CAJ | 학술논문

目的应用超声观察针刺穴位联合药物治疗胆囊炎的临床疗效.方法对114例胆囊炎患者采刚针刺穴位联合药物治疗,观察在脂餐前后肌囊大小、运动功能变化情况.结果治疗后收缩功能良好者89例,占78.1%;收缩功能恢复一般者17例,占14.9%;肌囊收缩功能＜40%者8例,占7.0%.治疗后较治疗前胆囊收缩功能明显提高、胆囊张力减低者71例(62.3%)、胆囊回声减少或消失者59例(51.8%)、胆囊壁厚度变薄者70例(61.4%),超声莫菲征转阴者95例,占83.3%,经统计学处理差异均有统计学意义(P＜0.05).结论针刺穴位联合药物治疗可使胆囊收缩功能增强,对胆囊炎有明显的治疗作用,有利于胆囊功能的恢复.
목적 응용초성관찰침자혈위연합약물치료담낭염적림상료효.방법 대114례담낭염환자채강침자혈위연합약물치료,관찰재지찬전후기낭대소、운동공능변화정황.결과 치료후수축공능량호자89례,점78.1%;수축공능회복일반자17례,점14.9%;기낭수축공능＜40%자8례,점7.0%.치료후교치료전담낭수축공능명현제고、담낭장력감저자71례(62.3%)、담낭회성감소혹소실자59례(51.8%)、담낭벽후도변박자70례(61.4%),초성막비정전음자95례,점83.3%,경통계학처리차이균유통계학의의(P＜0.05).결론 침자혈위연합약물치료가사담낭수축공능증강,대담낭염유명현적치료작용,유리우담낭공능적회복.
Objective To observe the therapeutic effect of acupuncture combined with drug on cholecystitis by ultrasonography. Methods One hundred and fourteen cases of cholecystitis were treated by acupuncture and drug. The changes of the size and movement function of the gallbladder before and after fat diet were investigated.Results After treatment, systolic function in 89 cases (78.1%) was improved, systolic function in 17 cases( 14.9% ) recovered. After treatment, the contractibility of the gallbladder increased significantly, tension of the gallbladder decreased, echo of the gallbladder reduced or disappeared and the gallbladder wall became thin. Meanwhile "Murphy's Sign" turned into negative in 83.3% of the patients ( P ＜ 0.05). Conclusion Acupuncture and drug can strengthen contractibility of the gallbladder, showing an obvious therapeutic effect on cholecystitis and helping restore function of the gallbladder.