脉冲信号刺激穴位促进Dixon手术后肠功能恢复

Promoting Effect of Impulse Message at Acupoints on Intestinal Recovery Following Dixon Operation

目的探讨脉冲信号刺激穴位促进直肠癌行Dixon手术后患者的肠功能恢复的作用机理。方法选取60例直肠癌行Dixon手术的患者分成两组,术后除常规治疗外,治疗组30例术后6h即应用脉冲信号刺激足三里、上巨虚、阳陵泉等穴位,12h1次,每次30min,治疗3天。结果治疗组肠鸣音恢复、排气排便时间明显早于对照组,治疗组术后血清MOT、CCK值较对照组上升明显(P<0.05)。结论脉冲信号刺激穴位对术后胃肠功能恢复具有一定的促进作用,其机理可能和穴位经刺激后促使机体增加释放MOT、CCK量有关。

Objective To detect the mechanism of the recovery of intestinal function in patients after Dixon operation by impulse message at acupoints. Methods 60 subjects were divided into treatment group （n=30） and control group （n=30）. Acupuncture impulse message was given to treatment group; control group accepted routine therapies. The time of recovery of bowel sounds and the time of passing flatus and bowel movements were observed, the blood sample were collected on the preoperational and on the first and third days after operation to determine biochemical indices, including MOT （motilin）, CCK （cholecystokinin）. Results The time of recovery of bowel sounds and passing flatus and bowel movements in the treatment group was markedly earlier than that in control group （P〈 0.05） and the contents of MOT and CCK of treatment group was significantly higher than those of control group （P〈 0.05）.Conclusion Acupuncture impulse message is effective for post-operation intestinal recovery possibly by releasing MOT and CCK.