四花穴隔药灸治疗消化道肿瘤术后胃瘫疗效观察

Observation of Curative Effect of Drug Partition Moxibustion at Sihua points in Treating Gastroparesis after Operation of Digestive Tract Cancer

【目的】观察四花穴隔药灸治疗消化道肿瘤术后胃瘫的临床疗效。【方法】将符合纳入标准的消化道肿瘤术后胃瘫患者88例,随机分为治疗组和对照组,每组各44例,治疗组给予四花穴隔药灸治疗,对照组给予甲氧氯普胺注射液肌肉注射。观察2组患者胃瘫主要症状、胃液引流量及胃管留置时间,并评价其临床疗效。【结果】(1)研究过程中,有4例患者因病情加重终止治疗,其中,治疗组2例,对照组2例,最终治疗组42例、对照组42例纳入疗效统计。(2)治疗后,2组患者的胃瘫主要症状指数量表(GCSI)评分明显改善(P<0.05),且治疗组的改善作用明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗后,2组患者胃液引流量均明显改善(P<0.05);且治疗14 d后,治疗组在改善胃液引流量方面明显优于对照组(P<0.05)。(4)治疗组胃管留置时间明显低于对照组,差异有统计学意义(P<0.05)。(5)治疗组总有效率为92.86%,对照组为73.81%。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】四花穴隔药灸可以明显改善消化道肿瘤术后胃瘫的临床症状,缩短胃管留置时间。

Objective To observe the clinical effect of drug partition moxibustion at Sihua points[including bilateral Geshu(BL17)and Danshu(BL19)points]for the treatment of gastroparesis after digestive tract cancer operation.Methods Eighty-eight patients with gastroparesis after digestive tract cancer surgery met the included standard were divided into treatment group and control group,44 cases in each group.The treatment group received drug partition moxibustion at Sihua points,and the control group received intramuscular injection of metoclopramide.The main symptoms of gastroparesis,gastric juice drainage volume and gastric tube indwelling time of the two groups were observed,and the clinical efficacy was evaluated.Results(1)During the trial,2 cases from the treatment group and 2 cases from the control group terminated the treatment due to disease aggravation.Ultimately,42 cases in the treatment group and 42 cases in the control group completed the trial.(2)After treatment,the gastroparesis cardinal symptom index(GCSI)score in the two groups was improved(P<0.05),and the improvement of the treatment group was superior to that of the control group,the difference being significant(P<0.05).(3)After treatment,the gastric juice drainage volume in the two groups was improved(P<0.05),and after treatment for 14 days,the improvement in the gastric juice drainage volume of the treatment group was superior to that of the control group,the difference being significant(P<0.05).(4)The gastric tube indwelling time in the treatment group was significantly lower than that in the control group,the difference being significant(P<0.05).(5)The total effective rate was 92.86%in the treatment group and 73.81%was in the control group(P<0.05),and the curative efficacy of the observation group was superior to that of the control group,the difference being significant(P<0.05).Conclusion Drug partition moxibustion at Sihua points has a significant clinical effect,and can significantly improve the clinical symptoms of gastroparesis after digestive tract cancer surgery,shorten the indwelling time of gastric tube.