超声评估电针改善危重症患者胃动力功能的临床研究

刘宇; 贺海东; 王兰; 梁腾霄; 孔令博; 徐红日; 姜尚上; 蔡阳平

doi:10.13201/j.issn.1009-5918.2017.12.005

超声评估电针改善危重症患者胃动力功能的临床研究

- 1. 北京中医药大学东直门医院急诊科(北京, 100700);
- 2. 北京中医药大学东直门医院超声科;
- 3. 北京中医药大学东直门医院ICU
基金项目:
北京中医药大学自主选题课题 (No:2016-JYB-JSMS-024)

详细信息

通讯作者: 王兰,E-mail:wlxjok@163.com

中图分类号: R722.15

收稿日期: 2017-11-21

Ultrasound evaluation of electroacupuncture for improving gastric motility in critical patients

- 1. Department of Emergency, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China;
- 2. Department of Ultrasound, Dongzhimen Hospital, Beijing University of Chinese Medicine;
- 3. Department of intensive care unit, Dongzhimen Hospital, Beijing University of Chinese Medicine

More Information

Corresponding author: WANG Lan, E-mail: wlxjok@163.com

Received Date: 21 November 2017

摘要

摘要: 目的:探讨超声在胃动力评估的作用及电针治疗危重症胃肠功能障碍患者胃动力功能疗效。方法:纳入2016-01-2017-10期间我院综合ICU、急诊ICU病房危重病胃肠功能障碍患者60例,随机分为电针治疗组30例和常规治疗组30例,分别在治疗过程中第0、3、7天测定超声胃动力检查:胃排空时间(GET)、胃窦收缩频率(ACF)、胃窦收缩幅度(ACA)、胃窦运动指数(MI);APACHEⅡ评分;胃肠功能障碍评分;24h胃残留量;腹内压。结果:治疗第7天电针治疗组较常规治疗组,可明显改善患者超声监测下胃排空时间及胃窦收缩频率,而对胃窦收缩幅度及胃窦运动指数两组差异无统计学意义;治疗第7天电针治疗组较常规治疗组,可明显减少24h胃残留量、降低腹内压、改善APACHEⅡ评分,对胃肠功能障碍评分两组差异无统计学意义。结论:电针可改善危重症患者胃动力功能,超声可作为评估针灸治疗胃动力功能障碍疗效的实时、床旁、无创、经济、安全、客观辅助检查。
- 超声 /
- 电针 /
- 胃动力 /
- 急性胃肠损伤 /
- 胃肠功能障碍
Abstract: Objective:To investigate the role of ultrasound in the assessment of gastric motility and the therapeutic effect of electroacupuncture on gastric motility in patients with critically ill gastrointestinal dysfunction.Method:60 patients with gastrointestinal dysfunction in ICU and emergency ICU wards of Dongzhimen Hospital of Beijing University of Chinese Medicine from January 2016 to October 2017 were randomly divided into group of 30 cases treated with electroacupuncture and another group of 30 cases treated with conventional treatment.Ultrasound gastric motility examination (GET, ACF, ACA and MI), APACHEⅡ score, gastrointestinal dysfunction score, 24-hour gastric residual andintra-abdominal pressure was performed on day 0, day 3 and day 7 of treatment.Result:On the 7th day, The electroacupuncture group showed a significant improvement in the gastric emptying time and antral contraction frequency compared with the conventional treatment group, while there was no significant difference in the antral contraction amplitude and motility index between the two groups.Compared with the conventional treatment group, the electroacupuncture group could significantly reduce the gastric residual volume in 24 hours and the intra-abdominal pressure, in the meantime, improve the APACHE-II score on the 7th day.There was no significant difference in the score of gastrointestinal dysfunction between the two groups.Conclusion:Electroacupuncture is able to improve gastric motility in critically ill patients.Ultrasound can be employed as a real-time, bedside, noninvasive, economical, safe and objective auxiliary examination to evaluate the therapeutic effect of acupuncture on gastric motility dysfunction.
- ultrasound /
- electroacupuncture /
- gastric motility /
- acute gastrointestinal injury /
- gastrointestinal dysfunction

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