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目的:探究采用足三里穴位注射胃复安针法治疗神经外科肠内营养后胃潴留的临床效果。方法:在神经外科肠内营养后胃潴留患者中选取58例患者并随机均分为2组。治疗组采用胃复安针10mg足三里穴位注射BID;对照组采用吗丁啉片10mg鼻饲TID。结果:对照组显效7例,有效10例,无效11例,其总有效率为60.7%;而治疗组显效14例,有效10例,无效4例,其总有效率为85.7%,两组对比差异显著(P<0.05)。结论:胃复安针剂足三里穴位注射法的治疗效果明显优于传统的吗丁啉鼻饲治疗法,其能有效改善患者胃潴留症状,减轻患者经济负担,应作为临床上治疗胃潴留的首选方法。
Objective: To investigate the clinical effect of using Zusanli acupoint injection of Weifu An Acupuncture in the treatment of gastric retention after neurosurgical enteral nutrition. Methods: 58 patients with gastric retention after neurosurgery enteral nutrition were randomly divided into two groups. The treatment group with metoclopramide injection of 10mg Zusanli points BID; control group using morphine tablets 10mg nasal feeding TID. Results: In the control group, 7 cases were markedly effective, 10 cases were effective and 11 cases were ineffective. The total effective rate was 60.7%. In the treatment group, 14 cases were markedly effective, 10 cases were effective and 4 cases were ineffective. The total effective rate was 85.7% The difference was significant (P <0.05). Conclusion: The therapeutic effect of Weifu’an injection Zusanli acupoint injection is better than that of traditional domperidone nasal feeding, which can effectively improve the symptoms of gastric retention and reduce the economic burden of patients, and should be the first choice for clinical treatment of gastric retention .