针刺对腹部手术后消化功能不良患者胃功能的影响

Effect of Acupuncture on EGG and Gastric Emptying in Postoperative Patients with Dyspepsia

目的：本研究以体表胃电图描记和99mTc核素扫描胃排空实验为手段，试图揭示腹部手术后消化功能不良的发生机理，探讨针刺足三里和内庭的疗效及治疗机制。方法：对腹部手术后消化功能不良患者行针刺足三里及内庭穴，并记录针刺前后胃电图的变化。利用核素扫描胃排空测定方法观察针刺前后胃排空的改变。结果：针刺后患者消化功能不良的临床表现得到不同程度的缓解；针刺后胃电图波幅及胃电频率正常波所占的百分比显著增高，胃电图波型变规整；针刺后胃排空明显加快。结论：胃电幅度的降低、胃电正常波的减少、低频波的增多及胃排空的缓慢是腹部手术后消化功能不良的常见表现。针刺疗法可促进胃正常电节律的恢复，加速胃的排空，是治疗消化功能不良的有效方法之一．

To observe the effects of acupuncture at points of Zusanli and Netting on the gastric motility in postoperative patients with dyspepsia. Methods: Twelve abdominal operative patients (male 9, female 11,mean age 54y)whose syndrome of dyspepsia appeared when they beganto eat were selected for the study. The syndrome included nausea,abdominal distention,constipation and vomiting. When the syndrome appeared,acupuncture on the points of Zusanli and Netting was given and pre-and postacupuncture EGG was recorded for 30 minutes. The 99mTc--labeled Scintigraphic gastric emptying was done in 5 patients before and after the acupuncture. Results:the percentage of the normal EGG wave after the acupuncture was improved more significantly than that before acupuncture(p＜0. 01 ); the percentage of postacupuncture bradygastriawas more remarkable lower than that of preacupuncture (P＜0. 01 ); while the gastric motilitywas obviously imporved (P＜0. 01). After the acupuncture, from 25 minutes postprandial, thepercentage of the ROI count to the basic count was lower than before (P<0. 01 ). Conclusion:Acupuncture has a favorable effect on the EGG in postoperative patients with dyspepsia,normaLiiing the EGG frequency, improving the power of the gastric motility and gastric emptying.Acupuncture treatment can improve the gastric motility in postoperative patients with dyspepsia.