| 经皮穴位电刺激在改善重症脑血管病患者营养和胃动力及预后中的应用 |
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| 引用本文： | 卢乐苗,田昕.经皮穴位电刺激在改善重症脑血管病患者营养和胃动力及预后中的应用[J].中华全科医学,2022,20(4):669-672. |
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| 作者姓名： | 卢乐苗 田昕 |
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| 作者单位： | 1.丽水市中心医院针灸科，浙江 丽水 323000 |
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| 基金项目： | 浙江省中医药科技计划项目2020ZB299浙江省丽水市公益性技术应用研究计划项目2019GYX19 |
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| 摘 要： | 目的 探究早期经皮穴位电刺激(TEAS)在改善重症脑血管病(SCVD)患者营养状态、胃动力及预后情况的作用,为临床推广应用提供参考.方法 采取完全随机双盲对照的临床实验方法,选取2018年1月1日-2020年12月31日丽水市中心医院收治的重症脑血管病患者80例为研究对象,采用随机数字表法分为常规治疗组(40例)和早期...
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| 关 键 词： | 重症脑血管病 经皮穴位电刺激 胃动力 营养状态 预后 |
| 收稿时间： | 2021-11-10 |
Application of transcutaneous electrical acupoint stimulation in improving nutrition,gastric motility and prognosis of patients with severe cerebrovascular disease |
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| Affiliation: | Department of Acupuncture and Moxibustion, Lishui Central Hospital, Lishui, Zhejiang 323000, China |
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| Abstract: | Objective To explore the role of early transcutaneous electrical acupoint stimulation (TEAS) in improving the nutritional status, gastric motility and prognosis of patients with severe cerebrovascular disease (SCVD), so as to provide references for clinical application. Methods A completely randomized double-blind controlled clinical trial method was adopted, and 80 patients with SCVD admitted to Lishui Central Hospital from January 1, 2018 to December 31, 2020 were selected as the research objects, and they were randomly divided into the conventional treatment group (40 cases) and the early TEAS group (40 cases). The nutritional indexes hemoglobin (HGB), albumin (ALB), total protein (TP) and blood glucose(GLU)], total intragastric residues, ICU stay time, activity of daily living (ADL) and NIHSS scores were compared between the two groups were compared. Results There were no intergroup, time and interaction effects between the two groups of patients with HGB and GLU indicators (all P>0.05), there was no significant difference between the two groups at each time point (all P>0.05). There were inter group effects on TP, ALB and total daily residues in the stomach(all P < 0.05). In the early TEAS group, the improvement of nutrition and gastric motility was more significant (all P < 0.05), there was time effect (all P < 0.05), and there was interaction effect between grouping and time (all P < 0.05). The ICU stay time in the early TEAS group was (16.80±6.69) d, which was significantly shorter than that in the routine treatment group (13.05±6.06) d]. After 14 days of treatment, the ADL score and NIHSS score of patients in the early TEAS group were significantly improved (all P < 0.05). Conclusion Early TEAS treatment can effectively improve the nutritional status, gastric motility and prognosis of SCVD patients, and can be used for interventional therapy at the early stage of the disease. It is safe, effective, economical and easy to implement, and has great clinical application value. |
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