Shen Li-ping, Guan Juan, Ding Kai-yun
Acupuncture Department, Subei People's Hospital of Jiangsu Province, Yangzhou 225001, China.
Zhongguo Zhen Jiu. 2010 Jan;30(1):27-30.
To search for a better therapy for early postoperative inflammatory small bowel obstruction (EPISBO).
Two hundred and forty cases were divided into four groups according to admitting order, 60 cases in each group. Routine treatments in western medicine were used in group A including gastrointestinal decompression, parenteral nutrition, anti-infection, supportive therapy and so on. Group B was treated with electroacupuncture in Zusanli (ST 36), Shangjuxu (ST 37) etc. in addition to those given in group A. Group C was treated with acupoint injection with Neostigmine in Dachangshu (BL 25), Zusanli (ST 36) etc. in addition to the treatment used in group A. Group D was treated with all of the treatments used in group A, B and C.
The total effective rate was 93. 3% in group A, 96. 7% in group B, 100.0% in group C and group D. There was no significant difference among the four groups (P>0. 05). The average recovery time of bowel sound was (11. 512. 9) days in group A, (9. 3 +/- 2.5) days in group B, (5.6 +/- 3.5) days in group C and (2. 2 +/- 1.7) days in group D. The average anal exsufflation time was (12. 5 +/- 3. 1) days in group A, (10. 7 +/- 3.6) days in group B, (7. 2 +/- 3. 1) days in group C and (2. 5 +/- 1. 5) days in group D. Group D was superior to those of other three groups obviously, and there were significant differences between them (all P<0. 01).
Electroacupuncture combined with acupoint injection has a satisfied therapeutic effect for treatment of EPISBO.
探寻早期术后炎性小肠梗阻(EPISBO)的更佳治疗方法。
240例患者按入院顺序分为4组,每组60例。A组采用西医常规治疗,包括胃肠减压、肠外营养、抗感染、支持治疗等。B组在A组治疗基础上加用针刺足三里(ST 36)、上巨虚(ST 37)等穴位。C组在A组治疗基础上加用新斯的明穴位注射,选取大肠俞(BL 25)、足三里(ST 36)等穴位。D组采用A、B、C三组的所有治疗方法。
A组总有效率为93.3%,B组为96.7%,C组和D组均为100.0%。四组间差异无统计学意义(P>0.05)。A组肠鸣音平均恢复时间为(11.5±2.9)天,B组为(9.3±2.5)天,C组为(5.6±3.5)天,D组为(2.2±1.7)天。A组肛门排气平均时间为(12.5±3.1)天,B组为(10.7±3.6)天,C组为(7.2±3.1)天,D组为(2.5±1.5)天。D组明显优于其他三组,差异有统计学意义(均P<0.01)。
电针联合穴位注射治疗EPISBO疗效满意。