电针治疗对危重症病人急性胃肠损伤的影响

发布时间：2018-04-24 16:24

本文选题：电针治疗 + 危重症　；参考：《肠外与肠内营养》2017年02期

【摘要】：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(P0.05)、腹腔压力较对照组减低(P0.05)。治疗组EEN比例高于对照组,治疗1周TEN比例高于对照组(P0.05),EN+PN比例降低(P0.05)。治疗组病人机械通气时间和入住ICU时间明显缩短(P0.05)。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。
[Abstract]: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: the control group (n = 38) was treated with routine western medicine, the treatment group (n = 39) was treated with electroacupuncture on the basis of the control group for 7 days. The changes of abdominal pressure and feeding amount of enteral nutrition (en) on the 1st day and 7th day of treatment were compared between the two groups. The proportion of total enteral nutrition (TEN) and parenteral nutrition (PN) and the time of admission to ICU were compared after 1 week of treatment with early enteral nutrition (EEN) and total enteral nutrition (Ten) and parenteral nutrition (PN). Results: the feeding amount of en in the treatment group was higher than that in the control group on the 7th day after treatment, and the abdominal pressure was lower than that in the control group. The proportion of EEN in the treatment group was higher than that in the control group, and the proportion of TEN in the treatment group was higher than that in the control group at 1 week. In the treatment group, the time of mechanical ventilation and admission to ICU was significantly shortened (P 0.05). Conclusion: on the basis of routine western medicine treatment combined with electroacupuncture, the intestinal function of critically ill patients can be obviously improved and acute gastrointestinal injury can be alleviated.
【作者单位】：天津中医药大学第一附属医院急症部;
【分类号】：R459.7

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