[电针支沟（TE 6）和足三里（ST 36）治疗粘连性肠梗阻：一项随机对照研究]

[Adhesive ileus treated by electroacupuncture at Zhigou (TE 6) and Zusanli (ST 36): a randomized controlled study].

作者信息

Wen Qian, Chen Wei-Wei, Li Jia, Zhao Yu, Li Nin, Wang Cheng-Wei

机构信息

Acupuncture-Moxibustion Professional Group of Integrated Chinese and Western Medicine Department, West China Hospital Affiliated to Sichuan University, Chengdu 610041, China.

出版信息

Zhongguo Zhen Jiu. 2012 Nov;32(11):961-5.

PMID:23213976

Abstract

OBJECTIVE

To assess the clinical efficacy on adhesive ileus treated by electroacupuncture (EA) at Zhigou (TE 6) and Zusanli (ST 36), and to explore the different effects of acupoint and non-acupoint.

METHODS

Forty cases were randomized into an acupoint group and a non-acupoint group, 20 cases in each one. At the same time of the basic treatment, in the acupoint group, EA was applied at bilateral Zhigou (TE 6) and Zusanli (ST 36). In the non-acupoint group, EA was applied at the sites (that were neither on any meridian nor belonged to any acupoint) that were 0.5 to 1 cm lateral to Zhigou (TE 6) and Zusanli (ST 36) on both sides. Acupuncture was given twice a day, lasting for 4 days totally. The situation of abdominal pain, the time for the improvement in abdominal distention, the time of first voluntary defecation, the time of solid food intake and the others were observed.

RESULTS

In the acupoint group, the abdominal pain and distention were relieved rapidly as compared with those in the non-acupoint group. The results of the assessment face scale (AFS), the first anal exhaust time [(51.35 +/- 32.40) h vs (101.85 +/- 53.87) h], the first defecation time [(82.70 +/- 57.27) h vs (154.70 +/- 145.28) h] and the first solid food intake time [(119.65 +/- 56. 16) h vs (231.95 +/- 180.89) h] were all remarkably improved as compared with those in the non-acupoint group, presenting the statistical significance (P<0.05, P<0.01). Concerning the case number for the conversion to surgery, the death number and the number for the re-admission in 1 year follow-up visit, there was no significant difference in statistics between two groups (all P>0.05). But, the data suggested that the results were improved in tendency in the acupoint group.

CONCLUSION

EA at Zhigou (TE 6) and Zusanli (ST 36) achieves the good clinical efficacy on adhesive ileus. This therapy can remarkably improve abdominal pain and distention and promote the intestinal peristalsis for the patients and is superior to EA at non-acupoint.

摘要

目的

评估电针支沟（TE 6）和足三里（ST 36）治疗粘连性肠梗阻的临床疗效，并探讨穴位与非穴位的不同效应。

方法

将40例患者随机分为穴位组和非穴位组，每组20例。在基础治疗的同时，穴位组于双侧支沟（TE 6）和足三里（ST 36）行电针治疗。非穴位组于双侧支沟（TE 6）和足三里（ST 36）旁开0.5～1 cm处（既不在任何经络上也不属于任何穴位的部位）行电针治疗。针刺每日2次，共治疗4天。观察腹痛情况、腹胀改善时间、首次自主排便时间、进食固体食物时间等。

结果

与非穴位组相比，穴位组腹痛、腹胀缓解迅速。评估面部量表（AFS）结果、首次肛门排气时间[（51.35±32.40）小时对（101.85±53.87）小时]、首次排便时间[（82.70±57.27）小时对（154.70±145.28）小时]和首次进食固体食物时间[（119.65±56.16）小时对（231.95±180.89）小时]均较非穴位组显著改善，差异有统计学意义（P<0.05，P<0.01）。关于转为手术的病例数、死亡数及1年随访期内再次入院数，两组间统计学差异无统计学意义（均P>0.05）。但数据提示穴位组结果有改善趋势。