早期肠内营养配合针灸加速术后肠功能康复研究  

Study on Early Enteral Nutrition combined with Acupuncture to Promote the Recovery of Gastrointestinal Function in Patients after Surgery

作　　者：张心[1] 元海成[2] 秦炜婧[2] 吕福全[2] 项琦[2] 蔡旺[2] 

机构地区：[1]天津中医药大学研究生院,天津300193 [2]天津市南开医院,天津300100

出　　处：《中国中西医结合外科杂志》2016年第6期542-545,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：天津市卫生和计划生育委员会课题(2015022)

摘　　要：目的:研究早期肠内营养配合针灸在术后胃肠功能康复的应用价值。方法:将腹腔镜胆道术后200例患者随机分为传统管理组(A组)、传统管理配合针灸组(B组)、早期肠内营养组(C组)、早期肠内营养配合针灸组(D组),每组50例。观察术后首次排气排便时间、胃肠道不良反应、术后住院天数、再住院率。结果:首次排气时间D组(21.6±4.5)h,明显短于A组(52.6±7.1)h、B组(36.8±5.6)h、C组(38.1±5.2)h(F=250.7,P=0.000)。首次排便时间D组(39.6±6.1)h,明显短于A组(86.2±7.5)h、B组(49.1±6.4)h、C组(71.2±10.3)h(F=372.4,P=0.000)。术后住院天数D组(4.18±0.48)d,明显短于A组(6.98±0.65)d、B组(5.54±0.65)d、C组(5.62±0.75)d(F=44.3,P=0.000)。胃肠道不良反应发生率C组为70%,明显高于A组(32%)、B组(6%)和D组(10%)。结论:腹腔镜胆道术后早期肠内营养配合针灸能显著加速胃肠功能康复,减少胃肠道不良反应,缩短术后住院天数。Objective To study the application value of acupuncture combined with early enteral nutrition to promote the recovery of gastrointestinal function in patients after surgery. Methods Two hundred patients with laparoscopic common bile duct exploration were randomly divided into traditional management group （group A）, traditional management combined with acupuncture group （group B）, early enteral nutrition group （group C）, early enteral nutrition combined with acupuncture group （group D）, 50 cases in each group. The first exhaust time, first defecation time, gastrointestinal adverse reaction, postoperative hospital stay, and rehospitalization rate were observed. Results The first exhaust time of group D was （21.6±4.5） h, which was significantly shorter than that in group A （52.6 ±7.1） h, group B （36.8±5.6） h and group C （38.1 ±5.2） h （F=250.7, P=0.000）. The first defecation time of group D was （39.6±6.1） h, which was significantly shorter than in group A （86.2±7.5） h, group B （49.1±6.4） h and group C （71.2 ±10.3） h （F=372.4, P=0.000） .The length of hospital stay after surgery of group D was （4.18 ±0.48） d, which was significantly shorter than that in group A （6.98±0.65） d, group B （5.54 ± 0.65） d and group C （5.62 ±0.75） d （F=44.3, P=0.000）. The incidence of gastrointestinal adverse reaction of group C was 70%, which was significantly higher than that in group A（32% ）, group B（6% ） and group D （10%）. Conclusion Early acupuncture combined with enteral nutrition can effectively improve gastrointestinal function, reduce the adverse reaction of gastrointestinal tract and shorten the length of hospital stay after surgery.

关 键 词：肠内营养 胃肠功能 快速康复外科 腹腔镜胆管探查术 针灸 

分 类 号：R656.7[医药卫生—外科学]