摘要
Objective To verify the therapeutic methods and clinical efficacy on stump stomach atony after subtotal gastrectomy （SSASG） treated with acupuncture and TDP. Methods Fifty-three cases were divided into an observation group （23 cases） and a control group （30 cases） according to the random number table. In the observation group, acupuncture was applied in combination with TDP. The main acupoints were Zúsānlǐ （足三里 ST 36）, Píshū （脾俞 BL 20）, Wèishū （胃俞 BL 21） and Zhōngwǎn （中脘 CV 12）. The treatment was given once per day. 10 treatments made one session. Two sessions of treatment were required. In the control group, Motilium was prescribed for oral administration, 10 mg each time, three times per day, continuously for 20 days. The changes in the relevant parameters in electrogastrogram （EGG） were observed before and after treatment. The efficacy was assessed. Results The principle frequency and the waveform reaction area of EGG were improved apparently after treatment in both groups （all P0.01）, and those in the observation group were superior to those in the control group （all P0.01）. The ratio of the power after/before meal was more than 1 in the observation group after treatment and that in the control group was less than 1. The effective rate was 100.0% （23/23） in the observation group, which was superior to that of 80.0% （24/30） in the control group, presenting statistically significant difference （P0.01）. Conclusion Acupuncture in combination with TDP can effectively treat SSASG. This therapy apparently improves the gastric motility, tremendously promotes the gastrointestinal peristalsis and recovers the gastrointestinal function after operation. The efficacy of it is superior to that achieved by the oral administration of Motilium.
目的:验证针刺结合TDP治疗胃大部切除术后功能性残胃无力症的治疗方法和临床疗效。方法:将53例患者按随机数字表分为观察组(23例)、对照组(30例)。观察组采用针刺结合TDP治疗,穴取足三里、脾俞、胃俞、中脘为主,每天1次,10次为一疗程,治疗2个疗程;对照组采用口服吗丁啉,每次10 mg,每日3次, 连续服用20 d。察两组患者治疗前后胃电图相关参数变化,并评价疗效。结果:治疗后两组胃电图主频率、波形反应面积均明显改善(均P<0.01),且观察组治疗后主频率、波形反应面积、波形平均幅值的改善优于对照组(均P<0.01);观察组治疗后餐后/餐前功率比大于1,而对照组功率比仍小于1;观察组总有效率为100.0%(23/23),优于对照组的80.0%(24/30),差异有统计学意义(P<0.01) 。结论:针刺结合TDP能有效治疗胃大部切除术后残胃无力症,在胃动力方面改善明显,能极大地促进术后病人的胃肠蠕动和胃肠功能恢复,疗效优于口服吗丁啉。
