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针刺下合穴促进胃癌术后功能恢复的临床研究

钱昌林 刘骅 张捷 邱伟箐 沈志勇 孙建华

上海针灸杂志2017,Vol.36Issue(9):1044-1048,5.
上海针灸杂志2017,Vol.36Issue(9):1044-1048,5.DOI:10.13460/j.issn.1005-0957.2017.09.1044

针刺下合穴促进胃癌术后功能恢复的临床研究

Clinical Study on Acupuncture at Lower He-Sea Point for Promoting Functional Recovery after Stomach Cancer Surgery

钱昌林 1刘骅 1张捷 1邱伟箐 1沈志勇 1孙建华1

作者信息

  • 1. 上海交通大学医学院附属仁济医院南院,上海 201112
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摘要

Abstract

Objective To investigate the clinical efficacy of acupuncture at lower He-Sea point in promoting functional recovery after stomach cancer surgery.Methods Sixty patients who had undergone stomach cancer surgery were randomly allocated to treatment and control groups by using random number table method according to registration order, 30 cases each. The control group received general treatment and the treatment group, acupuncture in addition. Post-treatment gastric tube removal time, borborygmus recovery time and first fart time, the average hospitalization days, and the total cost were observed and the Quality of Life Questionnaire Core 30 (QLQ-C30) score was recorded in the two groups of patients. Post-treatment incidence of adverse reactions, peripheral white blood cell (WBC) counts, C-reactive protein (CRP) levels and plateletcrits (PCT) were compared between the two groups.Results There were statistically significant differences in post-treatment gastric tube removal time, borborygmus recovery time, first fart time and hospitalization days, and the total hospitalization expenses between the two groups of patients (P<0.01). There were also statistically significant differences in post-treatment incidences of nausea, vomiting, abdominal pain and abdominal distension between the two groups (P<0.05). Post-treatment QLQ-C30 score was (38.35±15.25) in treatment group and (76.23±10.67) in the control group; there was a statistically significant difference between the two groups (P<0.01). There were statistically significant differences in WBC and CRP levels at the end of operation and 24 hrs after treatment between the two groups (P<0.01,P<0.05). Conclusions Acupuncture can be used for early treatment after stomach cancer surgery. It can promote the recovery of gastrointestinal function and improve the overall quality of life in the patients.

关键词

针刺疗法/穴,下合/胃肠功能/手术后并发症/胃肿瘤

Key words

Acupuncture therapy/Point,Lower He-Sea/Gastrointestinal function/Postoperative complications/Stomach neoplasms

分类

医药卫生

引用本文复制引用

钱昌林,刘骅,张捷,邱伟箐,沈志勇,孙建华..针刺下合穴促进胃癌术后功能恢复的临床研究[J].上海针灸杂志,2017,36(9):1044-1048,5.

基金项目

上海交通大学医学院附属仁济医院南院科研启动基金(2014QDQ05) (2014QDQ05)

上海针灸杂志

OACSTPCD

1005-0957

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