[Clinical Trial of Electroacupuncture Treatment for Relieving Stress Responses in Patients Undergoing Gastrointestinal Surgery].
[Clinical Trial of Electroacupuncture Treatment for Relieving Stress Responses in Patients Undergoing Gastrointestinal Surgery].
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DOI：
10.13702/j.1000-0607.170617
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发表时间：
2018-12-25
期刊：
影响因子：
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通讯作者：
Diao, Ren-Zheng
中科院分区：
文献类型：
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作者：
Geng, Yan-Xia;Chen, Dong;Diao, Ren-Zheng
目的：观察电针足三里、内关对胃肠手术患者应激反应的影响。方法：将40例胃肠手术患者随机分为常规治疗组(对照组)和电针组(每组20例)。电针组给予常规治疗(术前、术后禁食、胃肠减压、肠外营养支持、病人自控镇痛泵等)。电针(2 Hz，30min)刺激双侧ST-36和PC-6(术后2次，间隔6h)，对照组仅给予常规治疗。采用视觉模拟评分(VAS)评定患者疼痛程度，术后24 h内每隔4~6h检测一次血糖。用化学发光法测定血清皮质醇(CORT)、促肾上腺皮质激素(ACTH)水平，用ELISA法测定血清D-乳酸水平。结果：电针组治疗后血清皮质醇、ACTH、D-乳酸水平及最高血糖均明显低于对照组(P
OBJECTIVE: To observe the therapeutic effect of electroacupuncture (EA) at Zusanli (ST 36) and Neiguan (PC 6) on stress responses of patients undergoing gastrointestinal surgery.METHODS: A total of 40 patients undergoing gastrointestinal surgery were randomized into conventional treatment group (control) and EA group (n＝20 in each group). Patients of the EA group received conventional treatment (pre- and post-surgical fasting, measures for gastrointestinal decompression, parenteral nutrition support, and patient controlled analgesia pump, etc.) and EA stimulation (2 Hz, 30 min) of bilateral ST 36 and PC 6 (twice after surgery, at an interval of 6 h), and patients of the control group received conventional treatment only. The visual analogue scale (VAS) score was used to assess the patients' pain severity and the blood glucose levels were detected once every 4－6 h within 24 h after operation. Serum cortisol (Cort) and adrenocorticotropic hormone (ACTH) levels were detected by chemiluminescence method, and serum D-lactic acid level (for assessing gastrointestinal mucosal injury) was assayed by ELISA.RESULTS: After the treatment, the levels of serum Cort, ACTH, D-lactate acid and the highest blood glucose were significantly lower in the EA group than those in the control group (P