针灸治疗胃镜检查副反应的临床概况及针灸调节胃肠活动研究进展

本文总结了针灸治疗胃镜检查副反应的临床应用和针灸调节胃肠活动基础研究两个方面的资料。临床应用部分包括针灸治疗胃镜检查副反应的常用穴位、常用方法,针刺减轻胃镜检查心率异常,针灸配合胃镜检查提高胃镜诊断准确率;相关的针灸调节胃肠功能活动的实验研究包括针灸对胃运动及胃电的影响、对胃酸及胃肠激素的调整作用、对胃粘膜的保护作用以及经络及穴位的特异性。认为针灸治疗胃镜检查副反应疗效肯定,无副作用,比药物治疗更具优越性。

Clinical Application of Acupuncture in the Treatment of Side-effects of Gastroscopy and Development of Studies on the Regulative Effect of Acupuncture on Gastrointestinal Activities

In the present paper,the authors review recent development of clinical application of acupuncture therapy in relieving gastroscopy-induced side reactions and recent situations of researches on the mechanisms of acupuncture in regulating gastrointestinal activities.The "clinical application part" contains 1) selection of acupoints as meridian-points,extra-points,holo-points and otopoints,2) common methods as digital pressure of acupoints,body acupuncture,acupoint-injection,auricular acupuncture and cupping,3) relieving cardiac sideeffects,and 4) raising the rate of correct diagnosis;while the related studies on the mechanism of acupuncture include 1) effect on gastric mechanical motility, 2) effect on gastric electrical activity,3) regulation on gastric acid and gastrointestinal hormone levels,4) protective effect on the gastric mucosa,and 5) specificity of effects of acupoints.At present,direct study on the underlying mechanism of acupuncture therapy in relieving side-effects of gastroscopy have been seldom seen and its clinical application lacks united standards for selection of acupoints,needling methods,evaluation of the therapeutic effect,etc.Nevertheless,acupuncture therapy has a positive effect in reducing gastroscopyinduced side effects and should be spread in the clinical practice.