长针泻中脘治疗非酒精性肝病临床观察  

Clinical Observation of Using Long Needle Reducing Zhongwan in the Treatment of Nonalcoholic Fatty Liver Disease

作　　者：石鑫[1] 李岩[2] 

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150036 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150036

出　　处：《四川中医》2017年第9期163-165,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察长针泻中脘治疗非酒精性肝病的临床疗效。方法:将40例非酒精性肝病患者随机分为长针泻中脘组和普通针刺组,每组20例。选穴选取中脘、下脘、天枢、大横、足三里、阴陵泉、阳陵泉、丰隆、三阴交、太冲。长针泻中脘组采取中脘穴用0.35x60mm的长针,针刺深度40mm行捻转、提插泻法,余穴位用0.35x40mm的安迪针灸针,行平补平泻法,普通针刺组取穴同上。针具选用0.35x40mm的安迪针。行平补平泻法,每日1次,每次40min。采用消化系统二维超声比较针刺前后两组疗效。结果:长针泻中脘组的总有效率为100%(20/20)。普通针刺组的总有效率70%(14/20)。长针泻中脘组明显优于普通针刺组(P<0.05)。两组超声成像显示:针刺治疗非酒精性肝病有明显疗效(均P<0.01),并且针刺泻法组的疗效明显优于普通针刺组(P<0.05,P<0.01)。结论:长针泻中脘治疗非酒精性肝病的临床疗效明显优于普通针刺法。Objective: Discussing the clinical effect of long needle reducing Zhongwan for treating nonalcoholic fatty liver disease. Methods: Selected 40 examples of non alcoholic fatty liver disease patients were randomly divided into long needle reducing Zhongwan group and normal acupuncture group( n = 20). Selection of acupoints Zhongwan,Xiawan,Tianshu,Daheng,Zusanli,Yinlingquan,Yanglingquan,Fenglong,Sanyinjiao,Taichong. Long needle reducing Zhongwan group used reinforcing reducing method with long needle of 0. 35×60mm,the depth of the long needle acupuncture was 40 mm,the orther acupoints used Andy brand acupuncture needles of 0. 35 × 40 mm,use of reinforing reducing method,acupoints selection of the ordinary acupuncture group was the same of the long needle reducing Zhongwan group. Use of reinforing reducing method too,1times of daily,each time was 40 minutes. The curative effect of the two groups was compared by the digestive system of two dimensional ultrasound before and after acupuncture. Results: Long needle reducing Zhongwan Group,the total efficiency was 100%( 20/20). The normal acupuncture group,the total efficiency was 70%( 14/20). A long needle reducing Zhongwan group was significantly better than the normal acupuncture group( P<0. 05). The two groups of ultrasonic imaging reveal: acupuncture treatment of non-alcoholic fatty liver disease had obvious curative effect( P<0. 01) and the curative effect of the needle stab of reducing group was obviously superior to the ordinary acupuncture group( P<0. 05,P <0. 01). Conclusion: The clinical curative effect is obviously better than the normal acupuncture with long needle reducing Zhongwan treatment of non alcoholic fatty liver disease.

关 键 词：非酒精性肝病 捻转泻法 提插泻法 长针泻中脘 普通针刺法 

分 类 号：R246.1[医药卫生—针灸推拿学]