[1]邢文婷,魏璐珊,刘星池,等.电针联合康复训练治疗腹部术后胃肠功能障碍的疗效及危险因素分析[J].陕西中医,2026,(4):544-548.[doi:DOI:10.3969/j.issn.1000-7369.2026.04.022]
　XING Wenting,WEI Lushan,LIU Xingchi,et al.The efficacy and risk factors of electroacupuncture combined with rehabilitation training for postoperative gastrointestinal dysfunction in the abdomen[J].,2026,(4):544-548.[doi:DOI:10.3969/j.issn.1000-7369.2026.04.022]
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电针联合康复训练治疗腹部术后胃肠功能障碍的疗效及危险因素分析

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年4期
页码:
544-548
栏目:
针灸经络
出版日期:
2026-04-05

文章信息/Info

Title:
The efficacy and risk factors of electroacupuncture combined with rehabilitation training for postoperative gastrointestinal dysfunction in the abdomen
作者:
邢文婷; 魏璐珊; 刘星池; 吴季祺; 汪玉平; 牛艳丽; 陈万强
（兰州大学第一医院，甘肃 兰州 730030）
Author(s):
XING Wenting; WEI Lushan; LIU Xingchi; WU Jiqi; WANG Yuping; NIU Yanli; CHEN Wanqiang
(The First Hospital of Lanzhou University,Lanzhou 730030，China)
关键词:
术后胃肠功能障碍; 电针; 康复训练; 危险因素; 胃肠道功能评估系统评分
Keywords:
Postoperative gastrointestinal dysfunction; Electroacupuncture; Rehabilitation training; Risk factors; I-FEED score
分类号:
R 246
DOI:
DOI:10.3969/j.issn.1000-7369.2026.04.022
文献标志码:
A
摘要:
目的：研究电针联合康复训练治疗对腹部术后胃肠功能障碍（POGD）的疗效及危险因素。方法：选取POGD患者93例，随机分为对照组、电针组、联合组，每组各31例。对照组给予常规治疗，电针组在对照组的基础上予电针干预，联合组在电针组的基础上进行术后康复训练。观察患者胃肠功能恢复情况、临床疗效及不良反应发生情况；Logistic回归分析影响POGD的危险因素。结果：联合组肛门排气时间、肛门排便时间、肠鸣音恢复时间、拔除胃管时间、恢复流质饮食时间短于电针组、对照组（均P<0.05）。联合组腹胀评分、腹痛评分及胃肠道功能评估系统（I-FEED）评分低于电针组、对照组（均P<0.05）。联合组总有效率（96.77%）高于电针组（80.64%）、对照组（64.52%）（均P<0.05）。Logistic回归分析显示：术后肠梗阻、合并糖尿病、年龄>60岁、首次活动时间>3 d是影响电针联合康复训练治疗腹部术后胃肠功能紊乱的危险因素（均P<0.05）。结论：电针联合康复训练能够促进POGD患者消化道功能恢复，提高临床治疗效果。年龄>60岁、合并糖尿病、术后肠梗阻、首次活动时间>3 d是影响电针联合康复训练治疗的危险因素。
Abstract:
Objective:To study the efficacy and risk factors of electroacupuncture combined with rehabilitation training in the treatment of postoperative gastrointestinal dysfunction (POGD) in the abdomen.Methods:A total of 93 patients with post-abdominal surgery digestive tract dysfunction (POGD) were selected.The patients were randomly divided into the control group,the electroacupuncture group,and the combined group,with 31 patients in each group.The control group received conventional treatment,the electroacupuncture group received electroacupuncture intervention on the basis of the control group,and the combined group received postoperative rehabilitation training on the basis of the electroacupuncture group.The recovery of gastrointestinal function,clinical efficacy,and incidence of adverse reactions of the patients were observed.Logistic regression analysis was used to analyze the risk factors affecting POGD.Results:The time of anal exhaust,anal defecation,recovery of bowel sounds,removal of nasogastric tube,and resumption of liquid diet in the combined group were shorter than those in the electroacupuncture group and the control group (all P<0.05).The abdominal distension score,abdominal pain score,and the score of the gastrointestinal function assessment system (I-FEED) in the combined group were lower than those in the electroacupuncture group and the control group (all P<0.05).The total effective rate of the combined group (96.77%) was higher than that of the electroacupuncture group (80.64%) and the control group (64.52%) (all P<0.05).Logistic regression multivariate analysis showed that postoperative intestinal obstruction,combined diabetes,age >60 years,and the first activity >3 days were risk factors affecting the gastrointestinal dysfunction after abdominal surgery when combined with acupuncture and rehabilitation treatment (all P<0.05).Conclusion:Electroacupuncture combined with rehabilitation exercises can promote the recovery of digestive tract function in patients with POGD and improve the clinical treatment effect.Age >60 years,comorbid diabetes,postoperative intestinal obstruction,and first activity time >3 days are risk factors affecting the treatment of electroacupuncture combined with rehabilitation training.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目（82073407）；甘肃省青年科技基金资助项目（23JRRA0950）；兰州大学第一医院院内基金资助项目（LDYYYN2023-98）
更新日期/Last Update: 2026-04-05