摘要
目的 探讨针刺内关穴减轻胃镜检查中恶心呕吐等胃肠道反应的临床效果。方法 80例进行普通胃镜检查患者,采用随机数字表法分为对照组和针麻组,每组40例。对照组患者采用西医常规干预,针麻组患者在对照组基础上采用针刺内关穴治疗。比较两组患者恶心呕吐严重程度,检查中心率加快、血压升高发生情况及检查成功率、胃镜检查完成时间;分析针刺治疗的安全性。结果 针麻组患者恶心呕吐严重程度分级低于对照组,差异有统计学意义(P<0.05)。针麻组患者检查中心率加快发生率30.00%、血压升高发生率27.50%低于对照组的52.50%、50.00%,检查成功率100.00%高于对照组的90.00%,胃镜检查完成时间(180.00±2.90)s短于对照组的(191.00±3.60)s,差异具有统计学意义(P<0.05)。针麻组患者针刺治疗期间及治疗后均未发生晕针、断针、局部皮下血肿、皮肤破损等不良事件。结论 针刺内关穴能明显减轻普通胃镜检查过程中的恶心呕吐等胃肠道反应,明显缩短胃镜检查时间,提高检查成功率,值得临床推广应用。
Objective To discuss the clinical effect of acupuncture at Neiguan point in alleviating gastrointestinal reactions during gastroscopy. Methods A total of 80 patients who underwent ordinary gastroscopy were divided into control group and acupuncture group by random numerical table, with 40 cases in each group. Patients in the control group received conventional western medicine intervention, and patients in the acupuncture group received acupuncture at Neiguan point on the basis of the control group. The severity of nausea and vomiting, occurrence of increased heart rate and elevated blood pressure, success rate of examination, and completion time of gastroscopy were compared between the two groups, and the safety of acupuncture treatment was analyzed. Results The severity of nausea and vomiting in the acupuncture group was lower than that in the control group, and the difference was statistically significant(P<0.05). In the acupuncture group, the incidence of increased heart rate and elevated blood pressure were 30.00% and 27.50%, which were lower than 52.50%and 50.00% in the control group;the success rate of examination 100.00% was higher than 90.00% in the control group;the completion time of gastroscopy(180.00±2.90) s was shorter than(191.00±3.60) s in the control group;all the differences were statistically significant(P<0.05). No adverse events such as needle sickness, needle breakage, local subcutaneous hematoma, or skin breakdown occurred during or after acupuncture treatment in the acupuncture group. Conclusion The acupuncture at Neiguan point can obviously reduce gastrointestinal reactions of nausea, vomiting during ordinary gastroscopy, significantly shorten the completion time of gastroscopy,and improve the success rate of the examination, which is worthy of clinical promotion and application.
作者
李蔚
张惠芳
赵冉
朱伟红
计宏
LI Wei;ZHANG Hui-fang;ZHAO Ran(Integrated Traditional Chinese and Western Medicine Hospital of Minhang District,Shanghai 200241,China)
出处
《中国实用医药》
2022年第11期159-161,共3页
China Practical Medicine
关键词
内关穴
针刺
胃镜
胃肠道反应
Neiguan point
Acupuncture
Gastroscopy
Gastrointestinal reactions
