Clinical Study on the Application of Electroacupuncture in the Intervention of Acute Gastrointestinal Injury in Patients with Sepsis Based on the Theory of Qi Ascending and Descending
Objective:To explore the clinical safety and effectiveness of electroacupuncture in the intervention of acute gastrointestinal injury(AGI)caused by sepsis based on the theory of qi ascending and descending.Meth-ods:A total of 53 patients were divided into an experimental group of 27 cases and a control group of 26 cases us-ing random number table method.Both groups received routine treatment,while the experimental group received relevant acupoints and electroacupuncture treatment based on the theory of Qi ascending and descending on the basis of routine treatment,with a course of 14 days.The differences in gastrointestinal function indicators,inflam-mation indicators,related scores,and 28 day survival rate between two groups before treatment,on the 3rd,7th,and 14th day after treatment were compared.Results:On the 7th and 14th day,the AGI grading in the experimen-tal group was lower than that in the control group(P<0.05);on the 3rd and 7th day,the intra-abdominal pressure(IAP)in the experimental group was lower than that in the control group during the same period(P<0.05);on the 3rd,7th,and 14th day,the intestinal sounds in the experimental group were higher than those in the control group during the same period(P<0.05);on the third day,the enteral nutrition pump speed in the experimental group was higher than that in the control group(P<0.05);after treatment,the inflammatory indicators in the experimen-tal group decreased compared with before treatment(P<0.05),while in the control group,C reactive protein(CRP)and procalcitonin(PCT)decreased on days 7 and 14 compared with before treatment(P<0.05);on the 3rd day,the gastrointestinal dysfunction(GIF)score of the experimental group was lower than that of the control group dur-ing the same period(P<0.05);after treatment,the acute physiology and chronic health evaluation scoring systemⅡ(APACHE Ⅱ)and sequential organ failure assessment(SOFA)scores of both groups decreased compared with before treatment(P<0.05);there was no significant difference in the 28 day survival rate between the two groups(P>0.05).Conclusion:The use of electroacupuncture in the intervention of AGI in patient with sepsis based on the theory of Qi ascending and descending can effectively improve the gastrointestinal function and reduce the in-flammatory response and the severity of sepsis.
SepsisAcute gastrointestinal injuryElectroacupunctureTheory of Qi ascending and descending