摘要
目的:比较电针腹部与四肢经穴不同配伍处方的临床疗效差异,为临床上电针治疗急性胰腺炎(AP)的选穴处方提供依据。方法:60例AP患者随机分为腹部组和四肢组,每组30例。在相同内科保守治疗方案基础上,腹部组以上脘、中脘、下脘、梁门(左)、太乙(左)、承满(左)、腹哀(左)、阴都(右)等腹部经穴配伍进行电针治疗,四肢组以合谷、内关、足三里、上巨虚、下巨虚、阴陵泉(均双侧)等肘膝关节以下特定经穴配伍进行电针治疗。两组电针干预参数相同,留针30min,每日1次,连续5d。观察两组治疗前及治疗期间患者自觉腹痛及腹胀程度评分、腹围、针刺不良事件。结果:两组治疗后腹痛、腹胀程度评分及腹围均较治疗前降低(P <0.05);电针干预第2、3、4天,腹部组较四肢组腹痛程度评分明显降低(P <0.05),腹胀程度评分及腹围两组差异无统计学意义(P>0.05)。60例AP患者治疗期间均未发生针刺不良事件。结论:电针刺激腹部与四肢经穴对AP患者腹痛、腹胀程度的改善及腹围的减小等均有良好效果,腹部经穴配伍对改善腹痛程度疗效更优,且针刺具有安全性。
Objective To compare the difference of therapeutic efficacy of electroacupuncture（EA）stimulation of abdominal acupoints and limb acupoints in the treatment of acute pancreatitis（AP）,so as to provide a reference for EA treatment of AP.Methods A total of 60 patients with AP were equally and randomly divided into abdominal acupoint group and limb acupoint group.On the basis of retention enema of Chaiqin Chengqi Decoction（containing Radix Bupleurum,Radix Scutellaria,etc.）,and abdominal external application of Liuhe Powder ointment（containing Cinnabaris,pearl powder,etc.）,patients of the two groups were also treated with acupuncture stimulation of acupoints at the abdomen or limbs.The abdominal acupoints were Shangwan（CV 13）,Zhongwan（CV 12）,Xiawan（CV 10）,Liangmen（ST 21,left）,Taiyi（ST 23,left）,Chengman（ST 20,left）,Fu＇ai（SP 16,left）,Yindu（KI 19,right）,and the limb acupoints were Hegu（LI 4）,Neiguan（PC 6）,Zusanli（ST 36）,Shangjuxu（ST 37）,Xiajuxu（ST 39）,and Yinlingquan（SP 9）which were punctured with filiform needles by retaining the needles for 30 min after twirling for a while.CV 12-ST 21,CV 10-SP 16 of the abdomen group,and bilateral PC 6 and ST 36 of the limb group were administered EA（2 Hz/15 Hz,1 mA and duration of 30 min）.The treatment was conducted once daily for 5 days.The abdominal pain severity and distension severity were assessed using the visual analogue scale（VAS）,and the abdominal girth was measured by using a soft ruler.Results Following the treatment,the abdominal pain and distension symptom scores in the lightest and most severe phases of AP and the abdominal girth levels were considerably decreased on the 5 th day in the two groups in comparison with their own pre-treatment in the same one group（P〈0.05）;and the abdominal pain scores on the 2 ^（nd）,3 ^（rd） and4 ^（th） day in the lightest phase,and those on the 2 ^（nd）,3 ^（rd）,4 ^（th） and 5 th day in the most severe phase were markedly lower in the abdomen acupoint group than in the limb acupoint group（P〈0.05）.No significant differences were found between two groups in the abdominal distension symptom scores and abdominal circumference levels in the lightest and most severe phases of AP（P〈0.05）.In addition,no adverse events were found in both groups.Conclusion EA has a good curative effect in the treatment of AP patients.The curative effect of acupuncture of the abdominal acupoints is significantly superior to that of limb acupoints in relieving abdominal pain.
作者
李晗婧
赵雨
文谦
刘劼
吕建琴
刘梦阅
夏庆
李宁
LI Han-jing;ZHAO Yu;WEN Qian;LIU Jie;LU Jian-qin;LIU Meng yue;XIA Qing;LI Ning(Department of Integrated Chinese and Western Medicine,West China Hospital of Sichuan University,Chengdu 610041,China)
出处
《针刺研究》
CAS
CSCD
北大核心
2018年第11期725-729,共5页
Acupuncture Research
关键词
电针
急性胰腺炎
腹部经穴
四肢经穴
腹痛
腹胀
腹围
Electroacupuncture
Acute pancreatitis
Abdominal acupoints
Limbs acupoints
Abdominal pain
Abdominal distension
Abdominal circumference
作者简介
李晗婧，硕士生在读，研究方向：针灸临床研究。E-mail：1548167580@qq．com;通信作者：李宁，主任医师，研究方向：针灸循证与临床。E-mail：zhenjiuhuaxi@163．com
