论文部分内容阅读
目的:观察电针治疗对危重症病人急性胃肠损伤(AGI)的疗效。方法:将77例病人按照随机数字表法随机分为两组,对照组38例,给予西医常规治疗;治疗组39例,在对照组基础上加用电针治疗,疗程为7 d。比较两组病人治疗第1、3、5和7天肠内营养(EN)的喂养量、腹腔压力的变化。并对比早期肠内营养(EEN)、治疗1周后全肠内营养(TEN)和加用肠外营养(PN)的比例以及入住ICU时间。结果:治疗组病人治疗第5、7天EN喂养量多于对照组(P<0.05)、腹腔压力较对照组减低(P<0.05)。治疗组EEN比例高于对照组,治疗1周TEN比例高于对照组(P<0.05),EN+PN比例降低(P<0.05)。治疗组病人机械通气时间和入住ICU时间明显缩短(P<0.05)。结论:在常规西医治疗的基础上联合电针治疗,可明显改善危重症病人的肠道功能,减轻急性胃肠损伤。
Objective: To observe the effect of electroacupuncture on acute gastrointestinal injury (AGI) in critically ill patients. Methods: 77 patients were randomly divided into two groups according to the random number table method, the control group of 38 patients were given conventional Western medicine treatment group, 39 cases in the control group based on the application of electroacupuncture treatment for 7 days. The enteral nutrition (EN) feeding amount and abdominal pressure changes on the 1st, 3rd, 5th and 7th days in the two groups were compared. And compared with early enteral nutrition (EEN), total enteral nutrition (TEN) and parenteral nutrition (PN) after 1 week of treatment and ICU admission time. Results: The EN fed on the 5th and 7th day in the treatment group was more than that in the control group (P <0.05). The intra-abdominal pressure was lower than that in the control group (P <0.05). The proportion of EEN in the treatment group was higher than that in the control group, the TEN proportion in the first week of treatment was higher than that in the control group (P <0.05), and the proportion of EN + PN was lower (P <0.05). The duration of mechanical ventilation and ICU stay in the treatment group was significantly shorter (P <0.05). Conclusion: The combination of electroacupuncture and conventional western medicine can significantly improve the intestinal function of critically ill patients and reduce acute gastrointestinal injury.