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术前艾灸联合术后针刺对胃癌术后患者胃肠功能的影响
刘燚,许仕海
江苏大学附属澳洋医院针灸推拿科江苏张家港 215600
摘要:
目的探讨术前艾灸联合术后针刺对胃癌术后患者胃肠功能的改善效果。方法:选取江苏大学附属澳洋医院2019 年1 月—2021 年7 月行胃癌手术的患者96 例,按随机数字表法分为对照组和观察组,每组各48 例。对照组术后行围手术期常规治疗措施;观察组在对照组基础上术前艾灸中脘、足三里联合术后针刺期门、行间干预。比较两组术后胃肠功能指标改善时间、胃肠功能障碍评分、临床疗效以及胃肠激素指标。结果:观察组术后的首次排气、排便、肠鸣音恢复、经鼻胃空肠营养管进食时间均显著短于对照组(P < 0.01);术后7 d,两组胃肠功能障碍评分显著降低,且观察组降低更显著(P < 0.01);术后7 d,观察组的有效率为97.92%(47/48)高于对照组的83.33%(40/48),差异有统计学意义(P < 0.05);术后7 d,两组血清胃泌素、胃蛋白酶原(PG)Ⅰ、PG Ⅱ水平明显增加,且观察组增加更明显(P < 0.01)。结论:术前艾灸中脘、足三里联合术后针刺期门、行间有助于胃癌术后患者胃肠功能的恢复,提高治疗效果,且能调节胃肠激素分泌。
关键词:  胃癌  艾灸  针刺  胃肠功能
DOI:10.3969/j.issn.1007-6948.2022.05.008
投稿时间:2022-03-28
基金项目:2020 年江苏省重点研发计划专项资金(BE2020788)
Effect of Preoperative Moxibustion Combined with Postoperative Acupuncture on Gastrointestinal Function of Gastric Cancer after Surgery
LIU Yi,XU Shi-hai
Department of Acupuncture, Moxibustion and Tuina, Aoyang Hospital Affiliated to Jiangsu University, Zhangjiagang 215600, China
Abstract:
Objective To investigate the effect of preoperative moxibustion combined with postoperative acupuncture on the improvement of gastrointestinal function in patients with gastric cancer after surgery. Methods Ninety-six patients undergoing gastric cancer surgery in Aoyang Hospital Affiliated to Jiangsu University from January 2019 to July 2021 were selected and divided into two groups with 48 patients in each group according to random number table method. The control group received routine perioperative treatment.On the basis of the control group, the observation group was treated with Preoperative moxibustion on Zusanli and Zhongwan combined with postoperative acupuncture on Qimen and Xingjian. The improvement time of gastrointestinal function index,gastrointestinal dysfunction score, the clinical efficacy, and gastrointestinal hormone index were compared between both groups. Results The recovery time of first exhaust, defecation,bowel sound, and feeding through nasogastric jejunum nutrient tube in the observation group was significantly shorter than that in the control group (P <0.01). On the 7th day after surgery, gastrointestinal dysfunction scores in both groups were significantly decreased, and the decrease was more significant in the observation group (P <0.01).The effective rate of observation group and control group was 97.92% (47/48) and 83.33% (40/48) respectively,7 days after operation,and the difference was statistically significant (P <0.05). 7 days after operation, serum levels of gastrin, pepsinogen(PG) Ⅰ, and PG Ⅱ in both groups were significantly increased, and the increase was more obvious in the observation group (P <0.01). Conclusion Preoperative moxibustion on Zusanli and Zhongwan combined with postoperative acupuncture on Qimen and Xingjian can help the recover of gastrointestinal function after operation, increase the efficacy, and regulate gastrointestinal hormone secretion.
Key words:  Gastric carcinoma  moxibustion  acupuncture  gastrointestinal function

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