背俞指针疗法治疗胆囊切除术后综合征随机平行对照研究

Randomized Controlled Study of the Treatment of Postoperative Cholecystectomy with Back-Pointing Therapy

[目的]观察背俞指针疗法治疗胆囊切除术后综合征疗效。[方法]使用随机平行对照方法,将64例门诊患者按就诊顺序号随机分两组。对照组32例茴三硫,25mg/次,3次/d。治疗组32例背俞指针疗法,指针药液:柴胡12g,白芍18g,党参15g,白术15g,半夏12g,砂仁10g,香附、川楝子、郁金各9g,甘草~炙5g(柳州市中医医院中药房提供,饮片放棕色实验瓶,倒入1000mL、50°白酒,置放2d),医生消毒棉缠绕手指后蘸取少量药液涂抹在患者胃俞、双侧肝俞、脾俞及胆俞,按时钟指针转动顺序,从左到右,自上而下,按揉、扪及捏,2min/穴,1次/d,操作频率为120~160次/min,力度以患者耐受为度;注意:(1)患者餐后0.5h后治疗;(2)有皮肤病,或治疗部位皮肤破损者不宜施术;(3)医者术前剪短指甲,以免伤及皮肤。连续治疗4周为1疗程。观测临床症状、疗效指数、症状积分、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈12例,显效9例,有效7例,无效4例,总有效率87.50%;对照组痊愈6例,显效8例,有效7例,无效11例,总有效率65.62%;治疗组疗效优于对照组(P<0.05)。症状积分改善治疗组优于对照组(P<0.01)。[结论]背俞指针疗法治疗胆囊切除术后综合征,疗效满意,无严重不良反应,值得推广。

[Objective] To observe the curative effect of Shushu Point therapy in the treatment of postoperative cholecystectomy syndrome. [Methods] 64 random outpatients were randomly divided into two groups according to the order of treatment. In the control group, 32 cases of anthocyanin, 25 mg/time, 3 times/d. Treatment group 32 cases of back-pointing therapy, pointer liquid： Bupleurum 12g, white peony root 18g, Codonopsis 15g, Atractylodes 15g, Pinellia 12g, Amomum 10g, Xiangfu, Chuanxiong, Yujin each 9g, licorice 5g （The Liuzhou Traditional Chinese Medicine Hospital provides the Chinese pharmacy, put the brown experimental bottle into the decoction pieces, pour 1000mL, 50% white wine, and place it for 2d）. After the doctor disinfects the cotton and wraps the finger, take a small amount of liquid to smear on the patient＇s stomach, bilateral liver and spleen. Yu and gallbladder, according to the clock hands rotating order, from left to right, from top to bottom, press and pinch, 2 min/point, 1 time/d, operating frequency is 120-160 times/min, the strength to patients Tolerance is degree; Note： 1 patient after 0.5h post-meal treatment; 2 skin disease, or treatment site skin damage is not suitable for surgery; 3 doctors cut short nails before surgery to avoid injury to the skin. Continuous treatment for 4 weeks is a course of treatment. Observe clinical symptoms, efficacy index, symptom scores, and adverse reactions. Treatment for 1 course of treatment, to determine the efficacy. [Results] 12 cases were cured in the treatment group, 9 cases were markedly effective, 7 cases were effective, 4 cases were ineffective, and the total effective rate was 87.50%. In the control group, 6 cases were cured, 8 eases were markedly effective, 7 cases were effective, 11 cases were ineffective, and the total effective rate was 65.62%. The treatment group was better than the control group （P＇〈0.05）. The symptom score improvement treatment group was superior to the control group （P〈0.01）. [Conclusion] The treatment of postoperativecholecystectomy syndrome with back-pointing therapy has satisfactory curative effect and no serious adverse reactions, which is worthy of promotion.