耳穴贴压结合体针治疗慢性胆囊炎的临床疗效视察.pdfVIP

提 要 目的：本研究以慢性胆囊炎患者治疗前后症状、体征评定积分的改变为主观 指标，以治疗前后B超检查所示胆囊壁厚度、毛糙和透光的改变情况为客观指标， 对比观察耳穴贴压结合体针治疗组和口服胆清片对照组对慢性胆囊炎患者疗效 的差异，以期对耳穴贴压结合体针治疗慢性胆囊炎的临床疗效进行评价。方法： 将纳入研究的病例66例，按照随机数字表法分为治疗组（耳穴贴压结合体针组） 33 例和对照组（口服胆清片组）33 例。治疗前给所有患者进行症状、体征总评 分，行胆囊B超检查，了解胆囊壁厚度及毛糙和透光情况，然后给予治疗组耳穴 贴压结合体针治疗，对照组给予口服胆清片治疗。两组疗程均为三个月，至疗程 结束后，对症状、体征进行再次总评分，复查胆囊B超，观察胆囊壁厚度及毛糙 和透光变化情况，最后用 SPSS16.0 统计软件包将所得结果进行统计学处理。结 果：耳穴贴压结合体针治疗组治疗前后症状、体征评定总有效率为 93.33%，口 服胆清片对照组总有效率为 83.33%，两组比较 P＜0.05,治疗组优于对照组；在 改善胆囊壁厚度方面，两组比较 P＜0.05，治疗组优于对照组；在B超改善的总 体有效率方面，治疗组和对照组总体疗效差异性无统计学意义，P＞0.05。结论： 两组均能改善慢性胆囊炎患者的临床症状、体征和减轻胆囊壁厚的程度。耳穴贴 压结合体针比口服胆清片能更好的消除慢性胆囊炎患者的临床症状，对减轻胆囊 壁炎症程度有明显的作用。 关键词 慢性胆囊炎； 耳穴贴压； 体针； 临床疗效 To Observe the Clinical Efficacy of Applying Auricular Pressure Combined with Body Acupuncture in Treating Chronic Cholecystitis Speciality: Acupuncture and Moxibustion Author: Li Xiuyang Tutor: Associate professor Zhang Yongchen Abstract Objective: To observe the clinical efficacy of applying auricular pressure combined with body acupuncture in treating chronic cholecystitis. Method: The 66 cases included in the study were randomly divided into treatment group with 33cases of auricular pressure combined with body acupuncture and 33 cases took Danqing Pian as control group. All patients’signs and symptoms were scored before the treatment, and type-B ultrasonic was operated at gallbladder as an examination to evaluate the thickness, coarse, and light transmittance of gallbladder wall. Then gave treatment group auricular pressure in combination with body acupuncture, and gave Danqing Pian to the control group, the course of treatment were three months for both groups, after the treatment, signs and symptoms