针灸治疗术后胃瘫综合征患者的临床应用效果

文章信息/Info

• Title:针灸治疗术后胃瘫综合征患者的临床应用效果

• 卷期:2024年22卷1期

• 作者:殷琪 郑晓 殷巧珍

• 九江学院附属医院肝胆外科 （江西九江）332000

• Author(s):Yin Qi, Zhengxiao, Yin Qiaozhen

• Department of Hepatobiliary Surgery, Affiliated Hospital of Jiujiang University, Jiujiang city, Jiangxi Province 332000

• 关键词术后胃瘫综合征；针灸；胃泌素；胃动素

• Keywords:Postoperative gastroparesis syndrome; Acupuncture; Gastric secrete element; Gastric dynamic element

• 摘要:目的 探讨针灸治疗对术后胃瘫综合征患者的临床治疗效果。方法 使用双盲法将我院2020年6月至2021年6月期间的88例术后胃瘫综合征患者分为对照组和观察组，每组的患者例数均为44例，对照组患者采用常规治疗，观察组患者在对照组的基础上采用针灸治疗，比较两组患者的临床治疗总有效率和胃肠动力学指标。结果 与对照组患者的临床治疗总有效率相比，观察组患者的临床治疗总有效率明显更高（P＜0.05）；在血清胃泌素（GAS）和胃动素（MTL）水平的指标比较上，观察组患者明显高于对照组（P＜0.05）。结论 术后胃瘫综合征患者采用针灸治疗的临床治疗效果更好，能有效改善患者的胃肠动力学指标，值得临床进一步推广。                                                                                                                                                                                

• Abstract:To investigate the clinical effect of acupuncture and moxibustion on postoperative gastric paralysis syndrome. Method using double blind method will from June 2020 to June 2021, during the period of 88 cases of postoperative gastric paralysis syndrome were divided into control group and observation group, each group of patients cases were 44 cases, control group were treated by routine therapy, observation group of patients in the control group USES the acupuncture treatment, on the basis of comparison of two groups of patients with clinical total effective rate and gastrointestinal dynamics index. Results Compared with the control group, the total effective rate of observation group was significantly higher (P < 0.05); The serum gastrin (GAS) and motilin (MTL) levels in observation group were significantly higher than those in control group (P < 0.05). Conclusion The clinical effect of acupuncture and moxibustion in postoperative patients with gastroparesis syndrome is better, and it can effectively improve the gastrointestinal dynamic indexes of patients, which is worthy of further clinical promotion.

  术后胃瘫综合征是一种以胃排空障碍为临床表现的非机械性梗阻，是腹部手术和胃部手术较为常见的术后并发症，发病率可高达28%。目前医学上并未完全明确术后胃瘫综合征的发病机制，大多认为与患者的神经系统以及胃肠动力障碍之间有极为密切关系[1]。因此，在治疗术后胃瘫综合征患者时，大多采用胃动力兴奋剂治疗，然而，部分患者在常规药物治疗的过程中副作用较为明显，导致最终的治疗效果并不理想。