A Research About Tempolabile Efect Of Movement Influence When Curing Chronic Inflammation Of The Gallbladder With Yidan Auricular Point

Objective:This study used the test result of color Doppler ultrasound gallbladder as an objective index to observe the influence of auricular acupuncture to chronic inflammation of the gallbladder and the time-effect relationship, and compared the relationship between the length of needle retaining time and acupuncture effect. The issue not only choosed the best needle retaining time to provide the basis for clinical, at the same time laid the foundation for time-effect relationship for the role of acupuncture.Methods:This study used computer random grouping method, observed 22 chronic cholecystitis patients, who met the inclusion criteria and were randomly divided into 2 groups, which were 30 minutes retained needles and the 60 minutes group. we recorded index about gallbladder volume 5mins before needling;after needling, index was recorded every 10mins, from 10mins to 60mins. Results:Within each group at different time points, the size of the gallbladder volume and gallbladder contraction rates were significantly different after needle (P<0.05); the interaction between group and time had no significant effect on gallbladder volume and gallbladder contraction rates (P>0.05); the gallbladder volume and gallbladder contraction rates had no significant differences between the two groups (P>0.05). In the group of retained needles for 30 minutes, the gallbladder volume in 20 minutes after the needle was smallest and significant different from the gallbladder volume in 5 minutes before needle (P<0.05), gallbladder volume and gallbladder contraction rate had no statistical difference between in the other time points and in 5 minutes before the needle (P>0.05); In the group with needle retention for 60 minutes, the gallbladder volume in 40 minutes after the needle was smallest, and the gallbladder volume and gallbladder contraction rate in 20 minutes after the needle,40 minutes after the needle,50 minutes after the needle compared with the needle 5 minutes ago were significantly different (P<0.05). The best induction period in 30 minutes of needle retention group was period of needles for 20 minutes, the half-life of was about 40 minutes after the needle; The best induction period in 60 minutes of needle retention group was period of needles for 40 minutes, the half-life of was about 40 minutes after the needle; The half-life lengthes of two groups were about 20 minutes. In the first 10 minutes after acupuncture, gallbladder volume of the point at 1 minute,3 minutes,5 minutes,7 minutes,10 minutes, were no significantly different, compared to 5 minutes before needle, (P > 0.05). Conclusion:1. Needling Yidan point can obviously promote the gallbladder movement of chronic cholecystitis patients.2. There are no obvious influence to gallbladder movement between 30min group and 60min group. 3. The half time of the 2 groups are short, about 20mins, which suggests that 2～4 times needling or pressing were necessary.4. In the two groups, the best induction period is 40mins, which suggests that 40mins needling was the best time.5. Needling have a double cation, optimum, regulating effect, but the dilatation or shrinking depended on the situation of the, gallbladder's tension situation.