Electroacupuncture Treatment Conduced Before and After Surgery Is Better in Promoting Recovery of Gastrointestinal Function in Colorectal Cancer Patients Undergoing Radical Resection

WANG Tian-yuan; MENG Jin-hai; MAI Si-cong

doi:10.13702/j.1000-0607.170381

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Electroacupuncture Treatment Conduced Before and After Surgery Is Better in Promoting Recovery of Gastrointestinal Function in Colorectal Cancer Patients Undergoing Radical Resection

更新时间：2023-08-10

- Electroacupuncture Treatment Conduced Before and After Surgery Is Better in Promoting Recovery of Gastrointestinal Function in Colorectal Cancer Patients Undergoing Radical Resection
- Acupuncture Research Vol. 43, Issue 12, Pages: 797-800(2018)
- 作者机构：
  
  1. 宁夏医科大学
  2. 宁夏医科大学总医院麻醉科
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.170381
  CLC：
- Published：2018
- 稿件说明：
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WANG Tian-yuan, MENG Jin-hai, MAI Si-cong. Electroacupuncture Treatment Conduced Before and After Surgery Is Better in Promoting Recovery of Gastrointestinal Function in Colorectal Cancer Patients Undergoing Radical Resection[J]. Acupuncture research, 2018, 43(12): 797-800.
DOI：

WANG Tian-yuan, MENG Jin-hai, MAI Si-cong. Electroacupuncture Treatment Conduced Before and After Surgery Is Better in Promoting Recovery of Gastrointestinal Function in Colorectal Cancer Patients Undergoing Radical Resection[J]. Acupuncture research, 2018, 43(12): 797-800. DOI： 10.13702/j.1000-0607.170381.

摘要

目的:探讨不同时点电针刺激对结直肠癌根治术患者术后肠功能的影响。方法:将80例择期行开腹结直肠癌根治术的患者随机分为全凭静脉麻醉组、电针一组、电针二组、电针三组

每组20例。4组均采用全凭静脉麻醉

术后给予胃肠减压、镇痛处理;电针一组术前1d

电针二组术前1d、术前30min

电针三组术前1d、术前30min、术后1d行电针刺激。术前电针刺激中脘及右侧天枢、内关、足三里、上巨虚、下巨虚

术后电针右侧内关、足三里、上巨虚、下巨虚

强度2～3mA

频率2Hz

持续30min。记录术后通气、通便、饮水、进食、胃管拔除、腹腔引流管拔除时间

胃管引流液、腹腔引流量及术后不良反应情况。结果:电针三组术后首次通气时间较全凭静脉麻醉组、电针一组、电针二组明显缩短(P<0.05);电针三组饮水时间、腹腔引流管拔除时间较全凭静脉麻醉组明显缩短(P<0.05)。4组术后排便时间、进食时间、胃肠减压量、胃管拔除时间、腹腔引流量及术后恶心、呕吐、发热等不良反应差异均无统计学意义(P>0.05)。结论:电针刺激复合静脉麻醉对结直肠癌患者术后肠功能恢复有一定的疗效

术前电针刺激预处理结合术后电针刺激治疗效果明显。

Abstract

Objective To investigate the effect of electroacupuncture(EA)at different time-points on postoperative gastrointestinal function in patients undergoing colorectal cancer surgery.Methods Eighty patients with colorectal cancer undergoing laparotomy were randomly assigned to intravenous anesthesia

EA A

EA B

and EA C groups(n=20 cases in each group).All the patients in the four groups received intravenous anesthesia with midazolam

sufentanil

cisatracurium besylate and Propofol

postoperative gastrointestinal decompression and drug analgesia.EA(2-3 mA

2 Hz)was applied to Zhongwan(CV 12)and Tianshu(ST 25)

Neiguan(PC 6)

Zusanli(ST 36)

Shangjuxu(ST 37)

Xiajuxu(ST 39)on the right side for 30 min

once(one day before surgery)in the EA A group

twice(one day and 30 min before surgery)in the EA B group

and 3 times(one day

30 min before and one day after surgery)in the EA C group.The acupoints used after surgery were PC 6

ST 36

ST 37 and ST 39.The time of postoperative ventilation

defecation

food-intake and water drinking

stomach tube removal and abdominal drainage tube removal

the volumes of stomach tube drainage and abdominal drainage

and postoperative adverse reactions were recorded.Results The first ventilation time

after surgery in the EA C group was significantly earlier than those in the intravenous anesthesia

EA A and EA B groups(P<0.05);and the water intake and abdomicnal drainage tube removal time after surgery in the EA C group were significantly earlier than those in the intravenous anesthesia group(P<0.05).No significant differences were found among the 4 groups in the time of defecation

food intake

stomach tube removal

stomach tube drainage and abdominal drainage volumes

and numbers of patients with nausea

vomiting

fever and other adverse reactions(P>0.05).Conclusion EA treatment combined with intravenous anesthesia conducted before and after surgery is effective in promoting the recovery of gastrointestinal function in patients undergoing colorectal cancer laparotomy

and is obviously better than simple pre-operative EA.

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