穴位埋针联合莫沙必利治疗糖尿病胃轻瘫的临床研究  

Clinical Study of Acupuncture Point Buried Needle Combined with Mosapride in the Treatment of Diabetic Gastroparesis

作　　者：张奇芬 杨明敏[2] 熊燕[1] 周海星[1] ZHANG Qi-fen;YANG Ming-min;XIONG Yan;ZHOU Hai-xing(The Department of Internal Medicine,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Nanchang 330008;The Department of Anesthesiology,the First Hospital of Nanchang,Nanchang 330008)

机构地区：[1]江西省南昌市洪都中医院内一科,南昌330008 [2]江西省南昌市第一医院麻醉科,南昌330008

出　　处：《实用中西医结合临床》2021年第4期9-11,92,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：江西省卫生计生委科技计划项目(编号:20187060)。

摘　　要：目的:观察穴位埋针联合莫沙必利治疗糖尿病胃轻瘫的临床疗效。方法:选取88例确诊为2型糖尿病胃轻瘫患者,根据随机数字表法分为观察组和对照组,各44例。观察组采用穴位埋针联合莫沙必利治疗,对照组采用莫沙必利治疗,疗程为8周。观察两组治疗前后症状积分、胃半排空时间,空腹血糖、餐后2 h血糖和糖化血红蛋白水平,不良反应发生情况,对比两组临床疗效。结果:观察组治疗总有效率显著高于对照组(P<0.01);治疗后观察组总体症状积分显著低于对照组(P<0.01),胃半排空时间显著短于对照组(P<0.01);治疗后观察组空腹血糖、餐后2 h血糖和糖化血红蛋白水平均优于对照组(P<0.05);两组均未发生明显不良反应。结论:采用穴位埋针联合莫沙必利治疗糖尿病胃轻瘫,临床疗效显著,可促进患者胃排空,改善患者血糖水平。Objective:To observe the clinical effect of acupuncture point buried needle combined with mosapride in the treatment of diabetic gastroparesis.Methods:88 patients with type 2 diabetic gastroparesis were divided into observation group and control group,with 44 cases in each group according to the random number table method.The observation group were treated with acupuncture point buried needle combined with mosapride,while the control group were treated with mosapride,both group was 8 weeks.The symptom scores,gastric semi-emptying time,fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin before and after treatment,and the occurrence of adverse reactions were observed in the two groups,and the clinical effect of the two groups were compared.Results:The total effective rate of the observation group was significantly higher than the control group(P<0.01).After treatment,the overall symptom score of the observation group was significantly lower than the control group and the gastric semi-emptying time was significantly shorter than the control group(P<0.01).Compared with the control group,fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin were improved in the observation group with statistically significant differences after treatment(P<0.05).The significant adverse reactions was not occurred in both groups.Conclusion:Acupuncture point buried needle combined with mosapride in the treatment of diabetic gastroparesis,can improve clinical effect,promote gastric emptying and improve blood glucose,which is suitable for clinical.

关 键 词：糖尿病胃轻瘫 莫沙必利 穴位埋针 胃排空 临床疗效 

分 类 号：R587.2[医药卫生—内分泌]