified statistics found that the rate of patients with high incidence of gastric cancer,pancreatic cancer and duodenal carcinoma was 40. 00% effective in western medicine treatment group. The effective rate was 66. 67%,the effective rate was 96. 43%,and the difference between the three groups was significant（ P 〈 0. 05）. The oral recuperation time of the three groups were（ 10. 80 ± 3. 16） days in western medicine group,（ 7. 10 ± 4. 41） days in acupoint application group and（ 6. 69 ± 2. 70） days in acupuncture combined with acupoint application group,respectively. There was significant difference between the acupoint applica

关 键 词：消化道恶性肿瘤 胃瘫综合征 针刺 胃瘫外敷方 穴位贴敷 中西医结合 

分 类 号：R273.5[医药卫生—中西医结合]