Clinical research on acupuncture combined with TDP for stump stomach atony after subtotal gastrectomy

Abstract

ObjectiveTo verify the therapeutic methods and clinical efficacy on stump stomach atony after subtotal gastrectomy (SSASG) treated with acupuncture and TDP. MethodsFifty-three cases were divided into an observation group (23 cases) and a control group (30 cases) according to the random number table. In the observation group, acupuncture was applied in combination with TDP. The main acupoints were Zúsānl▪ (▪ ST 36), Píshū (▪ BL 20), Wèishū (▪ BL 21) and Zhōngwăn (▪ CV 12). The treatment was given once per day. 10 treatments made one session. Two sessions of treatment were required. In the control group, Motilium was prescribed for oral administration, 10 mg each time, three times per day, continuously for 20 days. The changes in the relevant parameters in electrogastrogram (EGG) were observed before and after treatment. The efficacy was assessed. ResultsThe principle frequency and the waveform reaction area of EGG were improved apparently after treatment in both groups (all P<0.01), and those in the observation group were superior to those in the control group (all P<0.01). The ratio of the power after/before meal was more than 1 in the observation group after treatment and that in the control group was less than 1. The effective rate was 100.0% (23/23) in the observation group, which was superior to that of 80.0% (24/30) in the control group, presenting statistically significant difference (P<0.01). ConclusionAcupuncture in combination with TDP can effectively treat SSASG. This therapy apparently improves the gastric motility, tremendously promotes the gastrointestinal peristalsis and recovers the gastrointestinal function after operation. The efficacy of it is superior to that achieved by the oral administration of Motilium.