不同针刺强度对糖尿病胃轻瘫疗效及胃电影响

目的：观察不同针刺强度治疗糖尿病胃轻瘫的临床疗效，寻找治疗糖尿病胃轻瘫的最佳针刺强度。方法：将80例糖尿病胃轻瘫患者随机分为4组，强、中、弱针刺强度及口服降糖药组，每组各20例，2周为一疗程。以胃电图改善为指标，观察临床疗效。结果：针刺各组总有效率分别为85．0％、95．0％、85．0％，与药物组的65．0％比较差异有显著性意义（P〈0．05），且中等强度针刺组的，临床疗效最佳。针刺各组胃电图胃窦、胃体的主频率和振幅均得到了明显改善，与药物组比较，差异具有显著性意义（P〈0．05）。结论：针刺治疗本病疗效显著，不同针刺强度与其疗效间存在量效关系，与胃电参数的调节存在一定关联。

Effects of different acupuncture intensities on the therapeutic effect and the gastric electric activity in the patient of diabetic gastroparesis

OBJECTIVE: To observe clinical therapeutic effect of different acupuncture intensities on diabetic gastroparesis and to search for the best acupuncture intensity for treatment of diabetic gastroparesis. METHODS: Eighty cases were randomly divided into 4 groups, strong, moderate, weak acupuncture intensity groups and an oral hypoglycemic drug group, 20 cases in each group. Two weeks of treatment constituted one course. RESULTS: The total effective rates were 85.0%, 95.0%, 85.0% in the acupuncture groups, respectivelly, with significant difference as compared with 65.0% of the control group (P<0.05). The moderate intensity acupuncture group had the best clinical therapeutic effect. The principal frequency and amplitude of the stomach electrogastrogram in the gastric antrum and the stomach body significantly improved in the acupuncture groups, which was better than those in the control group (P<0.05). CONCLUSION: Acupuncture has significant therapeutic effect on diabetic gastroparesis, and there is a dose-effect relation between different intensities of acupuncture and curative effects,which are correlated with the regulation of the gastric electric parameters.