针刺研究2024，Vol.49Issue(1)：64-70,7.DOI:10.13702/j.1000-0607.20221172
合募配穴治疗危重症患者肠内营养喂养不耐受的疗效观察
Effect of the combination of he-sea and front-mu points on enteral nutrition feeding intolerance in critical illness patients
摘要
Abstract
Objective To explore the effects of the combination of he-sea and front-mu points on the feeding compliance rate,the intra-abdominal pressure,the enteral nutrition tolerance score,the score of acute physiological and chronic health evaluation(APACHE)-Ⅱ and gastrointestinal function impairment grade in the patients with enteral nutrition feeding intolerance(ENFI)of critical illness and evaluate clinical effect on ENFI after acupuncture at the he-sea and front-mu points.Methods Seventy patients of ENFI were randomized into a control group and an observation group,35 cases in each one.In the control group,the patients were treated with routine regimen combined with intesti-nal nutrition support.In the observation group,on the basis of the treatment as the control group,acupuncture was ap-plied to Shangwan(CV13),Zhongwan(CV12),Xiawan(CV10),Qihai(CV6)and Guanyuan(CV4),as well as bila-teral Neiguan(PC6),Zusanli(ST36),Xiajuxu(ST39),Shangjuxu(ST37),Tianshu(ST25)and Daheng(SP15).Of those acupoints,ST25 and SP15 on the same side were attached to one pair of electrodes(20 Hz/100 Hz).Acupunc-ture was delivered once daily,30 min each time and for consecutive 7 days.During treatment,the numbers of the cases up to the feeding standard were observed everyday to calculate the feeding compliance rate.The score of enteral nutrition tolerance,the intra-abdominal pressure,the score of APACHE-Ⅱ and the level of acute gastriointestinal injury(AGI)grading were recorded.Results After treatment,the enteral feeding compliance rate was increased in compari-son with that before treatment in the two groups,and the rate in the observation group was higher than that of the con-trol group(P<0.05)except that on the 2nd day.The score of the enteral nutrition tolerance,the intra-abdominal pres-sure,the score of APACHE-Ⅱ and the level of AGI were all reduced(P<0.05,P<0.01)when compared with those be-fore treatment in the two groups,and these indicators in the observation group were lower(P<0.05)than those of the control group.Conclusion Acupuncture at the he-sea and front-mu points relieves the conditions of ENFI,improves the feeding and the recovery of gastrointestinal function,and benefits the prognosis through increasing the amount of enteral nutrition in ENFI patients.关键词
合募配穴/危重症患者/肠内喂养不耐受/胃肠功能Key words
Combination of he-sea and front-mu points/Patients of critical illness/Enteral feeding intolerance/Gastrointestinal function引用本文复制引用
陈晓桐,李璟,王文佳,吴梦蝶,钱义明,谢静,侯瑜超,李俊雄..合募配穴治疗危重症患者肠内营养喂养不耐受的疗效观察[J].针刺研究,2024,49(1):64-70,7.基金项目
上海市中医诊疗模式创新试点建设项目(No.ZY[2018-2020]-FWTX-6012) （No.ZY[2018-2020]-FWTX-6012）
上海市进一步加快中医药传承创新发展三年行动计划项目(No.ZY[2021-2023]-0302) （No.ZY[2021-2023]-0302）
上海市临床重点专科(针灸)建设项目(No.shslczdzk04701) （针灸）
上海市名老中医学术经验研究工作室建设项目(No.SHGZS-202212). （No.SHGZS-202212）
