胃瘫外敷方结合温针灸治疗胃部肿瘤术后胃瘫临床研究  

Clinical effect of Weitan-Waifu powder combined with acupuncture on postoperative gastroparesis in patients with digestive tract cancer

作　　者：戴玮[1] 赵航[1] Dai Wei;Zhao Hang(Department of Traditional Chinese Medicine, Drum Tower Hospital, Nanjing University Medical School, Nanjing 210008, China)

机构地区：[1]南京大学医学院附属鼓楼医院中医科,210008

出　　处：《国际中医中药杂志》2019年第7期715-718,共4页International Journal of Traditional Chinese Medicine

摘　　要：目的评价胃瘫外敷方联合温针灸治疗胃部肿瘤术后胃瘫的疗效。方法将符合入选标准的97例术后胃瘫患者采用随机数字表法分为治疗组48例和对照组49例,对照组采用常规基础治疗,治疗组在对照组基础上加用胃瘫外敷方结合温针灸治疗。2组均连续治疗2周。采用双抗体夹心酶联免疫吸附法检测血清促胃液素水平,检测胃液量,记录胃液总量及胃肠排空时间、胃管拔出时间、术后首次进食时间,评价临床疗效。结果治疗后,治疗组胃排空时间[(38.6±2.9)min比(43.1±3.7)min,t=-6.658]较对照组缩短(P<0.01),胃管拔出时间[(6.6±1.5)d比(8.2±1.9)d,t=-4.597]、术后首次进食时间[(8.5±2.0)d比(12.0±2.9)d,t=-6.906]均明显早于对照组(P<0.01);治疗组血清促胃液素[(115.3±8.1)ng/L比(107.6±9.5)ng/L,t=4.292]水平高于对照组(P<0.01),胃液量[(252.8±51.9)ml/d比(375.1±88.6)ml/d,t=-8.273]低于对照组(P<0.01)。治疗组总有效率为100%(48/48)、对照组为95.9%(47/49),2组比较差异有统计学意义(Z=-2.003,=0.045)。结论胃瘫外敷方结合温针灸可有效缩短胃部肿瘤术后胃瘫患者的治疗时间、改善血清促胃液素水平,提高临床疗效。Objective To explore the clinical effect of Weitan-Waifu powder combined with acupuncture on postoperative gastroparesis in patients with digestive tract tumors. Methods Patients with gastric fistula after 97 cases of gastric surgery admitted to our hospital from March 2014 to March 2017 were randomly divided into treatment group (48 cases) and control group (49 case) by random number table method. The control group received routine basic treatment. The treatment group was treated with Weitan-Waifu powder and acupuncture on the basis of the control group. The serum gastrin and gastric juice were compared before and after treatment. The gastrointestinal motility recovery time, gastric tube extraction time, and time of first feeding after surgery were recorded. Results After treatment, the gastric emptying time (38.6 ± 2.9 min vs. 43.1 ± 3.7 min, t=-6.658), gastric tube extraction time (6.6 ± 1.5 d vs. 8.2 ± 1.9 d, t=-4.597), and first feeding time (8.5 ± 2.0 d vs. 12.0 ± 2.9 d, t=-6.906) were significantly lower in the treatment group than those in the control group (P<0.05). After treatment, the serum gastrin levels of the treatment group (115.3 ± 8.1 ng/L vs. 107.6 ± 9.5 ng/L, t=4.292) were significantly higher than the control group (P<0.05). After treatment, the gastric juice volume (252.8 ± 51.9 ml/d vs. 375.1 ± 88.6 ml/d, t=-8.273) of the treatment group was significantly lower than that of the control group (P<0.05). After treatment, the clinical treatment effect of the treatment group was of the treatment group better than that of the control group (Z=-2.003, P=0.045). Conclusions The Weitan-Waifu powder combined with acupuncture and moxibustion for postoperative gastroparesis in patients with digestive tract tumors can effectively shorten the treatment time, improve serum gastrin levels, and improve the therapeutic effect.

关 键 词：胃肿瘤 胃肌轻瘫 胃瘫外敷方 敷贴疗 温针疗法 灸法 治疗 临床研究性 

分 类 号：R244.9[医药卫生—针灸推拿学]