摘要
目的:观察TEAS早期干预对危重症患者胃肠功能障碍的调节作用。方法:将ICU住院的危重症胃肠功能障碍患者84例随机分为对照组与治疗组各42例,对照组予补液等常规治疗,早期持续匀速泵入肠内营养液;治疗组双侧足三里、上巨虚予TEAS,参数为断续波、25Hz、12mA,持续2h,每天一次,连续7天,观察并记录两组患者胃肠功能障碍评分、肠内营养摄入量、喂养不耐受(恶心呕吐、腹胀、便秘)的发生率。结果:治疗7天后,治疗组胃肠功能障碍评分、肠内营养摄入量、喂养不耐受发生率均显著优于对照组,差异均有统计学意义(P<0.05)。结论:TEAS早期干预可有效改善危重症患者的胃肠功能障碍,减少并发症,其操作简单、疗效明确,适宜临床推广。
Objective:To observe the effect of early intervention of TEAS on gastrointestinal dysfunction in critically ill patients.Methods:84 cases of ICU hospitalized patients with severe gastrointestinal dysfunction were randomly divided into control group(n=42)and treatment group(n=42).The control group received routine treatment such as fluid replacement,and early continuous and uniform pump enteral nutrition solution;the treatment group was treated with TEAS on bilateral Zusanli and Shangjuxu points,the parameters are intermittent wave,25 Hz,12 mA,lasting 2 hours,once a day for seven consecutive days,observe and record the scores of gastrointestinal dysfunction,the intake of enteral nutrition and the incidence of feeding intolerance(nausea,vomiting,abdominal distension,constipation).Results:After 7 days of treatment,the scores of gastrointestinal dysfunction,the intake of enteral nutrition and the incidence of feeding intolerance in treatment group were significantly lower than those in control group(P<0.05).Conclusion:Early intervention of TEAS can effectively improve gastrointestinal dysfunction and reduce complications in critically ill patients.It is simple to operate and has definite curative effect.It is suitable for clinical promotion.
作者
谢波
闫显栋
XIE Bo;YAN Xian-dong(Changshu Second People's Hospital,Suzhou,Jiangsu 215500)
出处
《按摩与康复医学》
2020年第9期7-10,共4页
Chinese Manipulation and Rehabilitation Medicine
关键词
危重症
胃肠功能障碍
经皮穴位电刺激
早期干预
ICU
critically ill
gastrointestinal dysfunction
transcutaneous electrical acupoint stimulation
early intervention
ICU
