肠三针治疗脓毒症肠功能障碍的临床疗效观察

目的探讨电针肠三针对脓毒症肠功能障碍的改善效果。方法将60例脓毒症肠功能障碍病人，随机分为观察组和对照组，各30例，观察治疗前及治疗后7 d的临床疗效、血清炎症指标、血浆胃动素水平、胃肠功能指标、APACHE-Ⅱ评分、胃肠功能AGI评分情况。结果2组病人治疗前各指标差异均无统计学意义(P>0.05)，治疗后血清炎症指标、排便测量分、腹围、腹内压、APACHE-Ⅱ评分、胃肠功能AGI评分均下降，血浆胃动素水平、每分钟肠鸣音次数均升高，且观察组均优于对照组，差异均有统计学意义(P < 0.05~P < 0.01)；治疗7 d后观察组总有效率优于对照组(P < 0.05)。结论电针肠三针能显著增强脓毒症病人胃肠动力，减弱胃肠道炎症反应，改善胃肠道功能。

Clinical efficacy of electroacupuncture at"Intestine Three Needles"in the treatment of intestinal dysfunction in sepsis

ObjectiveTo observe the clinical efficacy of electroacupuncture at "Intestine Three Needles" in the treatment of intestinal dysfunction in sepsis.MethodsA total of 60 sepsis patients with intestinal dysfunction were randomly divided into the control group and observation group(30 cases in each group).The clinical efficacy, serum inflammatory markers, plasma motilin level, gastrointestinal function index, APACHE-Ⅱ score and gastrointestinal function AGI score in two groups were observed before and after 7 days of treatment.ResultsThere was no statistical significance in each index between two groups before treatment(P>0.05).After treatment, the serum inflammation index, measuring points of defecating, intra-abdominal pressure, abdomen circumference, APACHE-Ⅱscore and gastrointestinal AGI score decreased, the motilin level and number of bowel sounds per minute increased, and the above indexes in observation group were better than those in control group(P < 0.05 to P < 0.01).The total effective rate in observation group was better than that in control group after 7 days of treatment(P < 0.05).ConclusionsElectroacupuncture at "Intestine Three Needles" can significantly enhance the gastrointestinal motility, reduce the gastrointestinal inflammation and improve the gastrointestinal function.