穴位埋线对慢性胃炎患者胃电图及胃肠激素的影响

目的]观察穴位埋线治疗慢性胃炎的临床疗效。方法]将70例慢性胃炎患者随机分为治疗组(埋线组)与对照组 (针刺组)进行相应治疗,并观察胃电图及血浆胃泌素(Gas)、P物质(SP)含量的改变。 结果]埋线组有效率为 88.89％,优于针刺组的76.47％,具有显著性差异(P<0.05);两组内治疗前后餐前、餐后胃电幅值和血浆Gas、SP的差 异都具有显著性(P<0.01或P<0.05),餐前胃电频率改变不明显(P>0.05),但餐后频率改变较明显(P<0.05);两组 之间相比,治疗后两组血浆Gas、SP含量差异有显著性(P<0.05),但两组治疗前后的餐前、餐后胃电幅值及胃电频率差 异都没有显著性(P>0.05)。结论]穴位埋线治疗慢性胃炎有肯定疗效,能调节胃肠激素,增加胃电幅值,增快胃电频 率,从而调节了胃肠机能活动。

Effect of Acupoint Thread-embedding Therapy on Electrogastrogram and Gastrointestinal Hormones in Patients with Chronic Gastritis

Objective ] To observe the therapeutic effect of acupoint thread-embedding therapy for chronic gastritis. Methods] Seventy cases of chronic gastritis were randomized into group A ( n = 36, treated with acupoint thread-embedding therapy) and group B (n = 34, treated with acupuncture); the changes of electrogastrogram (ECG) and plasma contents of gastrin (Gas) and substance P (SP) were compared before and after treatment. Results] The effective rate was 88.89% in group A and 76.47% in group B, the difference being significant ( P < 0.05) . After treatment, preprandial and postprandial ECG amplitude and plasma contents of Gas and SP in the two groups differed from those before treatment ( P < 0.01 or P < 0.05) , preprandial ECG frequency had no significant difference from that before treatment ( P > 0.05 ) while postprandial ECG frequency differed from that before treatment ( P < 0.05 ) ; After treatment the differences of plasma Gas and SP contents were significant between the two groups ( P < 0.05) while the difference of preprandial and postprandial ECG amplitude as well as ECG frequency were not significant before and after treatment (P > 0.05). Conclusion] Acupoint thread-embedding therapy exerts certain effect for the treatment of chronic gastritis; its therapeutic mechanism may be related to the regulation of gastrointestinal function by regulating gastrointestinal hormone levels and by increasing ECG amplitude and frequency.