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[不同针刺强度对糖尿病胃轻瘫患者治疗效果及胃电活动的影响]

[Effects of different acupuncture intensities on the therapeutic effect and the gastric electric activity in the patient of diabetic gastroparesis].

作者信息

Zeng Hong-wen, Nie Bin, Ge Yan, Wang He, Song Xiao-juan

机构信息

Acupuncture Section, The Second TCM Hospital of Guangdong Province, Guangzhou 510095, China.

出版信息

Zhongguo Zhen Jiu. 2006 Sep;26(9):644-6.

Abstract

OBJECTIVE

To observe clinical therapeutic effect of different acupuncture intensities on diabetic gastroparesis and to search for the best acupuncture intensity for treatment of diabetic gastroparesis.

METHODS

Eighty cases were randomly divided into 4 groups, strong, moderate, weak acupuncture intensity groups and an oral hypoglycemic drug group, 20 cases in each group. Two weeks of treatment constituted one course.

RESULTS

The total effective rates were 85.0%, 95.0%, 85.0% in the acupuncture groups, respectivelly, with significant difference as compared with 65.0% of the control group (P<0.05). The moderate intensity acupuncture group had the best clinical therapeutic effect. The principal frequency and amplitude of the stomach electrogastrogram in the gastric antrum and the stomach body significantly improved in the acupuncture groups, which was better than those in the control group (P<0.05).

CONCLUSION

Acupuncture has significant therapeutic effect on diabetic gastroparesis, and there is a dose-effect relation between different intensities of acupuncture and curative effects,which are correlated with the regulation of the gastric electric parameters.

摘要

目的

观察不同针刺强度治疗糖尿病胃轻瘫的临床疗效,探寻治疗糖尿病胃轻瘫的最佳针刺强度。

方法

将80例患者随机分为4组,即强刺激针刺组、中等刺激针刺组、弱刺激针刺组和口服降糖药组,每组20例。以两周治疗为一个疗程。

结果

针刺组的总有效率分别为85.0%、95.0%、85.0%,与对照组的65.0%相比差异有统计学意义(P<0.05)。中等强度针刺组临床疗效最佳。针刺组胃窦和胃体胃电图的主频率和波幅明显改善,优于对照组(P<0.05)。

结论

针刺治疗糖尿病胃轻瘫疗效显著,不同针刺强度与疗效之间存在量效关系,且与胃电参数的调节相关。

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