针刺干预胃镜检查反应临床观察

Clinical observation on acupuncture for intervening the response in gastroscopy

目的:观察针刺控制胃镜检查中不良反应的临床效应。方法:将97例胃镜检查患者随机分为观察组(52例)、对照组(45例)。观察组采用针刺合谷、内关、足三里穴与口服利多卡因药物麻醉相结合;对照组单纯采用口服利多卡因药物麻醉。观察两组病人的检查反应、血压和心率变化、病人满意度和是否愿意再检查率等指标。结果:观察组病人在胃镜检查中的恶心呕吐、流涎、躁动、屏气等不良反应比对照组显著减少(P<0.01),在血压和心率方面较对照组稳定,在病人满意度和是否愿意再检查方面显著高于对照组(P<0.01)。结论:针刺能有效控制胃镜检查引起的不良反应。

Objective To observe the clinical effect of acupuncture for controlling the adverse response in gastroscopy. Methods Ninety-seven cases of gastroscopy were randomly divided into an observation group of 52 cases and a control group of 45 cases, The observation group were treated by acupuncture at Hegu （LI 4）, Neiguan （PC 6） and Zusanli （ST 36）, in combined with oral administration of Lidocaine; the control group were treated by simple administration of Lidocaine. Changes of the adverse response, blood pressure and heart rate, and satisfactory degrees and the willing re-examination rate were investigated in the two groups. Results In the observation group, the nausea and vomiting, salivation, restlessness, breath holding and other adverse responses in gastroscopy were significantly decreased as compared with those in the control group （P〈0. 01）, and the blood pressure and heart rate were more stable than in the control group, and the satisfactory degree and willing re-examination rate were higher than the control group （P〈0.01）. Conclusion Acupuncture can effectively control the adverse response in gastroscopy.