不同穴位处方治疗术后肠麻痹的疗效比较

目的　通过 3种不同的取穴方法观察对针刺治疗术后肠麻痹的影响。方法　采用单纯远端的下合穴、以腹部近端与远端下合穴的循经取穴、背俞与远端下合穴的循经取穴 3种方法 ,观察针刺治疗肠麻痹的可行性及其治疗效果。结果　 3种方法中 ,背俞与远端下合穴配合效果最好 ,腹部近端配合远端下合穴循经取穴效果次之 ,单纯远端下合穴再次之。但三者经统计学处理 P>0 .0 5 ,没有显著性差异。结论　术后肠麻痹患者 ,从其可行性上看 ,腰背部最不便于取穴 ,腹部可取穴性也不高 ,单纯下合穴最为可行。不要强行针刺局部腰腹部穴位 ,以免引起不必要的伤害。

Clinical Observations on Acupuncture Treatment of Postoperative Enteroparalysis by Different Methods of Selecting Points

Purpose To investigate the influences of three different methods of selecting points on acupuncture treatment of postoperative enteroparalysis. Methods Three methods, only selecting distant lower He-Sea points, selecting adjacent abdominal points and distant lower He-Sea points along meridians and selecting Back-shu points and distant lower He-Sea points along meridians, were used to investigate the feasibility of acupuncture treatment of postoperative enteroparalysis and its curative effect. Results Of the three methods, the cooperation of Back-shu points and distant lower He-Sea points produced a best effect, the effect of adjacent abdominal points in cooperation with selection of distant lower He-Sea points along meridians took second place and the effect of simple distant lower He-Sea points took third place. But statistical analysis showed no significant difference among the three (P>0.05).Conclusion In patients with postoperative enteroparalysis, selection of points in the lumbodorsal area is most infeasible; selection of points in the abdominal area is also not very feasible; selection of simple lower He-Sea points is most feasible. Lumbo-abdominal points should not be needled unreasonably to avoid unnecessary injuries.