CAJ | 학술논문

目的：观察电针疗法对腹部术后患者胃肠功能恢复及胃动素含量变化的影响。方法将50例腹部手术患者随机分为2组，每组25例。对照组予术后常规治疗，治疗组在对照组的基础上术后当日加用双侧足三里电针治疗。观察2组患者术后首次肛门排气、排便的时间，并比较2组术前24 h及术后24、72 h血清胃动素水平变化。结果2组术后首次肛门排气、排便时间比较差异有统计学意义（P＜0．05），治疗组均短于对照组；2组术前24 h血清胃动素水平组间比较差异无统计学意义（P＞0．05），术后24 h血清胃动素水平与本组治疗前比较差异均有统计学意义（P＜0．05），且组间比较差异有统计学意义（P＜0．05），治疗组高于对照组；2组术后72 h血清胃动素水平与术前24 h及组间比较差异均无统计学意义（ P＞0．05）。结论术后常规治疗基础上加用足三里电针治疗可促进患者胃肠动力恢复，促进患者术后排气、排便，提高胃动素含量，减轻胃肠功能紊乱。
목적：관찰전침요법대복부술후환자위장공능회복급위동소함량변화적영향。방법장50례복부수술환자수궤분위2조，매조25례。대조조여술후상규치료，치료조재대조조적기출상술후당일가용쌍측족삼리전침치료。관찰2조환자술후수차항문배기、배편적시간，병비교2조술전24 h급술후24、72 h혈청위동소수평변화。결과2조술후수차항문배기、배편시간비교차이유통계학의의（P＜0．05），치료조균단우대조조；2조술전24 h혈청위동소수평조간비교차이무통계학의의（P＞0．05），술후24 h혈청위동소수평여본조치료전비교차이균유통계학의의（P＜0．05），차조간비교차이유통계학의의（P＜0．05），치료조고우대조조；2조술후72 h혈청위동소수평여술전24 h급조간비교차이균무통계학의의（ P＞0．05）。결론술후상규치료기출상가용족삼리전침치료가촉진환자위장동력회복，촉진환자술후배기、배편，제고위동소함량，감경위장공능문란。
Objective To investigate the effect of electroacupuncture on recovery of gastrointestinal function and motilin content change of abdominal surgery patients .Methods 50 patients with abdominal surgery were ran-domly divided into two groups .25 cases postoperation in control group received conventional therapy .25 cases in treat-ment group were treated by Zusanli electroacupuncture on the basis of control treatment .Time of the first flatus and defecation of patients in two groups were observed after surgery .Levels of serum motilin in the preoperative 24 h and postoperative 24,72 h were compared in two groups .Results There was significant difference between two groups on the time of the first flatus and defecation (P<0.05).The time in treatment group was shorter than that in control group.There was no significant difference between two groups on the level of serum motilin in the preoperative 24 h (P>0.05).There was significant difference between before and after treatment in two groups on the level of serum motilin postoperative 24 h (P<0.05).There was significant difference between two groups on the level of serum mo-tilin postoperative 24 h (P<0.05).The level of serum motilin in treatment group was higher than that in control group.Conclusion Postoperative conventional treatment combined with Zusanli electroacupuncture can promote re -covery of gastrointestinal motility in patients ,promote patients exhaust ,defecation,improve motilin levels,and reduce gastrointestinal disorders .