针刺穴位后超声监测胆囊收缩功能诊断胆囊炎探讨

The value of monitoring gallbladder contrctility using ultrasound after acupuncture in diagnosis of cholecystitis Contractive meritorous of gallbladder examined by ultrasound utilizing acupuncture gallbladder to diagnose cholecystitis

目的:超声监测胆囊在针刺穴位后的收缩功能,借此对胆囊炎进行诊断。方法:对临床上已经确诊的51例胆囊炎病例进行超声检查,并测量相关径线,然后运用针刺相关穴位,使胆囊收缩,在针刺后10 min2、0 min、30 min分别进行超声检查,测量相关径线,然后运用胆囊容积计算公式计算出收缩前后胆囊容积,计算胆囊收缩功能。随机抽取与病例组年龄范围相同的25例健康成年人,在针刺穴位胆囊收缩前后进行超声检查,计算胆囊收缩功能,以进行正常对照。将病例组与正常对照组作两样本均数比较的t检验。结果:病例组针刺穴位后的胆囊收缩功能明显低于正常组(t<0.01)。结论:超声监测胆囊在针刺穴位后的收缩功能,可以对胆囊炎进行诊断,并且具有无损伤、痛苦小、病人易接受、可重复等优点,是一种很有发展潜力的中西医结合诊断方法。

Objective： Monitoring the gallbladder contrctility by ultrasound after puncturing the points , to evaluate the contribution in diagnosing cholecystitis. Methods： Fifty-one cholecystitis cases were examined by ultrasound. The gallbladders were monitored by ultrasound at 10min, 20min, 30min after acupuncture separately. Calculating the volume of gallbladder by utilizing gallbladder volume calculation formula in different time was performed,then comment the gallbladder contrctility. The cholecystitis series and the norreal series were compared by T test. Results： The gallbladder contrctility of cholecystitis series was obvi- ously lower than normal series （t〈0.01）. Conclusion： Ultrasound with acupunrcture can be used to evaluate the the gallbladder contrctility in order to diagnose the cholecystitis. It has many merits, such as no risk, little suffering,easily receiving,easily repetition,etc. And it is a useful method of the integrated traditional and western medicine.