电针刺激天枢穴对重型颅脑损伤病人肠内营养并发症的防治作用

The effect of electrical stimulation of tianshu on complications of enteral nutrition for severe traumatic brain injury patients

目的:探讨电针刺激天枢穴对重型颅脑损伤病人肠内营养(EN)并发症的防治作用。方法:将117例重型颅脑损伤行EN治疗的病人随机分为试验组(56例)和对照组(61例)。试验组病人在EN的同时给予电针刺激穴位;对照组只给予EN治疗。观察两组病人发生误吸、反流、吸入性肺炎、腹泻、消化道出血等并发症的情况,并每天测定病人胃黏膜的二氧化碳分压(Pg CO2)和p H值(p Hi)以及胃潴留量和喂养量。结果:试验组病人电针刺激穴位后以上并发症的发生率明显低于对照组。试验组病人经电针刺激穴位后胃黏膜Pg CO2明显降低,胃黏膜p Hi明显升高,胃潴留量明显减少,喂养量明显增加,两组间比较差异均有显著性统计学意义(P<0.05)。结论:应用电针刺激天枢穴位治疗,能明显降低重型颅脑损伤病人EN治疗的并发症。

Objective ： To observe the effect of electrical stimulation of tianshu on complications of enteral nutrition for severe traumatic brain injury patients. Methods： 117 patients receiving enteral feeding were randomly assigned to either the experimental group or the control group. The experimental group received enteral nutrition and electrical stimulation. The control group received enteral nutrition only. The complications of vomiting, diarrhea, gastrointestinal bleeding and aspiration pneumonia were observedevery day. The PgCO2 and phi index of gastric mucosa, the volume of enteral feeding and gastric retension were measured every day. Results： The incidence of vomiting, aspiration pneumonia, diarrhea and gastrointestinal bleeding in experimental group were significantly lower than the control group （P 〈 0.05）. On treatment day 2-7 ,the PgCO2 of gastric mucosa decreased and the pHi of gastric mueosa increased in more patients in the experimental group than in the control group （P 〈 0.05 ）. The volume of enteral feeding increased and the gastric residual volume reduced in comparison with the control group （P 〈 0.05 ）. Conclution ： The complications of enteral nutrition can be reduced by electrical stimulation of tianshu.