电针介入时间对老年开腹术后胃肠功能恢复的影响  

Effect of Electroacupuncture Intervention Time on Recovery of Gastrointestinal Function After Senile Laparotomy

作　　者：王利平 郑曼 李莎 王芬 WANG Liping;ZHENG Man;LI Sha;WANG Fen(Affiliated Hospital of Nanjing University of Traditional Chinese Medicine(Jiangsu Province Hospital of Chinese Medicine),Nanjing 210000,China)

机构地区：[1]南京中医药大学附属医院(江苏省中医院),南京210000

出　　处：《上海针灸杂志》2022年第8期790-794,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：江苏省卫生健康委科研课题(H2018107)。

摘　　要：目的观察围术期不同时间段电针介入对老年患者开腹术后胃肠功能恢复的影响。方法选取行开腹手术治疗的胃肠肿瘤老年患者120例,随机分为术前组(A组,30例)、术后组(B组,30例)、术前术后组(C组,30例)以及对照组(D组,30例)。A组于术前30 min予双侧足三里、上巨虚、下巨虚电针治疗,B组于术后清醒拔管后予相同穴位电针治疗,C组术前与术后均接受相同的治疗,D组仅接受常规治疗。观察各组术后首次排气、排便时间;观察次要指标包括首次进食时间、腹胀发生情况、术后3 d恶心呕吐发生情况、疼痛视觉模拟量表(VAS)评分以及住院时间。结果4组术后首次排气和排便时间比较,差异具有统计学意义(P<0.05)。C组术后首次排气和排便时间较B组和D组均明显缩短(P<0.05)。C组术后首次排便时间较A组明显缩短(P<0.05)。与D组比较,A组和C组首次进食时间明显缩短(P<0.05)。4组患者术后3 d腹胀、恶心呕吐发生情况以及VAS评分比较,差异无统计学意义(P>0.05)。C组住院时长较其余3组明显缩短(P<0.05)。结论术前联合术后电针治疗可更好地促进老年开腹术后胃肠功能的恢复,疗效优于术前或术后单次电针治疗。Objective To observe the effect of electroacupuncture intervention at different times during perioperative period on the post-laparotomy recovery of gastrointestinal function in senile patients.Method One hundred and twenty senile patients with gastrointestinal tumors who would undergo laparotomy were enrolled and randomized to a preoperative group(group A,30 cases),a postoperative group(group B,30 cases),a pre-and postoperative group(group C,30 cases)and a control group(group D,30 cases).Group A received electroacupuncture at bilateral points Zusanli(ST36),Shangjuxu(ST37)and Xiajuxu(ST39)at 30 min before surgery;group B received the same electroacupuncture after postoperative consciousness recovery and tube removal;group C received the same electroacupuncture preoperative and postoperative treatments;group D received conventional treatment.Postoperative first flatus and defecation times were observed in every group.The secondary observation indicators included first food intake time,the occurrence of abdominal distension,the occurrence of nausea and vomiting at three days after surgery,the pain visual analogue scale(VAS)score and hospitalization duration.Result Postoperative first flatus and defecation times had statistically significant differences between the four groups(P<0.05)and shortened significantly in group C compared with groups B and D(P<0.05).Postoperative first defecation time shortened significantly in group C compared with group A(P<0.05).First food intake time shortened significantly in groups A and C compared with group D(P<0.05).The occurrences of abdominal distension,nausea and vomiting at three days after surgery and the VAS score had no statistically significant differences between the four groups of patients(P<0.05).Hospitalization duration shortened significantly in group C compared with the other three groups(P<0.05).Conclusion Preoperative plus postoperative electroacupuncture can better promote the recovery of gastrointestinal function after senile laparotomy.It is more effective than p

关 键 词：针刺疗法 电针 术后 胃肠功能 肿瘤 老年人 

分 类 号：R246.2[医药卫生—针灸推拿学]