CAJ | 학술논문

目的：探讨早期电针下合穴对肠道术后胃肠功能恢复的影响。方法将2012年1月~2014年9月浙江医院收治的行开腹胃肠道手术患者86例随机分为治疗组和对照组，各43例。对照组采用常规禁食、胃肠减压、补液、抗感染等对症治疗，治疗组于术后24 h内给予电针下合穴治疗，比较两组临床疗效、胃肠功能恢复情况及血浆胃泌素水平变化。结果治疗组临床总有效率为90.7%，显著高于对照组(74.4%)(P<0.05)；治疗组患者肠鸣音恢复时间、排气时间、排便时间及进食时间均较对照组患者明显缩短(P<0.05)；术后1、2 d两组血浆胃泌素水平均明显下降，治疗组术后2、3 d血浆胃泌素水平均明显高于对照组(P<0.05)。结论早期电针下合穴治疗肠道术后胃肠功能紊乱，可改善血清胃泌素水平，促进胃肠功能早期恢复。
목적：탐토조기전침하합혈대장도술후위장공능회복적영향。방법장2012년1월~2014년9월절강의원수치적행개복위장도수술환자86례수궤분위치료조화대조조，각43례。대조조채용상규금식、위장감압、보액、항감염등대증치료，치료조우술후24 h내급여전침하합혈치료，비교량조림상료효、위장공능회복정황급혈장위비소수평변화。결과치료조림상총유효솔위90.7%，현저고우대조조(74.4%)(P<0.05)；치료조환자장명음회복시간、배기시간、배편시간급진식시간균교대조조환자명현축단(P<0.05)；술후1、2 d량조혈장위비소수평균명현하강，치료조술후2、3 d혈장위비소수평균명현고우대조조(P<0.05)。결론조기전침하합혈치료장도술후위장공능문란，가개선혈청위비소수평，촉진위장공능조기회복。
Objective To explore influence of early electrical acupuncture for lower confluent acupoint on the recovery of gastrointestinal function in post-operative intestinal surgery patients. Methods 86 cases of post-operative intestinal surgery patients who received intestinal surgery from January 2012 to September 2014 in Zhejiang Hospital were ran-domly divided into treatment group and control group, with 43 cases in each group. Control group was given normal treatment including routine fasting, gastrointestinal decompression, fluid infusion, anti-infection, and treatment group was given electrical acupuncture on lower confluent acupoint within 24 h after surgery additionally. The clinical effect, postoperative recovery of gastrointestinal functions, level of plasma gastrin between two groups were compared. Results The clinical total effectivel rate in treatment group was 90.7%, which was significantly higher than that in control group (74.4%) (P< 0.05). Compared with control group, the bowel sound recovery time, exhaust time and defecate time, be-ginning taking food time in treatment group were reduced remarkably (P< 0.05). The levels of plasma gastrin in both groups were significantly reduced at 1st and 2nd day after surgery, and the levels in treatment group at 2nd and 3rd day after surgery were significantly higher than those in control group (P<0.05). Conclusion Early electrical acupunc-ture for lower confluent acupoint in the treatment of gastrointestinal dysfunctionon in post-operative intestinal surgery can improve the level of serum gastrin, promote early recovery of gastrointestinal function.