针刺对重症肺炎患者胃肠功能影响的临床研究

Clinical Observation of Acupuncture on Gastrointestinal Function of the Patients with Severe Pneumonia

目的:观察针刺对重症肺炎患者胃肠功能的影响。方法:采用随机、单盲、自身前后对照的研究方法将45例重症肺炎患者进行胃肠功能衰竭评分后随机分为试验组和对照组。两组均给予抗感染、化痰等西药治疗。对照组给予常规治疗(吗丁啉10 mg/次,Tid),治疗组在常规治疗基础上加用针刺治疗(2次/日)。一周后再次对重症肺炎患者胃肠道功能情况进行评分。观察治疗前后两组胃肠道功能衰竭评分变化。结果:试验组治疗后与治疗前比较,胃肠道功能衰竭评分降低P<0.05差异有统计学意义;与对照组比较,试验组治疗后评分降低,P<0.05差异有统计学意义。结论:针刺可改善胃肠道功能,且改善情况优于西药吗丁啉,对于入住ICU的重症肺炎患者可降低胃肠功能衰竭的发生率,有效减少多脏器功能不全综合征(MODS)的作用。

Objective： To observe the effect of acupuncture on gastrointestinal function in the patients with se- vere pneumonia. Methods： 45 cases with severe pneumonia were randomly divided into treatment group and control group after scoring the gastrointestinal function failure by means of the study methods such as random, single blind and self-controlled study. The two groups were given to the treatment of anti-infective, eliminating sputum and oth- er western medicine. The control group was given to the conventional treatment （domperidone, 10mg each time and 3 times a day）, and the treatment group was treated with acupuncture treatment （2 times a day） on the basis of the conventional treatment. After a week the gastrointestinal function was scored again among the patients with severe pneumonia. The scores of gastrointestinal function failure were observed before and after treatment in the two groups. Results： There was statistically significant difference between before treatment and after treatment on the score of gastrointestinal function failure （ P 〈 0. 05 ）, and so was between the two groups （ P 〈 0. 05 ）. Conclusion ： Acupuncture can improve gastrointestinal function, and its effect is better than that of Domperidone. It can reduce the incidence rate of gastrointestinal function failure for the patients in ICU with severe pneumonia, and effectively reduce the multiple organ dysfunction syndrome （MODS）.