摘要
目的观察经皮穴位电刺激(TEAS)治疗糖尿病胃轻瘫(DGP)的临床效果。方法选择2020年6月至2022年3月于南昌大学第二附属医院治疗的90例DGP患者作为研究对象,按随机数字表法分为对照组、针刺组及TEAS组,各30例。对照组采用常规对症治疗。在对照组基础上,针刺组采用针刺治疗,TEAS组采用TEAS治疗。比较三组患者的腹胀程度评分,恶心、呕吐评分及胃肠激素水平。结果治疗1、2、4周时,TEAS组的腹胀程度评分及恶心、呕吐评分低于针刺组、对照组,差异有统计学意义(P<0.05);TEAS组治疗后的胃泌素(GAS)及胃动素(MTL)低于针刺组、对照组,差异有统计学意义(P<0.05)。结论DGP患者采用TEAS治疗效果良好,有利于缓解患者的腹胀及恶心、呕吐症状,降低GAS及MTL水平,调节胃肠激素水平。
Objective To observe the clinical effect of transcutanclus electrical acupoint stimulation(TEAS)on diabetic gastroparesis(DGP).Methods A total of 90 patients with DGP treated in the Second Affiliated Hospital of Nanchang University from June 2020 to March 2022 were selected as research subjects,and they were divided into control group,acupuncture group and TEAS group by random number table method,with 30 cases in each group.The control group was treated with conventional symptomatic treatment.On the basis of control group,the acupuncture group was treated with acupuncture,and the TEAS group was treated with TEAS.Abdominal distension score,nausea and vomiting score and gastrointestinal hormone level were compared among the three groups.Results At 1,2 and 4 weeks of treatment,the abdominal distension score,nausea and vomiting score of TEAS group were lower than those of acupuncture group and control group,and there were statistically significant differences(P<0.05).After treatment,the gastrin(GAS)and motilin(MTL)in TEAS group were lower than those in acupuncture group and control group,with statistically significant differences(P<0.05).Conclusion TEAS has a good effect on patients with DGP,which is beneficial to relieve the symptoms of abdominal distension,nausea and vomiting,reduce the levels of GAS and MTL,and regulate the levels of gastrointestinal hormones.
作者
付亚红
陈文宇
周敏
FU Yahong;CHEN Wenyu;ZHOU Min(Department of Endocrinology and Metabolism,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330000,China)
出处
《中国当代医药》
CAS
2024年第4期75-77,85,共4页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2021B543)。
关键词
糖尿病胃轻瘫
经皮穴位电刺激
针刺治疗
腹胀程度
胃肠激素
Diabetic gastroparesis
Transcutanclus electrical acupoint stimulation
Acupuncture therapy
Degree of abdominal distension
Gastrointestinal hormone
