Objective

2

To evaluate the clinical efficacy of navel acupuncture in the treatment of acute pancreatitis with excess heat accumulation in the viscera syndrome.

Methods

2

A retrospective analysis was conducted on the clinical data of 132 patients with acute pancreatitis admitted to Beijing Changping Traditional Chinese Medicine（TCM）Hospital from January 2017 to December 2023. According to the treatment method，the patients were divided into an observation group and a control group，with 66 cases in each group. The control group received conventional Western medicine treatment，while the observation group received navel acupuncture therapy in addition to conventional Western medicine treatment， with acupuncture at the“Four Corner Points”. Efficacy，clinical performance-related indicators，laboratory indicators， and TCM syndrome scores before treatment， on the third day of treatment， and at the time of discharge were observed and compared. The occurrence of complications during the observation period was also recorded.

Results

2

The total effective rate of the observation group was higher than that of the control group（

χ

2

=4.181，

P

<

0.05）.The time for the disappearance of abdominal pain，bloating，recovery of bowel sounds，first flatulence，first defecation，and abdominal tenderness in the observation group was shorter than that in the control group（

P

<

0.

05）.On the third day of treatment and at the end of treatment，the levels of serum amylase（Amy），urinary Amy，lipase（LPS），white blood cells（WBC），neutrophil ratio（NE%），C-reactive protein（CRP），alanine aminotransferase（ALT），glutamic-oxaloacetic transaminase（AST），blood urea nitrogen（BUN），and serum calcium（Ca）in the observation group all showed improvement compared to those before treatment（

P

<

0.05）.On the third day of treatment，the levels of serum Amy，urinary Amy，LPS，WBC，NE%，ALT，and BUN in the control group also improved compared to those before treatment（

P

<

0.05）.On the third day of treatment and at the end of treatment，the levels of serum Amy，urinary Amy，LPS，WBC，and AST in the observation group were lower than those in the control group（

P

<

0.05）. At the end of treatment，the levels of NE%，CRP，ALT，and BUN in the observation group were all lower than those in the control group（

P

<

0.05）. On the third day of treatment and at the end of treatment，the TCM syndrome scores in both groups were lower than those before treatment（

P

<

0.05）. On the third day of treatment and at the end of treatment，the scores for abdominal fullness，hard pain resistant to pressure，afternoon tidal fever，vomiting，and total symptom scores in the observation group were lower than those in the control group（

P

<

0.05）. At the end of treatment，the TCM syndrome scores in the observation group were lower than those in the control group（

P

<

0.05）. The incidence of complications in the observation group was lower than that in the control group（

χ

2

=8.339，

P

<

0.05）.

Conclusion

2

Navel acupuncture is highly effective in the treatment of acute pancreatitis. It can rapidly improve patient symptoms， reduce the occurrence of complications，and increase the cure rate.