[1]颜依静,陈洪,温惠娟,等.针刺联合穴位贴敷治疗危重症患者胃肠功能障碍临床研究[J].陕西中医,2025,46(10):1414-1418.[doi:DOI:10.3969/j.issn.1000-7369.2025.10.023]
　YAN Yijing,CHEN Hong,WEN Huijuan,et al.Therapeutic observation of acupuncture plus acupoint application for gastrointestinal dysfunction in critically patients[J].,2025,46(10):1414-1418.[doi:DOI:10.3969/j.issn.1000-7369.2025.10.023]
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针刺联合穴位贴敷治疗危重症患者胃肠功能障碍临床研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年10期
页码:
1414-1418
栏目:
针灸经络
出版日期:
2025-10-05

文章信息/Info

Title:
Therapeutic observation of acupuncture plus acupoint application for gastrointestinal dysfunction in critically patients
作者:
颜依静; 陈洪; 温惠娟; 周俏苑; 罗静
（广州中医药大学惠州医院，广东 惠州 516000）
Author(s):
YAN Yijing; CHEN Hong; WEN Huijuan; ZHOU Qiaoyuan; LUO Jing
(Guangzhou University of Chinese Medicine Huizhou Hospital，Huizhou 516000，China）
关键词:
胃肠功能障碍; 针刺疗法; 穴位贴敷法; 重症患者; 胃潴留量; 足三里; 神阙穴
Keywords:
Gastrointestinal dysfunction; Acupuncture therapy; Acupressure; Critically patients; Gastric retention volume; Zusanli acupoint; Shenque acupoint
分类号:
R 246.1
DOI:
DOI:10.3969/j.issn.1000-7369.2025.10.023
文献标志码:
A
摘要:
目的：探讨针刺联合穴位贴敷对危重症患者胃肠功能障碍的临床疗效。方法：将60例患者随机分为对照组和观察组，每组各30例。对照组采用常规西医治疗，包括早期胃肠内营养、胃肠减压、调节肠道菌群及促胃肠动力治疗；观察组在对照组治疗基础上，用针刺足三里联合吴茱萸贴敷神阙穴治疗。观察指标包括治疗前后胃肠功能障碍评分、腹围、平均胃潴留量（MGRV）、急性胃肠损伤分级（AGI）、急性生理学和慢性健康状况评价系统Ⅱ（APACHEⅡ）、中医证候积分及电解质水平的变化，并对两组临床疗效进行比较。结果：治疗后，观察组总有效率为83.33%，显著高于对照组的66.67%，组间比较差异具有统计学意义（P<0.05）。两组患者的腹围、MGRV、AGI分级、APACHEⅡ评分、中医证候积分及电解质水平均较治疗前显著改善，且观察组的改善程度优于对照组，差异均具有统计学意义（P<0.05）。观察组治疗后胃肠功能障碍分级与治疗前及对照组相比，差异无统计学意义。结论：针刺联合穴位贴敷治疗危重症患者胃肠功能障碍的临床疗效优于单纯西医治疗，可有效改善患者胃肠功能障碍及整体病情。
Abstract:
Objective:Observation on the efficacy of acupuncture and moxibustion combined with acupoint patch on gastrointestinal dysfunction in critically ill patients.Methods:Sixty patients were randomly divided into two groups,30 in the control group and 30 in the observation group.The control group was given symptomatic treatments,such as early enteral nutrition,gastrointestinal decompression,regulation of intestinal flora and gastrointestinal dynamics.On the basis of the control group,the observation group got acupoint application of Wuzhuyu at Zusanli acupoint.Before and after the treatment,the abdominal circumference,mean gastric residue volume (MGRV),gastrointestinal dysfunction score,acute gastrointestinal injury (AGI),acute physiology and chronic health status evaluation system Ⅱ (APACHE Ⅱ) were observed in both groups,and the clinical efficacy was compared.Results:After the treatment,both groups showed notable improvements in the scores(P<0.05),and the observation group was lower than the control group in comparing these scores(P<0.05).The observation group achieved a total effective rate of 83.33%,higher than 66.67% in the control group,showing statistical significance(P<0.05).The TCM evidence points,gastrointestinal dysfunction scores,abdominal circumference,average gastric residual volume,AGI classification,and APACHE Ⅱ scores of the two groups decreased after treatment compared with those of the same group before treatment (P<0.05),and the scores of the observation group were lower than those of the control group,and the difference was statistically significant (P<0.05).Conclusion:Acupuncture plus acupoint application can produce more significant clinical efficacy than conventional western medicine treatment alone，improving gastrointestinal gysfunction in critically patients.

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备注/Memo

备注/Memo:
广东省科技计划项目（2023A1114100009）；广东省惠州市科技计划项目（2022CZ010168）
更新日期/Last Update: 2025-10-10