针刺肩井穴对慢性胆囊炎患者胆囊收缩功能影响的随机对照研究.pdf

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1、·398·AcupunctureResearch，Oct．2012，Vo1．37，No．5针刺肩井穴对慢性胆囊炎患者胆囊收缩功能影响的随机对照研究温峰云李双成王国明李丽霞宋永强(廊坊市中医医院针灸科，廊坊065000；河北医科大学基础教研室，石家庄050017)【摘要】目的：观察针刺肩井穴与非经非穴对胆囊炎患者胆囊收缩功能的影响，探讨肩井一胆囊之间的内在联系。方法：将6O例慢性胆囊炎患者随机分为肩井组和非穴组，每组3O例。肩井组针刺右侧肩井穴，j}穴组针刺第6与第7颈椎棘突间右侧旁开2寸处，均留针30rai

2、n。分别于针刺前、针刺15rain时及出针30rain后采用彩色多普勒超声测量胆囊的长径、宽径、厚度，计算胆囊客积，并分别评价两组治疗后肩背及右上腹疼痛、胃胀恶心变化情况。结果：肩井组疼痛缓解率优于非穴组(P<0．05)；非穴组患者胃胀或恶心等症状缓解率与肩井组比较，差异无统计学意义(P>O．05)。治疗前后比较，非穴组患者胆囊扩大的未见明显缩小，胆囊缩小变形的未见明显扩大(均P>0．05)；肩井组患者胆囊扩大的均有缩小，胆囊缩小的均有扩大(均P<0．01)。两组胆囊缩小患者胆囊容积针刺后比较，肩井组明显大

3、于非穴组(P<0．01)；两组胆囊扩大患者针刺后胆囊容积比较，肩井组明显小于非穴组(P

4、entsWENFeng—yun，LIShuaug—cheng，WANGGuo—ming，LILxia，SONGYong—qiang(DepartmentofAcu—moxibustion，HebeiLangfangHospitalofChineseMedicine，Langfang065000，China；SectionofTeaching—studyofBasalMedicine，HebeiMedicalUniversity，Shijiazhuang050017)[ABSTRACT]0bjectiveTo

5、observetheefectofacupunctureofJianjing(GB21)andnon．acupointongallbladdervolumeandclinicalsymptomsofchroniccholecystitispatients．MethodsSixtycasesofchroniccholecystitispatientswereequallyran-domizedintoJianjing(GB21)groupandnon-acupointgroup．Afiliformneedle

6、wasinsertedintoJianjing(GB21)ornon—acupoint(2curllateraltothemid．pointbetweenthespinousprocessesofthe6'hand7cervicalvertebrae)ontherightside，manipulatedforawhile川I“Deqi”，andretainedfor30rain．AcolorDopplerultrasoundscannerwasusedtodetectthevolumeofthegallbl

7、ad-derbeforeand15minafteracupuncturestimulat'．bnand30minafterwithdrawaloftheacupunctureneedle．Changesofthepa-tientssymptomsofshoulder．backpain，stomachache，distensionandnauseawereevaluatedaccordingtothepatients’com-plaints．ResultsAfteracupunctureinterventio

8、n，theremissionratesofshoulder．backpainandstomachacheinnon-acupointandGB21groupswere56．67％and90．00％respectively，whiletheefectiveratesofthepatients’gastricdistentionandnauseainnon．acupointandGB21groupswere16．67