穴位针刺对直肠癌术后胃肠蠕动功能的影响

Effects of Acupuncture on Gastrointestinal Function in Postoperative Rectal Cancer Patients

目的:观察穴位针刺对直肠癌术后患者胃肠蠕动功能的影响。方法:将84例直肠癌术后患者随机分为两组,对照组42例按照快速康复流程治疗;治疗组42例于术后24 h开始进行穴位针刺治疗,留针30 min,1次/d。记录两组肠鸣音恢复、肛门排气时间、恢复全流食时间,并观察腹痛、腹胀缓解情况。结果:治疗组肠鸣音恢复、肛门排气、排便、鼻胃管拔除、恢复全流食时间均短于对照组(P<0.05);治疗组腹胀及胃肠反应分级评分均低于对照组(P<0.05);治疗组总有效率为95.2%,高于对照组的81.0%(P<0.05)。结论:对直肠癌术后患者实施穴位针刺治疗,可防治术后胃肠功能紊乱,促进胃肠蠕动功能恢复。

Objective： To observe the effects of acupuncture on gastrointestinal function in postoperative rectal cancer patients. Methods： The 84cases were randomly divided into treatment and control group. The 48 cases in control group were treated with rapid recovery process, while the other 48 cases in treatment group were treated with acupuncture in 24h after operation, for 30min and once a day. The recovery time of bowel sound, anal exhaust, and full liquid diet of two groups were recorded, the pain and abdominal distention also were observed. Results： Compared with the control group, the time of bowel sound, anal exhaust, defecation, nasogastric extubation and full liquid diet in treatment group was shorter （P〈O.05）. The score of abdominal distention and gastrointestinal reaction in treatment group was higher than the control group（P〈0.05）. The efficiency of treatment group is 95.2%, higher than that of conventional group 81.0%（P〈0.05）. Conclusion： Acupuncture can treat dynamic gastrointestinal dysfunction, promote resumption of gastrointestinal function.