经皮穴位电刺激治疗脑损伤患者胃排空障碍的疗效观察

目的观察经皮穴位电刺激(TEAS)治疗重症脑损伤患者胃排空障碍的临床疗效。方法将56例重症脑损伤患者随机分为两组,TEAS组28例,常规治疗组28例。常规治疗组在发生胃排空障碍后予以常规对症治疗,TEAS组在常规治疗组治疗方案的基础上采用TEAS治疗。观察两组患者治疗后1周内胃内日残留总量的变化及达到目标喂养量的时间。结果两组胃内日残留总量在观察的1周内有随时间变化而减少的趋势(P<0.05);治疗后两组患者胃内日残留总量比较,TEAS组小于常规治疗组(P<0.05);两组胃内日残留总量组间差异有随时间变化的趋势,随着治疗时间的延长,两组的胃内日残留总量减少的幅度不同,TEAS组的减少幅度大于常规治疗组(P<0.05)。TEAS组较常规治疗组更快地达到目标喂养量(P<0.05)。结论TEAS能促进重症脑损伤患者胃排空障碍的改善,更快地达到目标喂养量。

Efficacy Observation of Transcutaneous Electrical Acupoint Stimulation for Gastric Emptying Disturbance in Patients with Brain Injury

Objective To observe the clinical efficacy of transcutaneous electrical acupoint stimulation(TEAS)in treating gastric emptying disturbance in patients with severe brain injury(SBI).Method Fifty-six SBI patients were randomized into two groups,with 28 cases in the TEAS group and 28 cases in the conventional treatment group.The conventional treatment group received conventional symptomatic treatment after gastric emptying disturbance,while the TEAS group received TEAS treatment based on the treatment plan in the conventional treatment group.The change in daily gastric residual volume(GRV)during one week after treatment and the time taken to reach the target feeding volume were observed in the two groups.Result The daily GRV showed a decreasing trend with time during one week after treatment in the two groups(P<0.05);the daily GRV was smaller in the TEAS group than in the conventional treatment group after treatment(P<0.05);the between-group difference in daily GRV changed with time,and with the extending of time,the reduction in daily GRV was different between the two groups,and the reduction was more significant in the TEAS group than in the conventional treatment group(P<0.05).It took less time to reach the target feeding amount in the TEAS group than in the conventional treatment group(P<0.05).Conclusion TEAS can promote the improvement of gastric emptying disturbance and speed up reaching the target feeding amount in SBI patients.