CAJ | 학술논문

目的：探讨手针全息法在胃镜检查中应用价值。方法将200例需行胃镜检查的患者随机平行对照方法分为手针全息组68例、手针组65例、对照组67例三组。手针全息组为采用揿针贴敷并加以按压及手穴针刺两种方法的结合，手针组为针刺手穴一种方法，对照组为正常胃镜操作。采用问卷调查（内容为检查后有什么不适感、恐惧感、是否愿意接受胃镜复检）和观察患者的操作前后的不适反应即恶心呕吐、腹胀痛、流涎量、插镜顺利程度。结果手针全息组在主观感受上与对照组、手针组差异均有统计学意义（均P＜0．05），手针全息组在胃镜检查前后及过程中不良反应与对照组、手针组差异均有统计学意义（均P＜0．05）。结论手针全息法是手针疗法结合第二掌骨侧全息穴位针刺按摩能让患者在胃镜检查中减轻痛苦和恐惧感，不良反应小，且价格低廉，风险系数小，操作简便易于推广。
목적：탐토수침전식법재위경검사중응용개치。방법장200례수행위경검사적환자수궤평행대조방법분위수침전식조68례、수침조65례、대조조67례삼조。수침전식조위채용흠침첩부병가이안압급수혈침자량충방법적결합，수침조위침자수혈일충방법，대조조위정상위경조작。채용문권조사（내용위검사후유십요불괄감、공구감、시부원의접수위경복검）화관찰환자적조작전후적불괄반응즉악심구토、복창통、류연량、삽경순리정도。결과수침전식조재주관감수상여대조조、수침조차이균유통계학의의（균P＜0．05），수침전식조재위경검사전후급과정중불량반응여대조조、수침조차이균유통계학의의（균P＜0．05）。결론수침전식법시수침요법결합제이장골측전식혈위침자안마능양환자재위경검사중감경통고화공구감，불량반응소，차개격저렴，풍험계수소，조작간편역우추엄。
Objective To explore the Application value of hand acupuncture holographic method in endosco -py.Methods According to randomized controlled holographic method ,200 patients who underwent endoscopy were divided into the hand acupuncture holographic group (68 cases),the hand acupuncture group (65 cases) and the con-trol group(67 cases).The hand acupuncture holographic group pushed the needle sticking and made use of press and hand acupuncture combination of both methods ,and the hand acupuncture group was taken hand-hole method ,and the control group was taken normal gastroscopy operation .A questionnaire survey ( after checking the content of what dis-comfort,fear,are you willing to accept gastroscopy retest ) was taken and observed the patient's discomfort after the op-eration that nausea,vomiting,abdominal distension and pain,salivation volume,mirror smooth interpolation degree. Results The subjective feelings of the hand acupuncture holographic group were better than those of the hand acu -puncture group and the control group (all P<0.05);The adverse reactions of the hand acupuncture holographic group were lower than those of the hand acupuncture group and the control group before and during the endoscopy ( all P<0.05).Conclusion The hand acupuncture holographic therapy is a combination method of hand side of the second metacarpal holographic acupuncture massage gastroscopy which can reduce pain and fear of the patients ,and its side effects is small ,and it is inexpensive ,the risk factor is small ,and it is easy to operate easy to spread .