电针灸疗法在腹腔镜胃袖状切除术治疗肥胖症中的应用

Application of electric acupuncture therapy in laparoscopic sleeve gastrectomy for obesity

目的探讨电针灸在肥胖患者减重术前减重的疗效。方法纳入2018年8月至2021年5月上海第九人民医院肥胖患者50例,按照随机数表法将患者随机分为电针灸联合减重手术组和减重手术组,每组患者25例。对比分析2组患者术前减重效果、手术时间、住院时间、并发症发生率及术后多余体质量减少百分比等临床数据。结果电针灸联合减重手术组术前减重效果明显优于袖状胃组;电针灸联合减重手术组的手术时间、总住院时间及术后住院时间、术后并发症率均明显低于减重手术组;电针灸联合减重手术组术后第6及12个月额外体质量减轻百分比(EWL%)明显优于减重手术组,差异均有统计学意义(P<0.05)。结论电针灸能够明显降低肥胖患者腹腔镜胃袖状切除术术前体质量,缩短手术时间且提高术后减重效果。但仍需要进一步多中心大样本的随机对照试验来验证。

Objective To investigate the effect of electroacupuncture on weight loss in obese patients pre-laparoscopic sleeve gastrectomy(LSG).Methods Clinical data of 50 obese patients who underwent LSG in Shanghai Ninth People's Hospital from August 2018 to May 2021 were included and analyzed.There were 25 cases received electroacupuncture combined with LSG(electroacupuncture combined with sleeve stomach group)and 25 cases received LSG(sleeve gastrectomy group).The clinical data of preoperative weight loss,length of LSG,hospital stay,complication rate and postoperative excess weight loss percentage were compared between the two groups.Results The preoperative weight loss effect of electroacupuncture combined with sleeve stomach group was significantly better than sleeve stomach group.The operation time,total hospital stay,postoperative hospital stay and postoperative complication rate of electroacupuncture combined with sleeve stomach group were significantly lower than those of sleeve gastrectomy group.The%EWL of electroacupuncture combined with sleeve stomach group was significantly better than that of sleeve gastrectomy group at 6 and 12 months after LSG.Conclusion Electroacupuncture can significantly reduce the preoperative weight of obese patients before LSG,shorten the operation time and improve the postoperative weight loss effect.However,further RCTs of multi-center and large sample are still needed for verification.