Zhen ci yan jiu = Acupuncture research · 2016
[A Randomized Controlled Clinical Trial for Electroacupuncture Treatment of Post-surgical Gastrointestinal Dysfunction in Patients Undergoing Laparotomy].
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pan Hui, Li Jia, Zhao Yu, Li Ning
Аннотация
OBJECTIVE: To evaluate the clinical efficacy of electroacupuncture (EA) stimulation of Zusanli (ST 36) and Neiguan (PC 6) in the treatment of persistent postoperative gastrointestinal dysfunction in patients undergoing laparotomy.
METHODS: A total of 60 laparotomy patients were enlisted in the present study and were randomly divided into conventional treatment group (control) and EA group (n=30 in each group). Patients of the EA group were treated by conventional treatment and EA stimulation (2 Hz, 1-10 mA) of bilateral ST 36 and PC 6 for 30 min, once daily for 5 days, and patients of the control group treated by conventional treatment (pre- and post-surgical fasting, measures for gastrointestinal decompression, electrolyte stabilization, parenteral nutrition support, and anti-infection in necessity, etc). The first postoperative flatus and defecation time, postoperative hospital stays,abdominal bloating grading (0-4 points, i.e. Likert scale), and adverse events were recorded and evaluated.
RESULTS: After the treatment, the first postoperative flatus and defecation time, and hospital stay time and abdominal bloating scores from the 2nd to the 5th day post-surgery in the EA group were significantly lower than those of the control group (P<0.05). The abdominal bloating scores of the two groups were gradually and obviously decreased from the 2nd day on in comparison with pre-treatment (P<0.05). Of the two 30 cases in the control and EA groups, 5 and 14 were cured in their clinical symptoms, 15 and 13 experienced marked improvement, 7 and 3 were effective, 2 and 0 invalid, with the effective rates being 66.7% and 90.0%, respectively.
CONCLUSIONS: EA is effective in improving persistent postoperative gastrointestinal dysfunction in cancer patients undergoing laparotomy.
METHODS: A total of 60 laparotomy patients were enlisted in the present study and were randomly divided into conventional treatment group (control) and EA group (n=30 in each group). Patients of the EA group were treated by conventional treatment and EA stimulation (2 Hz, 1-10 mA) of bilateral ST 36 and PC 6 for 30 min, once daily for 5 days, and patients of the control group treated by conventional treatment (pre- and post-surgical fasting, measures for gastrointestinal decompression, electrolyte stabilization, parenteral nutrition support, and anti-infection in necessity, etc). The first postoperative flatus and defecation time, postoperative hospital stays,abdominal bloating grading (0-4 points, i.e. Likert scale), and adverse events were recorded and evaluated.
RESULTS: After the treatment, the first postoperative flatus and defecation time, and hospital stay time and abdominal bloating scores from the 2nd to the 5th day post-surgery in the EA group were significantly lower than those of the control group (P<0.05). The abdominal bloating scores of the two groups were gradually and obviously decreased from the 2nd day on in comparison with pre-treatment (P<0.05). Of the two 30 cases in the control and EA groups, 5 and 14 were cured in their clinical symptoms, 15 and 13 experienced marked improvement, 7 and 3 were effective, 2 and 0 invalid, with the effective rates being 66.7% and 90.0%, respectively.
CONCLUSIONS: EA is effective in improving persistent postoperative gastrointestinal dysfunction in cancer patients undergoing laparotomy.