早期电针下合穴对肠道术后胃肠功能恢复的影响  

Influence of early electrical acupuncture for lower confluent acupoint on the recovery of gastrointestinal function in post-operative intestinal surgery patients

作　　者：陈辉[1] 瞿丽[1] 黄永钢[1] 谢达飞[1] 

机构地区：[1]浙江医院普外科,浙江杭州310013

出　　处：《中国医药导报》2015年第15期143-145,153,共4页China Medical Herald

基　　金：浙江省中医药科技计划项目(2013ZA010)

摘　　要：目的：探讨早期电针下合穴对肠道术后胃肠功能恢复的影响。方法将2012年1月~2014年9月浙江医院收治的行开腹胃肠道手术患者86例随机分为治疗组和对照组，各43例。对照组采用常规禁食、胃肠减压、补液、抗感染等对症治疗，治疗组于术后24 h内给予电针下合穴治疗，比较两组临床疗效、胃肠功能恢复情况及血浆胃泌素水平变化。结果治疗组临床总有效率为90.7%，显著高于对照组（74.4%）（P〈0.05）；治疗组患者肠鸣音恢复时间、排气时间、排便时间及进食时间均较对照组患者明显缩短（P〈0.05）；术后1、2 d两组血浆胃泌素水平均明显下降，治疗组术后2、3 d血浆胃泌素水平均明显高于对照组（P〈0.05）。结论早期电针下合穴治疗肠道术后胃肠功能紊乱，可改善血清胃泌素水平，促进胃肠功能早期恢复。Objective To explore influence of early electrical acupuncture for lower confluent acupoint on the recovery of gastrointestinal function in post-operative intestinal surgery patients. Methods 86 cases of post-operative intestinal surgery patients who received intestinal surgery from January 2012 to September 2014 in Zhejiang Hospital were ran-domly divided into treatment group and control group, with 43 cases in each group. Control group was given normal treatment including routine fasting, gastrointestinal decompression, fluid infusion, anti-infection, and treatment group was given electrical acupuncture on lower confluent acupoint within 24 h after surgery additionally. The clinical effect, postoperative recovery of gastrointestinal functions, level of plasma gastrin between two groups were compared. Results The clinical total effectivel rate in treatment group was 90.7%, which was significantly higher than that in control group （74.4%） （P〈 0.05）. Compared with control group, the bowel sound recovery time, exhaust time and defecate time, be-ginning taking food time in treatment group were reduced remarkably （P〈 0.05）. The levels of plasma gastrin in both groups were significantly reduced at 1st and 2nd day after surgery, and the levels in treatment group at 2nd and 3rd day after surgery were significantly higher than those in control group （P〈0.05）. Conclusion Early electrical acupunc-ture for lower confluent acupoint in the treatment of gastrointestinal dysfunctionon in post-operative intestinal surgery can improve the level of serum gastrin, promote early recovery of gastrointestinal function.

关 键 词：肠道手术 电针治疗 下合穴 胃肠功能 

分 类 号：R269.56[医药卫生—中西医结合]