摘要
目的:观察捏拿按摩所产生的良性刺激治疗糖尿病性胃轻瘫的效果。方法:①选择2004-01/12在焦作煤业(集团)有限责任公司中央医院内分泌与代谢病科2型糖尿病胃轻瘫患者106例。均愿意配合观察者。随机将106例患者分为2组:观察组(n=53,男17例,女36例)和对照组(n=53,男19例,女34例)。两组均在控制血糖基础上进行如下干预,对照组:口服莫沙必利(由康弘药业集团生产,生产批号:200401)5mg/次,3次/d,7d为1个疗程,共干预4个疗程。观察组:采用捏脊与按摩疗法进行治疗,每7天为1个疗程,治疗4个疗程。具体如下:捏脊法:从患者长强穴捏拿起,沿督脉向前至椎穴。从第2遍后可重点提捏病症所选主穴如脾、胃、肝、膈俞等。一般每提捏6遍为施术1次,需连续施术两三次;按摩法:实施捏脊疗法后接着进行按摩。术者从患者颈部沿脊椎自上而下按摩34个夹脊穴,按摩300次或以患者的情况酌情增减按摩次数,每日上、下午各进行1次,每次30～40min。②临床疗效评估标准:采用半定量方法,将胃脘胀满、早饱、恶心呕吐、食欲不振及嗳气等6个主症分为:0级:无症状;1级:偶尔出现症状或程度很轻,不影响生活和工作;2级:介于1级和3级之间;3级:症状频繁,明显影响生活和工作;4级:症状严重,患者异常痛苦。各级分别评以0,1,2,3,4分,计算治疗前后的症状总分值及疗效指数[(治疗前分值-治疗后分值)/治疗前分值×100%]。按疗效指数>75%为显效,51%～75%为有效,36%～50%为好转;<26%为无效。③治疗前后测定空腹血糖和餐后2h血糖。④应用瑞典CTD-SYNECTICS公司生产的PCPOLY-GRAFHR八道胃肠功能监测仪及胃肠测压管测定胃窦十二直肠消化间期移行性复合运动波Ⅰ相、Ⅱ相、Ⅲ相的持续时间,收缩波强度。同时测定胃电主频率和胃电主功率。⑤计数和计量资料差异比较分别采用χ2和t检验。结果:2型糖尿病胃轻瘫患者106例�
AIM： To probe into effect of innocuous stimulation induced by chiropractic and massage On treating diabetic gastroparesis （DGP）.
METHODS： Totally 106 type 2 DGP patients were selected from Endocfinological Department and Metabolic Department of Central Hospital of Jiaozuo Coal Limited-liability Company from January to December 2004. All patients were willing to test, All 106 patients were randomly divided into observational group （n=53, 17 males and 36 females） and control group （53, 19 raales and 34 females）, Patients in the two group were interfered on the basis of controlling blood glucose as followed： control group： patients were taken orally with mosapride （commercial name： Bellona, provided by Kanghong Pharmaceutical Group, batch number： 200401） 5 mg/time, three times a day, 7 days as a course, and 4 course in total; observational group： Patients were treated with chiropractic and massage, 7 days as a course, and 4 courses in total, The details were as followed： chiropractic： from Changqiang, through Dumai, to Chuixue; main points of symptom such as spleen, stomach, liver and geyu for twice. Six cycles were regarded as one course for two or three times in total. Massage was performed after chiropractic. Totally 34 points from top to bottom were massaged from cervical part to vertebra with 300 times or increase and decrease times according to severe degrees. The massage was performed once respectively in the morning and in the afternoon for 30-40 minutes. ~） Clinical effective criteria： inflation, early fullness, nausea, emesis, anorexia and belch of stomach were classified into five degrees： grade 0： symptomless; grade 1： occasional symptom or mild level, non-effect on living and work; grade 2： intervenient grade 1 and grade 3; grade 3： frequent symptoms, obvious effect on living and work; grade 4： severe symptoms, great distress in patients. Each grade was scored as 0, 1, 2, 3 and 4 points to calculate total value and effective index before and after trea
出处
《中国临床康复》
CSCD
北大核心
2006年第15期32-35,共4页
Chinese Journal of Clinical Rehabilitation
