首页|针刺疗法联合肠内营养对腹部手术后胃瘫患者血清胃肠激素及胃肠动力的影响

针刺疗法联合肠内营养对腹部手术后胃瘫患者血清胃肠激素及胃肠动力的影响

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目的:探讨针刺疗法联合肠内营养对腹部手术后胃瘫患者血清胃肠激素及胃肠动力的影响。方法:选择2022 年 6-12 月浙江省人民医院毕节医院收治的 88 例腹部手术后胃瘫患者作为研究对象。根据随机数表法分为两组,各44 例。对照组采取肠内营养干预,观察组采取针刺疗法联合肠内营养干预。比较两组的临床疗效及治疗前后的血清胃肠激素、胃肠动力、营养指标。结果:观察组临床疗效高于对照组,差异有统计学意义(P<0。05)。观察组胃管拔除时间、首次进食时间、胃肠动力恢复时间均短于对照组,差异有统计学意义(P<0。05)。治疗 2 周后,两组血清胃动素水平高于治疗前,生长抑素、胃泌素低于治疗前,且观察组血清胃动素水平高于对照组,生长抑素及胃泌素水平低于对照组,差异有统计学意义(P<0。05)。治疗 2 周后,两组转铁蛋白、血红蛋白、白蛋白均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0。05)。结论:针刺疗法联合肠内营养治疗腹部手术后胃瘫患者临床效果较好,可改善患者血清胃肠激素及胃肠动力,促进患者营养状态恢复。
Effects of Acupuncture Therapy Combined with Enteral Nutrition on Serum Gastrointestinal Hormone and Gastrointestinal Motility in Patients with Gastroparesis after Abdominal Surgery
Objective:To investigate the effects of acupuncture therapy combined with enteral nutrition on serum gastrointestinal hormone and gastrointestinal motility in patients with gastroparesis after abdominal surgery.Method:A total of 88 patients with gastroparesis after abdominal surgery treated in the Zhejiang Provincial People's Hospital Bijie Hospital from June to December 2022 were selected as the study objects.According to the method of random number table,they were divided into two groups,with 44 cases in each group.The control group received enteral nutrition intervention,and the observation group received acupuncture therapy combined with enteral nutrition intervention.The clinical efficacy,serum gastrointestinal hormone,gastrointestinal motivity and nutritional indexes before and after treatment were compared between the two groups.Result:The clinical efficacy of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The gastric tube removal time,first feeding time and gastrointestinal motility recovery time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After 2 weeks of treatment,serum motilin level in two groups was higher than that before treatment,somatostatin and gastrin were lower than those before treatment,and serum motilin level in observation group was higher than that in control group,while somatostatin and gastrin were lower than those in control group,the difference were statistically significant(P<0.05).After 2 weeks of treatment,transferrin,hemoglobin and albumin in two groups were higher than those before treatment,and observation group were higher than control group,the differences were statistically significant(P<0.05).Conclusion:Acupuncture therapy combined with enteral nutrition has a good clinical effect in the treatment of patients with gastroparesis after abdominal surgery,which can improve the serum gastrointestinal hormone and gastrointestinal motility,and promote the recovery of nutritional status.

Abdominal surgeryGastroparesisAcupunctureEnteral nutritionGastrointestinal hormonesGastrointestinal motility

周骏

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浙江省人民医院毕节医院 贵州 毕节 551700

腹部手术 胃瘫 针刺 肠内营养 胃肠激素 胃肠动力

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(12)
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