| 王继娟,王维华,阮新民,吴焕林.腹针治疗心脏外科术后并发胃肠功能紊乱的临床观察[J].,2008,(4):310-313 |
| 腹针治疗心脏外科术后并发胃肠功能紊乱的临床观察 |
| Effect of Abdominal Needling in Treating Post-cardiosurgical Operational Gastrointestinal Dysfunction |
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| DOI： |
| 中文关键词: 腹针 心脏外科术后 胃肠功能紊乱 |
| 英文关键词:abdominal needling post-cardio surgical operation gastrointestinal dysfunction |
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| 中文摘要: |
| 目的评价腹针治疗心脏外科术后并发胃肠功能紊乱(functional gastrointestinal disorders,FGID)的临床疗效。方法将60例心脏外科术后并发胃肠功能紊乱患者分为两组。空白组(30例),予以术后常规处理,使用洛赛克(奥美拉唑)20mg静脉推注,每天1次,连用3天。腹针组(30例),在空白组治疗基础上,采用腹针疗法治疗(取穴:下脘、气海、气旁、关元、气穴、水分、天枢、大巨),术后第1天开始针刺,每天1次,每次留针20min,5天为1个疗程。观察两组症状评分(纳差、乏力、腹胀、便秘、懒言、恶心呕吐、肠鸣减弱、面色萎黄、浮肿等)。结果治疗后腹针组纳差、乏力、腹胀、便秘、肠鸣减弱、恶心呕吐症状评分与治疗前及空白组比较,差异有统计学意义(P<0·01)。空白组治疗后乏力、面色萎黄评分与治疗前比较,差异有统计学意义(P<0·01)。24h胃轻瘫腹针组17例(56·7%),空白组22例(73·3%);24h、72h钡条残留数(条):腹针组分别为(10·60±4·61)、(8·53±4·08),空白组分别为(17·07±3·99)、(15·83±4·19);两组比较差异有统计学意义(t=-5·81,P<0·05)。24h、72h胃排空率:腹针组分别为(47·00±23·07)%、(57·33±20·37)%,空白组分别为(14·67±19·95)%、(20·83±20·97)%,两组比较,差异亦有统计学意义(t=6·83,P<0·01)。术后两组胃动素水平均下降,与术前比较,差异有统计学意义(P<0·01);腹针组治疗后胃动素水平上升,与空白组治疗后比较,差异有统计学意义(P<0·01)。结论腹针治疗能增强胃肠蠕动,促进胃肠排空,加快胃肠激素恢复正常,且腹针疗法安全、有效、无痛或仅微痛,取穴准确,处方标准化,患者依从性高。 |
| 英文摘要: |
| ObjectiveTo evaluate the clinic effect of abdominal needling (AN) on post-cardiosurgical operational gastrointestinal dysfunction. MethodsSixty patients were equally assigned to two groups, the AN group and the control group. AN applied on the AN group was conducted by needling at Xiawan (Ren 10), Qihai (Ren 6), Qipang, Guanyuan (Ren 4), Qixue, Shuifen (Ren 9), Tianshu (St.25) and Daju (St.27), starting from the first day after operation, once every day with the needle retained time of 20 min, 5 days as one therapeutic course. The control group was treated with the conventional post-operational measurement with intravenous injection of 20 mg Omeprazole once a day, for 3 successive days. The score on symptoms as anorexia, weakness, abdominal distension, constipation, laziness to speak, nausea and vomiting, weakened borborygmus, pale-yellow complexion and edema, etc., were observed. ResultsThe symptom scores in the aspects of anorexia, weakness, abdominal distension, constipation, weakened borborygmus, nausea and vomiting in the AN group were significant difference when compared with before treatment and the control group (P<0.01) . After treatment the improvement in the control group only showed in weakness and pale-yellow complexion (P<0.01). Observation on gastric emptying showed that 24 h gastric paresis occurred in 17 patients (56.7%) of the AN group, and 22 (73.3%) of the control group; the 24 h and 72 h barium residue (strip) in the AN group was 10.60±4.61 and 8.53±4.08 respectively, while in the control group 17.07±3.99 and 15.83±4.19; the 24 h, 72 h gastric emptying rate in the former was (47.00±23.07)% and (57.33±20.37)%,and in the latter (14.67±19.95)% and (20.83±20.97)%, all showed significant difference between them (P<0.05 or P<0.01). Levels of motilin in the two groups after operation were decreased showing significant difference in comparison with before operation (P<0.01), and AN group was raised after teratment, also showing significant difference between groups (P<0.01). ConclusionAN can strengthen gastrointestinal peristalsis, promote gastrointestinal emptying, recover quickly gastrointestinal hormone to the normal range. Besides, it is safe and effective, with no pain or only slight pain, easy in locating the acupoint accurately, standard prescription, high compliance of patients, and convenient for clinical operating, therefore, it is worthy of spreading in clinical practice. |
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