针刺治疗胆石症疗效观察.pdfVIP

· Shanghai J Acu—Mox，Mar 2008，V01 27，No 3 18· 文章编号：1005-0957(2008)03-0018-02 · 临床研究· 针刺治疗胆石症疗效观察 郑兆俭 (浙江省温岭市第一人民医院，浙江317500) 【摘要】 目的 观察针灸治疗胆石症的临床疗效及排石情况。方法 将入选的90例患者随机分为体穴组、耳穴组、药物组。 体穴组与耳穴组各30例，分别采用针刺和耳穴贴压治疗，药物组30例，采用口服胆舒胶囊治疗，将三组的疗效及排石情况进 行对比观察。结果 体穴组总有效率为70．0％，耳穴组总有效率为66．7％，药物组为26．7％。体穴组、耳穴组与药物组比较 差异有统计学意义(P0．01)。针刺治疗5 mm以下的结石总治愈率为61．3％。结论 针灸(体穴、耳穴)是治疗直径5 nlln 以下的胆石症的有效方法。 【关键词】针刺；耳穴贴压；胆石症；药物疗法 【中徒分类号】R246．2 【文献标识码】 A Observations on the Therapeutic Effect of Acupuncture on Cholelithiasis ZHEN Zhao-jian、 Zhejiang Wenling First People’s Hospital，Zhejiang 317500，China 【Abstract】 0bjective To investigate the clinical efficacy of acupuncture in treating cholelithiasis and eliminating gallstones、 Me~ods The recruited patients were randomly allocated to body point，ear point，and medication groups．The body point and ell／ point groups，30 cases each，were treated by acupuncture and auricular plaster therapy，respectively．The medication group was treated by oral administration of Gallbladder Soothing Capsules、The therapeutic effects and lithagogue condition were evaluated in the three groups and compared between them．Results The total efficacy rate was 70、0％ in the body point group．66．7％ in the ear point group and 26、7％ in the medication group．There was a statistically significant difference between the body point or ell／point group and the medication group(P0．O1)．The total cure rate for the calculi under 5 mm was 61．3％ in acupuncture treatment．Conclusion Acupuncture(body points and ear points)is an effective method for treating cholelithiasis with calculi under 5 mm． 【Key words】 Acupuncture；Auricular plaster therapy；Cholelithiasis；Medication 胆石症是一种常见病，其发病率约占世界人口的7％一 超发现6例，B超示结石直径10—15 mm者5例，5—10 mm 10％。且呈明显增高的趋势…。手术治疗是本病的常用治疗 者10例，5 mm以下15例，其中泥沙样结石7例。药物组30 方法，但术后残留结石与术后复发的病例也不少 J。笔者自