化脓灸对重症颅脑损伤并发胃肠功能障碍的影响

Effect of scarring moxibustion on gastrointestinal dysfunction in severe craniocerebral injury

目的观察改良无痛麦粒化脓灸对改善重症颅脑损伤患者胃肠功能障碍及营养状况的影响。方法将60例重症颅脑损伤伴胃肠功能障碍患者随机分为治疗组和对照组,每组30例。对照组采用神经外科常规基础治疗及护理,治疗组在对照组基础上采用改良无痛麦粒化脓灸治疗。观察两组治疗前后胃肠功能评分及各项营养指标[外周静脉血中血红蛋白(hemoglobin,HB)、血清白蛋白(albumin,ALB)、血清总蛋白(total protein,TP)]的变化情况,并比较两组治疗后症状缓解率。结果两组治疗后胃肠功能评分均较同组治疗前显著降低,各项营养指标均较同组治疗前显著上升,差异均有统计学意义(P<0.05)。两组治疗后胃肠功能评分及各项营养指标比较,差异均有统计学意义(P<0.05)。治疗组治疗后症状缓解率为93.3%,对照组为83.3%,两组比较差异具有统计学意义(P<0.05)。结论改良无痛麦粒化脓灸能显著改善重症颅脑损伤患者胃肠功能障碍症状,并能提高其营养状况。

Objective To observe the effect of modified painless wheat-grain size cone scarring moxibustion on gastrointestinal dysfunction and nutritional condition in patients with severe craniocerebral injury.Method Sixty patients suffering from severe craniocerebral injury with gastrointestinal dysfunction were randomized to treatment and control groups,with 30 cases in each group.The control group received neurosurgical conventional basic treatment and nursing and the treatment group,modified painless wheat-grain size cone scarring moxibustion in addition.The gastrointestinal dysfunction score and nutrition indicators peripheral venous blood hemoglobin(HB),serum albumin(ALB)and serum total protein(TP)were observed in the two groups before and after treatment.The symptom relief rates were compared between the two groups after treatment.Result The gastrointestinal dysfunction score decreased significantly and nutrition indicators rose significantly in the two groups after treatment compared with before,with statistically significant differences(P<0.05).Post-treatment gastrointestinal dysfunction score and nutrition indicators had statistically significant differences between the two groups(P<0.05).The symptom relief rate was 93.3%in the treatment group and 83.3%in the control group with a statistically significant difference between the two groups(P<0.05).Conclusion Modified painless wheat-grain size cone scarring moxibustion can significantly improve gastrointestinal dysfunction and nutritional condition in patients with severe craniocerebral injury.