揿针治疗术后胃瘫综合征100例临床观察  

Pressing Acupuncture in the Treatment of Postoperative Gastroparesis Syndrome for 100 Cases

作　　者：郭晨旭 时良慧 吴胜兵 万迁迁 万旭英 GUO Chenxu;SHI Lianghui;WU Shengbing;WAN Qianqian;WAN Xuying(General Practice Department,Gumei Community Health Service Center of Minhang District,Shanghai 201802,China;Department of Integrated Traditional Chinese and Western Medicine,The Third Affiliated Hospital of Naval Military Medical University,Shanghai 201805,China)

机构地区：[1]上海市闵行区古美社区卫生服务中心,上海201802 [2]海军军医大学第三附属医院中西医结合科,上海201805

出　　处：《中国中医药现代远程教育》2024年第12期99-102,共4页Chinese Medicine Modern Distance Education of China

基　　金：上海市进一步加快中医药事业发展三年行动计划中医特色诊疗技术提升项目【No.ZY(2018-2020)-ZYJS-27】。

摘　　要：目的观察揿针治疗术后胃瘫综合征(PGS)的临床效果。方法将200例PGS患者随机分成对照组(100例)和治疗组(100例)。对照组患者采用常规治疗:禁食水、予以胃肠减压、静脉营养、促进胃肠道蠕动等药物。治疗组在常规治疗的基础上加用揿针治疗。观察两组患者治疗前后胃动力恢复时间、胃液引流量变化、痞满症状改善和临床疗效。结果与对照组相比,治疗组胃肠动力恢复时间减少、胃液引流量降低,差异均有统计学意义(P<0.05);治疗组痞满症状分级评分优于对照组(P<0.05);对照组总有效率为71.0%(71/100),明显低于治疗组的89.0%(89/100),差异有统计学意义(P<0.05)。结论腹部术后胃瘫综合征患者实施常规疗法与揿针疗法结合的方案可促进胃肠功能恢复,缩短胃动力恢复时间,减少胃液引流量,缓解患者的痞满症状,增强临床疗效。Objective To observe the clinical effect of ordinary acupuncture combined with pressing acupuncture in the treatment of postoperative gastroparesis syndrome(PGS).Methods Two hundred PGS patients were randomly divided into control group(100 cases)and treatment group(100 cases).The control group received conventional treatment,such as fasting,gastrointestinal decompression,intravenous nutrition,promotion of gastrointestinal motility and other drugs.In the treatment group,on the basis of conventional treatment,pressing acupuncture was used.The recovery time of gastric motility,the changes of gastric fluid drainage,the improvement of fullness symptom and the clinical effect were observed before and after treatment.Results Compared with the control group,the gastrointestinal motility recovery time and gastric fluid drainage volume in the treatment group were decreased,and the differences were sta-tistically significant(P<0.05).The grading of symptoms of fullness in the treatment group was better than that in the control group(P<0.05).The total effective rate of control group was 71.0%(71/100),which was significantly lower than that of treatment group(89.0%,89/100),and the difference was statistically significant(P<0.05).Conclusion The combination of conventional therapy and acupuncture therapy for patients with gastroparesis syndrome after abdominal surgery can promote the recovery of gastrointestinal function,shorten the recovery time of gastric motility,reduce the flow of gastric fluid,relieve the symptoms of fullness,and enhance the clinical effect.

关 键 词：反胃 术后胃瘫综合征 揿针疗法 

分 类 号：R246[医药卫生—针灸推拿学]