针刺治疗危重症患者胃肠功能损伤的疗效  

Efficacy of acupuncture in the treatment of gastrointestinal function injury in critically ill patients

作　　者：谢敏飞 许海阳[1] 冯文菊[2] 娄敏娟 XIE Minfei;XU Haiyang;FENG Wenju;LOU Minjuan(Department of Critical Care Medicine,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Linhai 317000,China;Department of Nephrology,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Linhai 317000,China)

机构地区：[1]浙江省台州医院重症医学科,浙江临海317000 [2]浙江省台州医院肾内科,浙江临海317000

出　　处：《中国现代医生》2022年第10期1-3,23,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2021ZB330)。

摘　　要：目的 分析针刺在危重症胃肠功能损伤患者中的应用效果。方法 选取2019年3月至2020年3月浙江省台州医院诊疗的危重症并发胃肠功能损伤患者55例进行研究。通过随机数字表法将其分为研究组(n=28)与对照组(n=27)。对照组患者给予相应的西医实施对症治疗,研究组在对照组治疗的基础上联合针刺法治疗。观察比较干预前后两组患者的中医证候积分情况和胃排空时间及24 h胃残留量情况。结果 干预前,研究组与对照组患者的中医证候积分差异无统计学意义(P>0.05),干预后,两组患者的中医证候积分均下降,且两组内干预前后比较,差异均有统计学意义(P<0.05);干预后,研究组患者的中医证候积分明显低于对照组患者,且差异有统计学意义(P<0.05)。干预前,两组患者的胃排空时间及24 h胃残留量比较差异无统计学意义(P>0.05);干预后,两组患者的胃排空时间均缩短,且研究组患者的胃排空时间短于对照组患者,差异均有统计学意义(P<0.05);干预后,两组患者的24 h胃残留量均减少,且研究组患者的24 h胃残留量少于对照组患者,差异均有统计学意义(P<0.05)。结论 针对危重症胃肠损伤患者实施针刺联合相应的西医治疗,可明确缓解患者的临床相关症状,并有效改善患者的胃动力功能,故可有效改善患者的胃肠道功能。Objective To analyze the application effect of acupuncture in critically ill patients with gastrointestinal function injury. Methods From March 2019 to March 2020, a total of 55 critically ill patients with gastrointestinal function injury in Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University were selected for the study. They were divided into the study group(n=28) and the control group(n=27) by random number table method.The patients in the control group were given the corresponding western medicine to implement symptomatic treatment,and the study group was treated with acupuncture based on the treatment in the control group. The TCM syndrome scores, gastric emptying time, and 24 h gastric residual volume were observed and compared between the two groups before and after the intervention. Results Before the intervention, there was no significant difference in the TCM syndrome score between the study group and the control group(P>0.05). After the intervention, the TCM syndrome score of the two groups decreased. Moreover, there was a significant difference between the two groups before and after the intervention(P<0.05). The TCM score of the study group after the intervention was significantly lower than that of the control group, and the difference had statistical significance(P<0.05). Before the intervention, the differences in the gastric emptying time and 24 h gastric residual volume between the two groups had no statistical significance(P>0.05).After the intervention, the gastric emptying time was shortened in both groups. The gastric emptying time in the study group was shorter than that in the control group, and the difference was statistically significant(P<0.05). After the intervention, the 24 h gastric residual volume was reduced in both groups, and the 24 h gastric residual volume in the study group was less than that in the control group. The differences had statistical significance(P <0.05). Conclusion Acupuncture combined with corresponding western medicine treatment for c

关 键 词：危重症 胃肠功能损伤 针刺 胃动力 

分 类 号：R245.3[医药卫生—针灸推拿学]