耳穴贴压及肌注山莨菪碱在上腹部CT扫描中作用对比探究.docVIP

耳穴贴压及肌注山莨菪碱在上腹部CT扫描中作用对比探究(姜堰市中医院,江苏225500) [摘　要]　作上腹部CT扫描病人221例,随机分为耳穴贴压组和肌注山莨菪碱组,分别测定扫描中十二指肠扩张程度、张力改变情况以及扫描前后心率、瞳孔、对光反应、视物情况、排尿时间等变化。结果:两组胃窦、十二指肠至十二指肠水平部及胰尾部空肠等造影剂充盈的上等率几乎接近,而瞳孔变化、心率增速等副作用耳压组则明显小于肌注山莨菪碱组。 [主题词]　体层摄影术,X线计算机;耳穴贴压,王不留行;山莨菪碱/治疗应用 Clinically Control Study of Auricular Point Pressing and Intramuscular Injection of Anisodamine in CT Scanning of the Upper Abdomen Win Xuejin,Shen Huajun,Wang Jigen,Wang Qiang(Jiangyan Municipal Hospital of Traditional Chinese Medicine,Jiangsu 225500) [Abstract]　Purpose　　To compare effects of auricular point pressing and intramuscular injection of anisodamine in CT scanning of the upper abdomen.Methods　　221 cases of CT scanning of the upper abdomen were randomly divided into auricular point pressing group and intramuscular injection of anisodamine.Dilation extent and tension of duodenum,and changes of heart rate,pupil,light reaction,vision and urination time before and after scanning were determined.Results　　The excellent filling rate of contrast medium in the gastric antrum,and the jejunum from the duodenum to the level part of the duodenum and the end part of pancreas in the two groups were similar,but the side-effects such as the change of pupil and the acceleration of heart rate,ect.in the auricular point pressing group was significant smaller than that of intramuscular injection of anisodamine.Conclusion　　Auricular point pressing for CT of the upper abdomen is superior to intramuscular injection of anisodamine. [Key words]　　Tomography X-ray Computed;Auricular Point Sticking;Anisodamine/ther use 1997～1999年,笔者试用耳穴贴压法与肌注山莨菪碱(654-2)在上腹部CT扫描中进行临床对比研究,发现耳穴按压能降低胃肠道的张力,促使胃肠道排空减慢、肠腔扩张,造影剂混合均匀,肠壁光整规则,与胰头及周围结构分界清晰,取得了满意的效果,现报道如下。 1　　材料与方法 临床科室申请上腹部CT扫描病人221例,其中男172例,女49例;年龄最小16岁,最大79岁,平均51.6岁。肌注654-2组119例,耳压组102例。扫描前4小时禁食,15分钟时口服75%的泛影葡胺5 ml+500 ml凉开水,5分钟时口服以上溶液200 ml。654-2组扫描前15分钟肌注654-2注射液20 mg;耳压组以胶布将王不留行籽分别贴于耳穴的胃、十二指肠、神门3穴,扫描前15分钟由病人轻轻按摩以上3穴,扫描前1分钟时再行按压1次。其余扫描条件均相同,扫描机型为GESYTEC-2000i,层厚和层距均为10 mm,扫描范围从膈