针刺下合穴促进胃癌术后功能恢复的临床研究  

Clinical Study on Acupuncture at Lower He-Sea Point for Promoting Functional Recovery after Stomach Cancer Surgery

作　　者：钱昌林[1] 刘骅[1] 张捷[1] 邱伟箐[1] 沈志勇[1] 孙建华[1] QIAN Chang-lin LIU Hua ZHANG Jie QIU Wei-qing SHEN Zhi-yong SUN Jian-hua.(Shanghai University School of Medicine South Renji Hospital, Shanghai 201112,China)

机构地区：[1]上海交通大学医学院附属仁济医院南院,上海201112

出　　处：《上海针灸杂志》2017年第9期1044-1048,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海交通大学医学院附属仁济医院南院科研启动基金(2014QDQ05)

摘　　要：目的观察针刺下合穴促进胃癌术后功能恢复的临床疗效。方法将60例胃癌术后患者按就诊先后顺序采用查随机数字表法随机分为治疗组和对照组,每组30例。对照组给予一般处理,治疗组在对照组的基础上采用针刺治疗。观察两组患者术后拔除胃管时间、肠鸣音恢复时间、术后首次排气时间、平均住院天数、总费用及生活质量调查表(QLQ-c30)评分的变化情况,比较术后各项不良反应发生率及术后外周血白细胞(WBC)、C-反应蛋白(CRP)、血小板压积值(PCT)水平。结果两组患者术后拔除胃管时间、肠鸣音恢复时间、术后首次排气时间、术后住院天数及住院总费用比较,差异均有统计学意义(P<0.01)。两组术后恶心呕吐、腹痛腹胀发生率比较,差异均有统计学意义(P<0.05)。治疗组术后QLQ-C30评分为(38.35±15.25)分,对照组为(76.23±10.67)分,两组比较差异具有统计学意义(P<0.01)。治疗组手术结束及术后24 h WBC和CRP水平与对照组比较,差异均具有统计学意义(P<0.01,P<0.05)。结论针刺可应用于胃癌术后早期治疗,能促进胃肠道功能恢复,提高患者整体生活质量。Objective To investigate the clinical efficacy of acupuncture at lower He-Sea point m promoting functional recovery after stomach cancer surgery. Methods Sixty patients who had undergone stomach cancer surgery were randomly allocated to treatment and control groups by using random number table method according to registration order, 30 cases each. The control group received general treatment and the treatment group, acupuncture in addition. Post-treatment gastric tube removal time, borborygmus recovery time and first fart time, the average hospitalization days, and the total cost were observed and the Quality of Life Questionnaire Core 30 （QLQ-C30） score was recorded in the two groups of patients. Post-treatment incidence of adverse reactions, peripheral white blood cell （WBC） counts, C-reactive protein （CRP） levels and plateletcrits （PCT） were compared between the two groups. Results There were statistically significant differences in post-treatment gastric tube removal time, borborygmus recovery time, first fart time and hospitalization days, and the total hospitalization expenses between the two groups of patients （P〈 0.01）. There were also statistically significant differences in post-treatment incidences of nausea, vomiting, abdominal pain and abdominal distension between the two groups （P〈0.05）. Post-treatment QLQ-C30 score was （38.35±15.25） in treatment group and （76.23±10.67） in the control group; there was a statistically significant difference between the two groups （P〈0.01）. There were statistically significant differences in WBC and CRP levels at the end of operation and 24 hrs after treatment between the two groups （P〈0.01,P〈0.05）. Conclusions Acupuncture can be used for early treatment after stomach cancer surgery. It can promote the recovery of gastrointestinal function and improve the overall quality of life in the patients.

关 键 词：针刺疗法 穴 下合 胃肠功能 手术后并发症 胃肿瘤 

分 类 号：R246.2[医药卫生—针灸推拿学]