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经皮穴位电刺激治疗糖尿病胃轻瘫的临床观察

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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。
Clinical observation on the treatment of diabetic gastroparesis by transcu-tanclus electrical acupoint stimulation
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 Uni-versity 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 gas-trointestinal 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 disten-sion,nausea and vomiting,reduce the levels of GAS and MTL,and regulate the levels of gastrointestinal hormones.

Diabetic gastroparesisTranscutanclus electrical acupoint stimulationAcupuncture therapyDegree of ab-dominal distensionGastrointestinal hormone

付亚红、陈文宇、周敏

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南昌大学第二附属医院内分泌代谢科,江西南昌 330000

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

江西省中医药管理局科技计划项目

2021B543

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(4)
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