Observation on Therapeutic Effect of Routine Acupoints plus Mental Activity-adjusting Acupoints in the Treatment of Post-surgical Gastroparesis Syndrome

ZHANG Cui-yan

doi:10.13702/j.1000-0607.2010.06.012

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Observation on Therapeutic Effect of Routine Acupoints plus Mental Activity-adjusting Acupoints in the Treatment of Post-surgical Gastroparesis Syndrome

更新时间：2023-08-11

- Observation on Therapeutic Effect of Routine Acupoints plus Mental Activity-adjusting Acupoints in the Treatment of Post-surgical Gastroparesis Syndrome
- Acupuncture Research Vol. 35, Issue 6, Pages: 458-461(2010)
- 作者机构：
  
  北京大学人民医院针灸科
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.2010.06.012
  CLC：
- Published：2010
- 稿件说明：
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ZHANG Cui-yan. Observation on Therapeutic Effect of Routine Acupoints plus Mental Activity-adjusting Acupoints in the Treatment of Post-surgical Gastroparesis Syndrome[J]. Acupuncture research, 2010, 35(6): 458-461.
DOI：

ZHANG Cui-yan. Observation on Therapeutic Effect of Routine Acupoints plus Mental Activity-adjusting Acupoints in the Treatment of Post-surgical Gastroparesis Syndrome[J]. Acupuncture research, 2010, 35(6): 458-461. DOI： 10.13702/j.1000-0607.2010.06.012.

摘要

目的:在针刺治疗胃瘫常规选穴的基础上加用调神的穴位

观察治疗术后胃瘫的疗效。方法:将20例患者随机分为治疗组和对照组

每组10例。治疗组在常规选穴的基础上加调神的穴位百会、印堂、头皮针胃区;对照组不加调神的穴位。每次治疗20 min

每日1次

最多治疗20次。分别对两组治疗前后进行抑郁焦虑量表评分

对两组胃液量变化、胃瘫治愈率、治疗次数等进行比较。结果:治疗组和对照组在治疗后汉密尔顿抑郁量表评分分别为10.3±2.8、15.6±5.6(t=2.686

P=0.018)

汉密尔顿焦虑量表评分分别为13.0±2.7、15.8±3.2(t=2.143

P=0.046)

两组抑郁焦虑评分均较治疗前有明显的改善

且治疗组优于对照组(P<0.05)。两组治疗后胃液量均较治疗前明显减少。两组治愈率分别为100%(10/10)和80%(8/10)

组间比较

差异无统计学意义(P>0.05)。达到治愈时治疗组和对照组的平均治疗次数分别为7.3±1.3、10.4±2.1

组间比较

差异有统计学意义(t=3.824

P=0.001)。结论:调神穴有利于术后胃瘫患者抑郁焦虑状态的改善

也有利于胃瘫的治疗

减少治疗次数。

Abstract

Objective To evaluate the efficacy of routine plus mental-regulating acupoints on the head for post-operative gastroparesis syndrome.Methods Twenty patients were randomized into treatment group and control group

with 10 cases in each.For patients in the control group

transcutaneous nerve electrical stimulation(TENS) of Pishu(BL20)

Weishu(BL21) and Sanjiaoshu(BL22) was given for 20min

followed by acupuncture of Neiguan(PC6)

Zhongwan(CV12)

Qihai(CV6)

Tianshu(ST25)

etc.

plus abdominal TDP irradiation and pellet-pressure of otopoints: Wei(MA-IC)

Jiaogan(MA-AH7)

Neifenmi(MA-IC3)

Sanjiao(MA-IC4)

Pizhixia(MA-AT1)

etc.For patients of the treatment group

in addition to the treatment mentioned above

acupoints Baihui(GV20)

Yintang(EX-HN3) and scalp-point Weiqu(Stomach Area) for adjusting the mental activity were punctured.The treatment was conducted once daily

5 times a week and continuously for 4 weeks.Changes of the psychological status including Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) scores

and gastric drainage volume/d were recorded.Results In comparison with pre-treatment

the HAMD and HAMA scores of both the treatment group and the control group after the treatment were decreased significantly(P<0.01)

and the therapeutic effects of the treatment group in reducing HAMD and HAMA scores were evidently superior to those of the control group(both P<0.05).The gastric drainage volume/d in the two groups both decreased after the treatment.Of the two 10 cases in the treatment and control groups

10 and 8 were cured

0 and 2 were improved.No significant difference was found between the two groups in the therapeutic effect(P>0.05)

but the treatment sessions of the treatment and control groups were 7.3±1.3 and 10.4±2.1

respectively(P<0.01).Conclusion Mental activity-adjusting acupoints plus routine acupuncture(TENS

TDP irradiation and o-topoint-pellet pressure) can effectively improve post-surgical gastroparesis patients' psychological status and raise clinical therapeutic effect.

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