胃肠三针治疗胃肠动力障碍的临床观察

Clinical observation on treating the gastrointestinal dysmotility disorder by acupuncture

目的:观察针刺胃肠三针(胃三针:中脘、内关、足三里;肠三针:天枢,关元,上巨虚)治疗胃肠动力障碍病人的疗效。方法:选取2010年8月-2014年8月在我院各科住院期间出现胃肠动力障碍病人366例,随机分成针灸治疗组和对照组,每组183例。治疗时间为7d,对照组予胃复安肌注,针灸治疗组给予胃复安肌注的基础上加用针刺胃肠三针治疗,观察各组治疗后总有效率、各组治疗前后主要中医证候积分及其差值。结果:治疗7d,治疗组总有效率为91.3%,对照组总有效率为75.4%;在临床症状积分方面自身前后对照均有改善,两组比较有极显著性差异(P<0.01);两组治疗前后临床症状积分差值比较有极显著性差异(P<0.01),治疗组优于对照组。结论:胃肠三针治疗胃肠动力障碍的治疗上比常规使用促胃动力药物更有效。

Objective： To observe clinical efficacy of acupuncture on gastrointestinal motility disorders. Methods： 366 gastrointestinal motility disorder patients were randomly divided into acupuncture group and the control group, 183 cases in each group. For 7 days in the control group intramuscular metoclopramide were given. The acupuncture group were given intramuscular metoclopramide base on application of acupuncture. Results： In the treatment group, the total efficiency was 91.3%, better than 75.4% in the control group; there was a significant difference（P〈0.01）; For clinical symptom score, there was a very significant difference before and after treatment（P〈0.01）. Conclusion： The gastrointestinal three acupuncture treatment on gastrointestinal motility disorders was more effective than routine prokinetic drugs.