CAJ | 학술논문

目的：观察加味大承气汤联合针刺治疗胃癌术后胃瘫综合征的临床疗效。方法：将64例胃癌术后胃瘫综合征患者随机分为对照组和治疗组各32例。两组均给予胃肠减压、抗感染、维持水电解质平衡及营养支持等常规治疗，对照组胃管注入西沙比利联合静脉滴注红霉素治疗，治疗组给予胃管注入加味大承气汤联合针刺足三里、合谷、内关、中脘、脾俞、胃俞等穴位治疗，两组治疗4周后观察胃瘫减轻时间和中医症状积分改善情况，并评价两组临床疗效。结果：与对照组比较，治疗组胃瘫恢复时间明显缩短，临床疗效和中医症状积分改善均优于对照组，差异有统计学意义（P＜0.05）。结论：以加味大承气汤联合针刺治疗胃癌术后胃瘫综合征具有明显的临床疗效。
목적：관찰가미대승기탕연합침자치료위암술후위탄종합정적림상료효。방법：장64례위암술후위탄종합정환자수궤분위대조조화치료조각32례。량조균급여위장감압、항감염、유지수전해질평형급영양지지등상규치료，대조조위관주입서사비리연합정맥적주홍매소치료，치료조급여위관주입가미대승기탕연합침자족삼리、합곡、내관、중완、비유、위유등혈위치료，량조치료4주후관찰위탄감경시간화중의증상적분개선정황，병평개량조림상료효。결과：여대조조비교，치료조위탄회복시간명현축단，림상료효화중의증상적분개선균우우대조조，차이유통계학의의（P＜0.05）。결론：이가미대승기탕연합침자치료위암술후위탄종합정구유명현적림상료효。
Objective: To observe the effect of Supplemented Major Qi-Coordinating Decoction combined with acupuncture on postsurgical gastroparesis syndrome (PGS). Methods: 64 PGS patients were randomly divided into the treatment and control group, 32 cases in each group. Patients in two groups were given gastrointestinal decompression, anti-infection, maintain water electrolyte balance and nutritional support on the basis of conventional therapy; patients were given intragastric administration of cisapride combined with intravenous infusion of erythromycin in control group and Supplemented Major Qi-Coordinating De-coction combined with acupuncture at ZuSanLi, HeGu, NeiGuan, ZhongWan, PiShu, WeiShu etal, in treatment group. Gastro-paresis reducing time, TCM symptoms integral and clinical curative effect were observed in 4 weeks. Results: Comparing with the control group, the gastroparesis recovery time was significantly shorter in treatment group; and the clinical curative effect and TCM symptom scores in treatment group were better than that of control group, the difference was statistically significant (P<0.05). Conclusion: Supplemented Major Qi-Coordinating Decoction combined with acupuncture can provide obvious clinical effect on PGS.