Electro-acupuncture to prevent prolonged postoperative ileus:A randomized clinical trial  

作　　者：M Kay Garcia Joseph S Chiang Bob Thornton J Lynn Palmer Jennifer McQuade Lorenzo Cohen 

机构地区：[1]Department of Anesthesiology and Pain Medicine/Integrative Medicine,M.D.Anderson Cancer Center,The University of Texas [2]Department of Anesthesiology and Pain Medicine,M.D.Anderson Cancer Center,The University of Texas [3]Department of Palliative Care and Rehabilitation Medicine,M.D.Anderson Cancer Center,The University of Texas [4]Department of Behavioral Science,M.D.Anderson Cancer Center,The University of Texas [5]Department of GI Medical Oncology,M.D. Anderson Cancer Center,The University of Texas

出　　处：《World Journal of Gastroenterology》2010年第1期104-111,共8页世界胃肠病学杂志（英文版）

基　　金：Supported by US National Cancer Institute (NCI) grants CA108084 and CA12153031

摘　　要：AIM:To examine whether acupuncture can prevent prolonged postoperative ileus(PPOI)after intraperitoneal surgery for colon cancer. METHODS:Ninety patients were recruited from the Fudan University Cancer Hospital,Shanghai,China. After surgery,patients were randomized to receive acupuncture(once daily,starting on postoperative day 1, for up to six consecutive days)or usual care.PPOI was defined as an inability to pass flatus or have a bowel movement by 96 h after surgery.The main outcomes were time to first flatus,time to first bowel movement, and electrogastroenterography.Secondary outcomes were quality of life(QOL)measures,including pain, nausea,insomnia,abdominal distension/fullness,and sense of well-being. RESULTS:No significant differences in PPOI on day 4 (P=0.71)or QOL measures were found between the groups.There were also no group differences when the data were analyzed by examining those whose PPOI had resolved by day 5(P=0.69)or day 6(P= 0.88).No adverse events related to acupuncture were reported. CONCLUSION:Acupuncture did not prevent PPOI andwas not useful for treating PPOI once it had developed in this population.AIM:To examine whether acupuncture can prevent prolonged postoperative ileus(PPOI)after intraperitoneal surgery for colon cancer. METHODS:Ninety patients were recruited from the Fudan University Cancer Hospital,Shanghai,China. After surgery,patients were randomized to receive acupuncture(once daily,starting on postoperative day 1, for up to six consecutive days)or usual care.PPOI was defined as an inability to pass flatus or have a bowel movement by 96 h after surgery.The main outcomes were time to first fl...

关 键 词：ACUPUNCTURE Gastrointestinal motility Gastrointestinal disorders Gastrointestinal neoplasms 

分 类 号：R656.7[医药卫生—外科学]