CAJ | 학술논문

背景:手术后胃轻瘫综合征是腹部手术后常见的并发症,外科医生往往无有效的治疗手段.目的:探讨针刺治疗腹部肿瘤外科术后胃轻瘫患者的效果.设计、场所、对象和干预措施:选择东方肝胆外科医院63例腹部肿瘤外科手术术后呃逆的患者,随机分成针刺组32例和胃复安组31例.针刺组采用针刺足三里等穴位治疗,1次/d;胃复安组肌肉注射胃复安20 mg,3次/d.主要结局指标:观察治疗后胃液引流量及治疗次数和痊愈率.结果:针刺和胃复安均可显著减少胃液引流量.针刺组痊愈率为90.6%,平均治疗(6.58±4.26)次;胃复安组痊愈率为32.3%,平均治疗(10.13±3.60)次.两组胃液引流量、临床痊愈率和治疗频次比较,差异有统计学意义(P＜0.05,P＜0.01).结论:针刺可有效治疗腹部肿瘤外科术后胃轻瘫,具有治疗次数少、治愈率高、奏效快等优点.
배경:수술후위경탄종합정시복부수술후상견적병발증,외과의생왕왕무유효적치료수단.목적:탐토침자치료복부종류외과술후위경탄환자적효과.설계、장소、대상화간예조시:선택동방간담외과의원63례복부종류외과수술술후애역적환자,수궤분성침자조32례화위복안조31례.침자조채용침자족삼리등혈위치료,1차/d;위복안조기육주사위복안20 mg,3차/d.주요결국지표:관찰치료후위액인류량급치료차수화전유솔.결과:침자화위복안균가현저감소위액인류량.침자조전유솔위90.6%,평균치료(6.58±4.26)차;위복안조전유솔위32.3%,평균치료(10.13±3.60)차.량조위액인류량、림상전유솔화치료빈차비교,차이유통계학의의(P＜0.05,P＜0.01).결론:침자가유효치료복부종류외과술후위경탄,구유치료차수소、치유솔고、주효쾌등우점.
Background:Postoperative gastroparesis syndrome (PGS) is a common complication after abdominal surgery in patients with primary liver cancer. However, surgeons usually do not have effective treatment for them.Objective: To explore the effects of acupuncture applied to Zusanli and other acupoints on PGS in patients after abdominal surgery.Design, setting, participants and interventions: Sixty-three PGS patients of abdominal surgery, from Eastern Hepatobiliary Surgical Hospital, were randomized into acupuncture group (32 cases) and metoclopramide group (31 cases). The patients in acupuncture group were treated with acupuncture applied to Zusanli and other acupoints once a day, while the patients in metoclopramide group were intramuscularly injected 20 mg metoclopramide three times a day.Main outcome measures: Volume of gastric drainage, number of treatment and cure rate in the two groups were measured and evaluated.Results: Acupuncture and metoclopramide could significantly reduce gastric drainage volume. In acupuncture group, the cure rate was 90.6% and the number of treatment was 6.58±4.26, while in metoclopramide group, the cure rate and the number of treatment were 32.3% and 10. 13±3.60 respectively. There were significant differences in gastric drainage volume, cure rate and number of treatment between the two groups (P＜0.05, P＜0. 01).Conclusion: Acupuncture is a good treatment for PGS, with fewer treatments, high cure rate and rapid effect.