糖尿病性胃轻瘫针灸治疗方案优化研究.docVIP

糖尿病性胃轻瘫针灸治疗方案的优化研究 胡智海1 王毅1黄佳颖2许靖华1 宋峥雨1 王硕硕1 （1上海市中西医结合医院 上海200082 2上海市嘉兴社区卫生服务中心 上海200086） [摘要] 目的：探讨糖尿病性胃轻瘫的最优化针灸治疗方案。方法：将100例患者随机分为体针组、电针组、针刺水针组和针刺艾灸组四组，均治疗3个疗程。观察四组病例治疗前后临床症状体征评分。结果：治疗后四组患者中，针刺艾灸组显效率优于其他三组，差异有统计学意义(P0.05)。四组饱胀、食欲不振、嗳气、上腹痛、恶心症状评分中，针刺艾灸组疗效优于其他三组，差异有统计学意义(P0.05)。结论：针刺艾灸组合治疗糖尿病性胃轻瘫疗效最佳方案 [关键词]糖尿病性胃轻瘫；针灸疗法；电针；灸法；穴位注射； To study the HYPERLINK javascript:void(0); prioritization? HYPERLINK javascript:void(0); scheme of acupuncture treatment about diabetic gastroparesis. Huzhihai Wangyi Huangjiaying Xujinghua Songzhengyu Wangshuoshuo (Shanghai TCM Integrated West Medicine Hospital) [Abstract] Objective:To study the optimal treatment of diabetic gastroparesis. Methods: 100 patients were randomly divided into the body acupuncture group, the electric acupuncture group, the acupuncture water acupuncture and the acupuncture moxibustion group four groups, all treatment has 3 period of treatment. Observe the four groups of cases before and after treatment of clinical symptoms and signs scores. Results: acupuncture moxibustion treatment group were significantly improved after treatment, the difference was statistically significant (P 0.05). acupuncture moxibustion treatment group is better than the other three groups full bilge, loss of appetite, belching, upper abdominal pain, nausea symptoms integral, the difference was statistically significant (P 0.01). Conclusion: the combination of acupuncture moxibustion treatment of diabetic gastroparesis curative effect is best. [key words] diabetic gastroparesis. Acupuncture; Electric acupuncture; Moxibustion; Point injection; 糖尿病性胃轻瘫（Diabetic gastroparesis ，简称DGP）是糖尿病并发症中较为常见的疾病，临床中主要表现为胃肠动力下降，蠕动减缓，食物排空延迟等。同时多伴有不同程度的胃部表现，如恶心呕吐、腹部胀满、早饱或消化不良。流行病学研究表明，在1型或2型糖尿病患者中，约有50%-76%的患者伴有胃轻瘫[1]。针灸疗法治疗糖尿病性胃轻瘫具有良好的近期疗效，而且有一定的远期疗效，临床中已得到广泛验证。针刺、电针、灸法、穴位注射是针刺治疗糖尿病性胃轻瘫常用的四种重要方法，四种方法均能有效治疗糖尿病性胃轻瘫，目前临床上多着重于单一方法对糖尿病性胃轻瘫的研究，针对糖尿病性胃轻瘫综合征常用针灸疗法疗效的对照研究少见。因此课题组于2012年6月至2013年12月通过四种不同治疗方法组合治疗了100例糖尿病性胃轻瘫患者，结果如下： 1 临床资料 1.1 一般资料 100例糖尿病性胃轻