摘要
目的研究腹部针灸治疗联合生大黄鼻饲对急性胰腺炎合并肠麻痹肠道功能恢复的影响。方法随机抽取我院在2017年1月至2019年9月期间收治的65例急性胰腺炎合并肠麻痹患者为研究对象,按照治疗方案分为对照组(n=32)与观察组(n=33),对照组应用常规治疗方案及联合生大黄鼻饲,观察组常规治疗方案及腹部针灸联合生大黄鼻饲治疗方案,对比分析两组患者治疗后的临床症状改善情况、相关指标恢复时间以及治疗后APACHEⅡ评分与氧和指数(IO)。结果观察组患者的腹胀、通便以及呼吸改善情况均优于对照组(P<0.05);观察组的首次排便时间、血淀粉酶升高持续时间、腹痛持续时间、ICU住院时间以及血钙复常时间均短于对照组(P<0.05);治疗后观察组的腹压水平、APACHEⅡ评分低于对照组,且IO高于对照组(P<0.05)。结论对于中重度胰腺炎合并肠麻痹实施腹部针灸联合生大黄鼻饲治疗方案效果尤为显著,能够有效缓解患者胃肠道麻痹症状,加快患者的肠道功能恢复,缩短治疗时间,有助于改善患者的生活质量,在临床上具有应用价值。
Objective To study the impact of abdominal acupuncture combined with nasal rhubarb feeding on intestinal function recovery in patients with acute pancreatitis complicated with intestinal paralysis.Methods A total of 65 patients with acute pancreatitis and intestinal paralysis admitted to our hospital from January 2017 to September 2019 were enrolled in the study.According to the treatment plan,they were divided into the control group(n=32)and the observation group(n=33).The control group was treated with a conventional treatment plan and combined with nasal rhubarb feeding.The conventional treatment plan and abdominal acupuncture combined with the rhubarb nasal feeding treatment program were compared.The clinical symptoms of the two groups were improved after treatment,the recovery time of related indicators,and APACHEⅡafter treatment.Score with oxygen and index(IO).Results The bloating,laxation,and respiratory improvement of the observation group were better than those of the control group(P<0.05).The first defecation time,the duration of blood amylase elevation,the duration of abdominal pain,the duration of ICU stay,and the blood calcium complex in the observation group.The time was shorter than the control group(P<0.05).The abdominal pressure and APACHEⅡscores of the observation group were lower than the control group,and the IO was higher than the control group(P<0.05).Conclusion The treatment of abdomen acupuncture combined with nasal rhubarb feeding for moderate to severe pancreatitis combined with intestinal paralysis is particularly effective,which can effectively alleviate the symptoms of gastrointestinal paralysis,accelerate the recovery of intestinal function,shorten the treatment time,and help improve patients’Quality of life has clinical value.
作者
佘昌华
陈倩韵
邓秀娟
SHE Chang-hua;CHEN Qian-yun;DENG Xiu-juan(Department of Digestive System,Zhongshan Guzhen People's Hospital,Zhongshan 528421,Guangdong Province,China)
出处
《罕少疾病杂志》
2021年第2期73-75,共3页
Journal of Rare and Uncommon Diseases
关键词
腹部针灸
生大黄鼻饲
中重度胰腺炎
肠麻痹
肠道功能
Abdominal Acupuncture
Rhubarb Nasal Feeding
Moderate to Severe Pancreatitis
Intestinal Paralysis
Intestinal Function
