宣肺利气法针刺治疗促进胃肠癌术后胃肠功能恢复的临床观察  

Clinical Observation on Promoting Recovery of Gastrointestinal Function of Patients After Gastrointestinal Cancer Operation by Acupuncture for Dispersing Lung and Moving Qi

作　　者：黄展明 李丽君[1] 张子敬[1] 谢晓华[1] 谢波[1] 高志清 龙莹 HUANG Zhan-Ming;LI Li-Jun;ZHANG Zi-Jing;XIE Xiao-Hua;XIE Bo;GAO Zhi-Qing;LONG Ying(The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405 Guangdong, China)

机构地区：[1]广州中医药大学第一附属医院

出　　处：《广州中医药大学学报》2019年第10期1584-1587,共4页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察宣肺利气法针刺治疗对胃肠癌术后患者胃肠功能恢复的促进作用。【方法】将60例胃肠癌术后患者随机分成治疗组和对照组,每组各30例。对照组术后给予常规护理和基础治疗,治疗组在对照组常规护理和基础治疗的同时,给予宣肺利气法针刺手太阴肺经孔最、尺泽、列缺等穴,观察2组患者的术后首次排气排便时间、术后恢复全流时间和平均住院时间,评价2组的安全性。【结果】(1)治疗后,治疗组患者的术后首次排气时间、术后首次排便时间、术后恢复全流时间、平均住院时间分别为36.0 h、72.9 h、2.6 d、16.0 d,对照组分别为45.0 h、82.6 h、3.4 d、21.0 d。组间比较,治疗组患者的术后首次排气时间、术后首次排便时间、术后恢复全流时间、平均住院时间均较对照组明显缩短,差异均有统计学意义(P<0.05或P<0.01)。(2)2组患者均无明显的不良反应情况发生,也无肠梗阻需再次手术者。【结论】宣肺利气法针刺治疗对胃肠癌术后患者胃肠功能恢复具有明显的促进作用,并且能减少患者的住院时间。Objective To observe the effect of acupuncture for dispersing lung and moving Qi on promoting the recovery of gastrointestinal function of the patients after gastrointestinal cancer operation. Methods Sixty patients after gastrointestinal cancer operation were randomly divided into treatment group and control group,30 cases in each group. The control group was given routine postoperative nursing and basic treatment, and the treatment group was given acupuncture on the Hand-Taiyin Lung Meridian acupoints such as Kongzui(LU6),Chize(LU5)and Lieque(LU7)for dispersing lung and moving Qi on the basis of treatment for the control group. The time for the first postoperative exhaust and defecation,time for liquid diet and mean hospitalization time of the two groups after the operation were observed. Meanwhile, the safety of the two groups was also evaluated. Results(1)After treatment, time for the first postoperative exhaust, time for the first postoperative defecation, time for postoperative liquid diet and mean hospitalization time in the treatment group were 36.0 h,72.9 h,2.6 d,16.0 d,respectively,and were shorter than those in the control group(45.0 h,82.6 h,3.4 d,21.0 d,respectively),the difference being statistically significant(P < 0.05 or P<0.01).(2)No obvious adverse reaction or reoperation for intestinal obstruction occurred in the two groups. Conclusion Acupuncture for dispersing lung and moving Qi is effective on promoting the recovery of gastrointestinal function of the patients after gastrointestinal cancer operation,and can reduce the hospitalization time of the patients.

关 键 词：宣肺利气法 针刺治疗 胃肠癌术后 胃肠功能恢复 孔最穴 尺泽穴 列缺穴 

分 类 号：R246.2[医药卫生—针灸推拿学]