貼敷配合針灸治療缺氧性腦病變小兒消化吸收不良之臨床研究

本研究針對貼敷與針灸搭配療法進行消化功能之改善。消化功能情況評估是依據胃部反抽液體積為指標。患者為一位五歲女童，因缺氧昏迷住進小兒加護病房，其後消化功能不佳，灌食量在100ml/日以下，而胃部反抽液在250ml以上。透過貼敷治療，使胃部反抽液降至100ml以下。然而單純貼敷治療無法將胃部反抽液降至0ml，故其後輔以先針灸後貼敷的治療方式，經過三次的療程，使病患胃部排空功能恢復，並於穩定灌食180ml/日情形下，均無反抽液出現。

關鍵字

貼敷；針灸；胃排空；消化不良；缺氧性腦病變

並列摘要

General description: This research was about improving digestion by combining therapy of herb plaster moxibution and acupuncture. The digestive function was evaluated by measuring the residual volume of stomach. Objective: The patient was a five years old girl who admitted our Pediatric Intensive Care Unit because of hypoxic encephalopathy. She was consulted by Chinese medicine due to poor digestive function. The NG tube feeding volume was 100ml per day but the residual volume was more than 250ml. Methods: Yuan hu, Bai jiezi ,Xi xin, Gan sui were drying and mode to powder, then were mixed well with the same weight. All of the fine powder were made to pill preparation and pills were soften and wet with distilled water or glycerin before patch to acupoints. Plaster therapy and acupuncture on Acupoints such as ST36, ST37, ST39, SP6, SP7, SP9. Result: After the herb plaster moxibution, the residual volume of stomach declined to less than 100ml. However, we couldn’t decrease the residual volume to zero only by herb plaster moxibution. Therefore, we treated her acupuncture before herb plaster moxibution. After three treatments, she regained the digestive function and had 0ml residual volume of stomach under 180ml feeding volume per day. Commentary: Plaster therapy on acupoints is a good choice for Chinese medicine doctors to help patients who has problems in digestive function. Combining plaster therapy and acupuncture has better result than using plaster therapy alone.