摘要
目的:针刺夹脊穴为主治疗2型糖尿病胃轻瘫(DGP)的临床效果。方法:选取2015年3月至2016年2月汕头潮阳区大峰医院60例2型糖尿病胃轻瘫患者,随机分为观察组和对照组,每组各30例。对照组接受莫沙必利口服,观察组接受T5～T12夹脊穴为主穴的针刺治疗,疗程为30 d。以疗效指数、症状积分改善情况和不良反应为观察指标,并进行统计学处理。结果:(1)经治疗后,观察组总有效率达100.0%,对照组达93.3%,两组比较,差异具有统计学意义(P<0.05)。(2)两组患者治疗后餐后饱胀不适、早饱、上腹痛、上腹烧灼感的症状积分和症状总积分较治疗前显著改善,差异具有统计学意义(P<0.05);且治疗后两组患者上腹痛、上腹烧灼感症状积分和总症状积分比较,差异具有统计学意义(P<0.05)。(3)观察组中,3例患者先后出现针刺穴位处血肿,未经处理,血肿自行吸收,其余未见不良反应。结论:以夹脊穴为主穴的针刺疗法对DGP有较好的近期效果,可以明显减轻患者的症状,特别对症状上腹痛和上腹烧灼感的改善,优于莫沙必利。
Objective To observe the clinical effect on acupuncture with Jiaji acupoints in the treatment of Type 2 diabetic gastroparesis. Methods 60 patients were randomly divided into treatment group and control group. The control group received mosapride orally, and the observation group received acupuncture treatment at the main point of T5-T12 Jiaji points for 30 days. The efficacy index, symptom score improvement, and adverse reactions were used as observation indicators and statistical analysis was performed. Results 1.After treatment, the total effective rate was 100%in the treatment group and 93.3%in the control group. The total effective rate was statistically significant（2＂2 = 10.016, P = 0.018）.2.After treatment, in the two groups, the symptom integral of full bilge discomfort after dinner, early full, upper abdominal pain, upper abdominal burning sensation, and the total score of the above symptoms were significantly improved before treatment, and the difference was statistically significant（P _〈 0.05）.Two groups of patients had statistically significant differences in upper abdominal pain, upper abdominal burning sensation and the total score （P 〈 0.05）.3.In the treatment group,3 cases had hematoma at the acupoint, and the hematoma absorbed itself untreated. Besides, others had no adverse reactions. Conclusion The preliminary study shows that acupuncture with Jiaji acupoint as the main acupoint has better short-term effect on Type 2 Diabetic Gastroparesis, and can obviously relieve the symptoms of the patients, especially on the improvement the symptoms of upper abdominal pain and upper abdominal burning sensation, which is superior to Mosapride.
作者
郭佳铨
谢凤姣
GUO Jia-quan;XIE Feng-jiao(Dafeng Hospital of Chaoyang District, Guangdong Shantou 515100;The Third Affiliated Hospital of Southern medical University, Guangdong Guangzhou 510630)
出处
《深圳中西医结合杂志》
2018年第5期50-52,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
夹脊穴
莫沙必利
2型糖尿病
糖尿病性胃轻瘫
Jiaji Points
Mosapride
Type 2 Diabetic Gastroparesis
Diabetic gastroparesis
