电针治疗联合心理疏导在胰十二指肠切除术后胃排空障碍中的应用  

Application of electroacupuncture combined with psychological counseling in gastric emptying disorder after pancreaticoduodenectomy

作　　者：兰国 孙亭立[1] LAN Guo;SUN Tingli(Department of Hepatobiliary Surgery,the First People′s Hospital of Jiujiang City,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院肝胆外科,江西九江332000

出　　处：《中国当代医药》2022年第6期45-47,51,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2020B0105)。

摘　　要：目的探讨电针联合心理疏导在胰十二指肠切除术(PD)后胃肠排空障碍中的应用效果。方法选取2016年4月至2021年6月江西省九江市第一人民医院收治的40例PD术后胃排空障碍患者作为研究对象,按照随机数字表法将其分为对照组与观察组,每组各20例。对照组患者给予西医常规治疗,观察组患者在对照组的基础上给予电针联合心理疏导。比较两组患者的临床疗效、胃肠功能恢复情况、拔出胃管时间及住院时间。结果观察组患者的治疗总有效率(95.00%)高于对照组(65.00%),肛门首次排气时间[(3.06±0.59)d]、肠鸣音恢复时间[(4.16±0.74)d]、首次排便时间[(7.75±2.04)d]、拔出胃管时间[(10.73±1.02)d]、住院时间[(21.24±3.16)d]短于对照组[(5.13±1.76)、(7.25±1.17)、(10.82±2.63)、(15.24±2.96)、(30.48±4.72)d],平均胃液量[(713.43±17.52)ml/d]低于对照组[(868.61±21.40)ml/d],差异有统计学意义(P<0.05)。结论电针治疗联合心理疏导能促进PD术后胃排空障碍患者胃肠功能恢复,提高临床疗效,缩短住院时间。Objective To explore the application of electroacupuncture combined with psychological counseling in the treatment of gastric emptying disorder after pancreaticoduodenectomy(PD).Methods A total of 40 patients with postoperative gastric emptying disorder after PD who were admitted to the First People′s Hospital of Jiujiang City,Jiangxi Province from April 2016 to June 2021 were selected as the research objects and divided into the control group and the observation group according to random number table method,with 20 cases in each group.The control group was given conventional Western medicine treatment,and the observation group was given electroacupuncture combined with psychological counseling on the basis of the control group.The clinical efficacy,gastrointestinal function recovery,gastrointestinal tube removal time and hospital stay were compared between the two groups.Results The total effective rate of observation group(95.00%)was higher than that of control group(65.00%),the time of first anal exhaust([3.06±0.59]d),bowel sound recovery([4.16±0.74]d),first defecation([7.75±2.04]d),gastric tube removal([10.73±1.02]d),hospital stay([21.24±3.16]d)were shorter than those of the control group([5.13±1.76],[7.25±1.17],[10.82±2.63],[15.24±2.96],[30.48±4.72]d],the average gastric fluid volume([713.43±17.52]ml/d)was lower than that of the control group([868.61±21.40]ml/d),the differences were statistically significant(P<0.05).Conclusion Electroacupuncture combined with psychological counseling can promote the recovery of gastrointestinal function in patients with gastric emptying disorder after PD,improve clinical efficacy,and shorten hospital stay.

关 键 词：胰十二指肠切除术 胃排空障碍 电针 心理疏导 临床疗效 

分 类 号：R656[医药卫生—外科学]