电针预防胰十二指肠切除术后胃瘫综合征的临床观察  

Clinical Study of Electroacupuncture(EA)on the Prevention of Postsurgical Gastroparesis Syndrome after Pancreaticoduodenectomy

作　　者：朱伟坚[1] 王茵萍[1] 高岑[1] 周静珠[1] 卢静[1] 陈欢[1] 张朝晖[1] ZHU Wei-jian;WANG Yin-ping;GAO Cen;ZHOU Jing-zhu;LU Jing;CHEN Huan;ZHANG Zhao-hui(Department of Acupuncture and Moxibustion,The First Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu 210029)

机构地区：[1]南京医科大学第一附属医院针灸科,江苏南京210029

出　　处：《世界中西医结合杂志》2021年第1期162-166,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：韩国统合医疗振兴研究院国际合作项目(CIMI-15-03-05);江苏省“六大人才高峰”高层次人才C类资助项目(2016-WSN-094)。

摘　　要：目的观察电针疗法预防胰十二指肠切除术后胃瘫综合征的临床疗效。方法选取2016年5月—10月期间在南京医科大学第一附属医院胰腺中心需接受胰十二指肠切除手术的住院患者80例,所有病例初筛合格后,按照随机数字表法随机分为两组,每组40例。对照组在术后第1天开始采取补液、抗感染、静脉营养等常规治疗。治疗组在对照组治疗的基础上采用电针治疗。比较两组术后胃瘫综合征的发生率,术后首次排气、排便时间及术后腹部疼痛视觉模拟评分法(Visual Analogue Scale,VAS)评分等。结果治疗组术后胃瘫综合征发生率为5%(2/40),对照组术后胃瘫综合征发生率为25%(10/40),治疗组术后胃瘫综合征的发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)。治疗组术后首次排气时间和术后首次排便时间均明显短于对照组,两组比较差异有统计学意义(P<0.05,P<0.01)。两组患者治疗后VAS评分与治疗前比较均下降(P<0.05,P<0.01);且治疗组治疗第2~6天后腹部疼痛VAS评分明显低于对照组,两组比较差异有统计学意义(P<0.01),治疗组治疗效果优于对照组。结论电针疗法对胰十二指肠切除术后胃瘫综合征有良好的预防作用,并且可以缩短患者术后首次排气、排便时间,促进术后胃肠道功能的恢复,还可以减轻患者术后腹部疼痛,提高生活质量,从而促进患者术后快速康复。Objective To observe the clinical effect of electroacupuncture in preventing gastroparesis syndrome after pancreaticoduodenectomy.Methods A total of 80 inpatients who were required to undergo pancreaticoduodenectomy in the Pancreas Center of the First Affiliated Hospital of Nanjing Medical University from May to October 2016 were selected.After all cases passed the preliminary screening,they were randomized according to the random number table method.And divided into two groups,each with 40 cases.The control group began to take routine treatments such as fluid rehydration,anti-infection,and intravenous nutrition on the first day after surgery.The treatment group was treated with electroacupuncture on the basis of the control group.The incidence of postoperative gastroparesis syndrome,the first postoperative exhaust,defecation time and postoperative abdominal pain visual analogue scale(Visual Analogue Scale,VAS)score were compared between the two groups.Results The incidence of postoperative gastroparesis syndrome in the treatment group was 5%(2/40),the incidence of postoperative gastroparesis syndrome in the control group was 25%(10/40),and the incidence of postoperative gastroparesis syndrome in the treatment group significantly lower than the control group,the difference between the two groups was statistically significant(P<0.05).The time of first exhaust after operation and the time of first defecation after operation were significantly shorter in the treatment group than in the control group,and the difference between the two groups was statistically significant(P<0.05,P<0.01).The VAS scores of the two groups of patients after treatment decreased compared with those before treatment(P<0.05,P<0.01);and the VAS scores of abdominal pain in the treatment group were significantly lower than those of the control group after 2 to 6 days of treatment,and the difference between the two groups was statistically significant(P<0.01),the treatment effect of the treatment group is better than that of the control group.Con

关 键 词：针刺疗法 电针 胰十二指肠切除术 术后胃瘫综合征 

分 类 号：R245.329[医药卫生—针灸推拿学] R573[医药卫生—中医临床基础]