不同针灸方法治疗术后胃瘫综合征疗效观察

目的:优化术后胃瘫综合征(PGS)的针灸方法。方法:按会诊顺序随机将41例PGS患者分为3组,温针灸组(A组)17例,采用针刺与艾灸相结合的方法治疗;针刺配合耳穴贴压组(B组)12例,采用针刺配合耳穴贴压治疗;单纯针刺组(C组)12例,采用常规针刺的方法治疗。观察治疗后胃液引流量及治疗次数和痊愈率。结果:3种针灸治疗均可显著减少胃液引流量,A组痊愈率为100.0%,平均治疗(7.24±3.87)次;B组痊愈率为66.7%,平均治疗(9.83±4.60)次;C组痊愈率为75.0%,平均治疗(15.25±3.81)次。3组临床痊愈率差异有显著性意义(P<0.05);3组治疗次数差异有非常显著性意义(P<0.01)。结论:温针灸法是治疗PGS最佳的方法,治疗次数少,治愈率高,奏效快。

Clinical observation on different acupuncture and moxibustion therapies for treatment of postsurgical gastroparesis syndrome

OBJECTIVE: To optimize therapy of acupuncture and moxibustion for postsurgical gastroparesis syndrome (PGS). METHODS: Forty-one cases of PGS were randomly divided into 3 groups in order of visiting. Group A (n = 17) were treated by warming needle moxibustion, group B (n = 12) by acupuncture plus auricular point sticking, and group C (n = 12) by routine acupuncture. Changes of gastric drainage volume, therapeutic times and cured rate were investigated in the 3 groups. RESULTS: All the 3 therapeutic methods could significantly decrease gastric drainage volume. The cured rate was 100.0% and the therapeutic times was (7.24 +/- 3.87) in the group A, 66.7%, (9.83 +/- 4.60) times in the group B and 75.0%, (15.25 +/- 3.81) times in the group C, with significant differences in the cured rate and the therapeutic times among the 3 groups (P < 0.05, P < 0.01). CONCLUSION: The warming needle moxibustion is the best method for PGS, with less therapeutic times, high cured rate and rapid effect.