摘要
本研究表明,腹部手术后针刺足三里和三阴交穴,能有效解除肠抑制,促进排气。还发现,术后血清 GPT、GOT 和γ-GT 活性较术前升高2~3倍,提示手术直接或间接导致细咆损伤和体内酶释放。但血清酶降至正常水平的速度针刺组远较对照组快,提示针刺可能具有调节机体对手术创伤的反应性、使之利于受伤细胞结构和功能恢复的作用。
The authors study on abdominal surgical patients(39 cases)who were randomly divided into the acupuncture and control group.In the acupuncture group,the needle inserted into Zusanli(St.36)and Sanyinjiao(Sp.6)points at 12~24 h after operation and observed the time of the first excretion through anus.Sero-enzyme activity of GPT,GOT and γ-GT determined before operation and at 1, 3,5,7 days after operation.The result showed that the time of excretion in the acupuncture group (57.78±23.94 h)was obviously faster than the control one(86.14±20.43h),P<0.001.It suggested that acupuncture has the effect of promoting intestinal inotion.After operation sero-enzyme activity was raised 2~3 times than before.It showed that the surgical trauma directly or indirectly impair cells to release enzyme into blood,but the time of reversing to normal level of sero-enzyme activity in the acupuncture group was obviously faster.There is possibility that acupuncture has the effect of regutating reactivity of organism on trauma and promoting the repair of damaged cell.
关键词
针灸
围手术期
肠功能
血清
acupuncture
intestinal motion
sero-enzyme activity
perioperation