摘要
Abstract
Objective To evaluate the clinical efficacy of electroacupuncture (EA)stimulation of Zusanli (ST 36)and Neiguan (PC 6 ) in the treatment of persistent postoperative gastrointestinal dysfunction in patients undergoing laparotomy. Methods A total of 60 laparotomy patients were enlisted in the present study and were randomly divided into conventional treat-ment group (control)and EA group (n =30 in each group).Patients of the EA group were treated by conventional treatment and EA stimulation (2 Hz,1 - 1 0 mA)of bilateral ST 36 and PC 6 for 30 min,once daily for 5 days,and patients of the control group treated by conventional treatment (pre-and post-surgical fasting,measures for gastrointestinal decompression,electrolyte stabili-zation,parenteral nutrition support,and anti-infection in necessity,etc).The first postoperative flatus and defecation time,post-operative hospital stays,abdominal bloating grading (0-4 points,i.e.Likert scale),and adverse events were recorded and e-valuated.Results After the treatment,the first postoperative flatus and defecation time,and hospital stay time and abdominal bloating scores from the 2 nd to the 5th day post-surgery in the EA group were significantly lower than those of the control group (P <0.05).The abdominal bloating scores of the two groups were gradually and obviously decreased from the 2 nd day on in com-parison with pre-treatment (P <0.05).Of the two 30 cases in the control and EA groups,5 and 1 4 were cured in their clinical symptoms,1 5 and 1 3 experienced marked improvement,7 and 3 were effective,2 and 0 invalid,with the effective rates being 66.7% and 90.0%,respectively.Conclusion EA is effective in improving persistent postoperative gastrointestinal dysfunction in cancer patients undergoing laparotomy.关键词
电针/术后胃肠功能障碍/胃癌/结肠癌/直肠癌/常规治疗Key words
Electroacupuncture/Postoperative gastrointestinal dysfunction/Gastric cancer/Colon cancer/Rectal cancer/Conventional treatment分类
医药卫生
