[Comparative study on effect of electroacupuncture at lower he-sea point of stomach and he-sea matching front-mu points for gastroparesis].

To explore the efficacy difference of electroacupuncture at lower he-sea point and he-sea matching front-mu points for the treatment of gastroparesis.A total of 63 patients with gastroparesis were randomly divided into a lower he point group (group A, 32 cases, 2 cases dropped off) and a he matching mu points group (group B, 31 cases, 1 case dropped off). The group A was treated with electroacupuncture at Zusanli (ST 36), and the group B was treated with electroacupuncture at Zusanli (ST 36) and Zhongwan (CV 12). Both groups were treated with continuous wave (2 Hz in frequency) for 30 min, once a day, 5 times a week for 3 weeks. The gastroparesis cardinal symptom index (GCSI) score, gastric half-emptying time (T1/2) and the 180 min gastric residual rate of the two groups before and after treatment were observed, and the clinical effective rate was compared.After treatment, the total GCSI scores, T1/2 and the 180 min gastric residual rates in both groups were lower than those before treatment (P<0.01), and the 180 min gastric residual rate and T1/2 in the group A were lower than those in the group B (P<0.05). The total effective rate was 93.3% (28/30) in the group A, which was superior to 70.0% (21/30) in the group B (P<0.05).Electroacupuncture at lower he-sea point and he-sea matching front-mu points can both be used to treat gastroparesis, but electroacupuncture at Zusanli (ST 36) has a better effect. The acupoints of Zusanli (ST 36) and Zhongwan (CV 12) may have antagonistic effects.目的：探究电针胃下合穴与合募配伍治疗胃轻瘫的疗效差异。方法：将63例胃轻瘫患者随机分为下合穴组（32例，脱落2例）和合募配伍组（31例，脱落1例）。下合穴组仅电针足三里，合募配伍组电针足三里、中脘，两组均选用连续波，频率2 Hz，留针30 min，每日1次，每周5次，连续治疗3周。比较两组患者治疗前后胃轻瘫主要症状指数（GCSI）量表总评分、胃半排空时间（T1/2）、180 min胃残留率及临床总有效率。结果：治疗后两组GCSI量表总评分、180 min胃残留率均较治疗前降低，T1/2均较治疗前缩短（P<0.01）；治疗后下合穴组180 min胃残留率低于合募配伍组，T1/2短于合募配伍组（P<0.05）。下合穴组总有效率为93.3%（28/30），优于合募配伍组的70.0%（21/30，P<0.05）。结论：电针胃下合穴与合募配伍均可治疗胃轻瘫，但电针足三里疗效更佳，中脘与足三里配伍可能具有相互拮抗作用。.