经皮穴位电刺激法治疗老年胃肠术后胃肠功能紊乱的临床研究(1)
[摘要] 目的 探討经皮穴位电刺激法对老年人胃肠术后胃肠功能的临床疗效。 方法 选取2017年1月1日～12月31日我院胃肠外科收住的90例老年胃肠手术患者，随机分为对照组和治疗组，每组45例。对照组术后采用常规护理，治疗组在术后常规护理的基础上，每天经皮穴位电刺激上巨虚、足三里两穴，每穴每次10 min，每天2次。治疗组治疗结束后1 h开始监听两组患者的肠鸣音，并记录患者术后首次排气排便时间、恢复全流饮食时间、住院时间、术后消化道症状等。术后1周评估两组患者胃肠功能恢复和中医证候疗效。 结果 治疗组术后首次排气排便时间、恢复全流饮食时间、住院时间均较对照组减少，差异有统计学意义(P<0.05)；治疗组术后出现消化道症状的例数较对照组少，差异有统计学意义(P<0.05)；治疗组胃肠功能恢复和中医证候疗效较对照组好，差异有统计学意义(P<0.05)。 结论 经皮穴位刺激法可以促进老年人胃肠术后胃肠道功能的恢复，减少住院时间，提高胃肠功能恢复疗效和中医证候疗效，值得在临床上推广使用。
[关键词] 经皮穴位电刺激；胃肠手术；老年人；胃肠功能；中医药
[中图分类号] R246.2 [文献标识码] A [文章编号] 1673-9701(2018)26-0014-05
Clinical study of transcutaneous acupoint electrical stimulation in the treatment of gastrointestinal dysfunction in the elderly after gastrointestinal surgery
YANG Qiong YU Biying MA Cuiling
Department of Gastrointestinal Surgery， Tongde Hospital of Zhejiang Province， Hangzhou 310012， China
[Abstract] Objective To investigate the clinical effect of transcutaneous acupoint stimulation on gastrointestinal function in the elderly after gastrointestinal surgery. Methods From January 1， 2017 to December 31， 2017， 90 elderly patients undergoing gastrointestinal surgery in Zhejiang Provincial Tongde Hospital were randomized into control group and treatment group， with 45 patients in each group. The control group was given routine nursing care after surgery. The treatment group was given transcutaneous acupoint electrical stimulation on two acupoints of Juxu and Zusanli daily on the basis of postoperative routine nursing care. The stimulation lasted for 10 minutes per acupoints， twice a day. The bowel sounds in the two groups of patients began to be monitored one hour after the end of treatment in the treatment group. The time of postoperative first passage of gas and defecation， the time of resuming to full flow diet， the length of hospital stay， postoperative gastrointestinal symptoms were recorded. One week after surgery， the recovery of gastrointestinal function and the efficacy of TCM syndromes were evaluated in both groups. Results The time of first passage of gas and defecation， the time of resuming to full-flow diet and length of stay after surgery were lower in the treatment group than in the control group， and the differences were statistically significant (P<0.05)； the number of gastrointestinal symptoms in the treatment group after surgery was less than that in the control group， and the difference was statistically significant(P<0.05)； the recovery of gastrointestinal function and TCM syndromes in the treatment group were better than those in the control group， and the differences were statistically significant(P<0.05). Conclusion Percutaneous acupoint stimulation can promote the recovery of gastrointestinal function in the elderly after gastrointestinal surgery， reduce the length of hospital stay， and improve the efficacy of recovery of gastrointestinal function and TCM syndromes， which is worthy of promotion and application in clinical practice., 百拇医药(杨琼 余碧英 马翠玲)
[关键词] 经皮穴位电刺激；胃肠手术；老年人；胃肠功能；中医药
[中图分类号] R246.2 [文献标识码] A [文章编号] 1673-9701(2018)26-0014-05
Clinical study of transcutaneous acupoint electrical stimulation in the treatment of gastrointestinal dysfunction in the elderly after gastrointestinal surgery
YANG Qiong YU Biying MA Cuiling
Department of Gastrointestinal Surgery， Tongde Hospital of Zhejiang Province， Hangzhou 310012， China
[Abstract] Objective To investigate the clinical effect of transcutaneous acupoint stimulation on gastrointestinal function in the elderly after gastrointestinal surgery. Methods From January 1， 2017 to December 31， 2017， 90 elderly patients undergoing gastrointestinal surgery in Zhejiang Provincial Tongde Hospital were randomized into control group and treatment group， with 45 patients in each group. The control group was given routine nursing care after surgery. The treatment group was given transcutaneous acupoint electrical stimulation on two acupoints of Juxu and Zusanli daily on the basis of postoperative routine nursing care. The stimulation lasted for 10 minutes per acupoints， twice a day. The bowel sounds in the two groups of patients began to be monitored one hour after the end of treatment in the treatment group. The time of postoperative first passage of gas and defecation， the time of resuming to full flow diet， the length of hospital stay， postoperative gastrointestinal symptoms were recorded. One week after surgery， the recovery of gastrointestinal function and the efficacy of TCM syndromes were evaluated in both groups. Results The time of first passage of gas and defecation， the time of resuming to full-flow diet and length of stay after surgery were lower in the treatment group than in the control group， and the differences were statistically significant (P<0.05)； the number of gastrointestinal symptoms in the treatment group after surgery was less than that in the control group， and the difference was statistically significant(P<0.05)； the recovery of gastrointestinal function and TCM syndromes in the treatment group were better than those in the control group， and the differences were statistically significant(P<0.05). Conclusion Percutaneous acupoint stimulation can promote the recovery of gastrointestinal function in the elderly after gastrointestinal surgery， reduce the length of hospital stay， and improve the efficacy of recovery of gastrointestinal function and TCM syndromes， which is worthy of promotion and application in clinical practice., 百拇医药(杨琼 余碧英 马翠玲)