基于加速康复外科理念的针刺对胃癌术后残胃排空功能障碍的影响

Effect of acupuncture on functional delayed gastric emptying after gastric cancer surgery based on enhance recovery after surgery

目的:在常规治疗基础上,观察针刺治疗胃癌术后残胃排空功能障碍的临床疗效。方法:将80例胃癌术后残胃排空功能障碍患者随机分为观察组(40例,脱落3例)和对照组(40例,脱落1例)。对照组给予持续胃肠减压等常规治疗;观察组在对照组治疗基础上加用针刺治疗,穴取足三里、上巨虚、下巨虚、公孙、三阴交,留针30min,每日1次,5d为一疗程,治疗1~3个疗程。比较两组患者首次排气时间、拔除胃管时间、恢复进流食时间、术后住院天数,并评定临床疗效。结果:观察组患者首次排气时间、拔除胃管时间、恢复进流食时间及术后住院天数短于对照组(P<0.001)。结论:在常规治疗基础上,针刺可促进胃癌术后残胃排空功能障碍患者康复。

Objective To observe the clinical effect of acupuncture for functional delayed gastric emptying after gastric cancer surgery on the basis of routine treatment. Methods A total of 80 patients with functional delayed gastric emptying after gastric cancer surgery were randomly divided into an observation group(40 cases, 3 cases dropped off) and a control group(40 cases, 1 case dropped off). The control group was treated with routine treatment, e.g. continuous gastrointestinal decompression. On the basis of the treatment in the control group, the observation group was treated with acupuncture at Zusanli(ST 36), Shangjuxu(ST 37), Xiajuxu(ST 39), Gongsun(SP 4), Sanyinjiao(SP 6), 30 min each time,once a day, 5 days as a course, 1-3 courses were required. The first exhaust time, remove gastric tube time, liquid food intake time and hospital stay were compared in the two groups, and the clinical effect was evaluated. Results The first exhaust time, remove gastric tube time, liquid food intake time and hospital stay in the observation group were shorter than the control group(P<0.001). Conclusion On the basis of routine treatment, acupuncture could accelerate the recovery of patients with functional delayed gastric emptying after gastric cancer surgery.