Objective To observe the clinical therapeutic effect of acupuncture of Huatuo Jiaji(EX-B2)in the treatment of gastrointestinal dysfunction in sepsis patients

aiming at providing new clinical approach and evidence for improving septic gastrointestinal activity.Methods A total of 40 patients with septic gastrointestinal dysfunction who met our inclusive criteria were randomly divided into control group and treatment group(n=20 cases in each).Patients in the control group received routine treatment of nasogastric mosapride citrate(5 mg/time

three times a day)and tifidobacterium triple viable capsules(420 mg

twice a day)

intravenous infusion of omeprazole(40 mg

twice a day)

rational dose of antibiotics

maintenance treatment of functions of the heart

lung

brain

kidney and other important organs and water electrolyte balance

as well as symptomatic treatment.Patients of the treatment group were treated by acupuncture of EX-B2 on the basis of routine treatment mentioned above in the control group.The acupuncture needle was inserted into EX-B2

twirled for a while and retained for 30 min

once a day for10 successive days.The acute physiology and chronic health evaluation(APACHE II)score was given according to Knaus and colleagues' method

the intra-abdominal pressure was detected by using a manometer which was connected to an inserted canal in the urinary bladder

and the intragatric residul volume detected by using an injection syriange pumping via a nasal feeding tube.Results After the treatment

the APACHE II score

intra-abdominal pressure and intragastric residual volume on day 10 were significantly decreased in both groups in comparison with their own pre-treatment(P<0.05)

while the borborygmus levels on day 10 were considerably increased in both groups relevant to their own pre-treatment(P<0.05).The APACHE II scores

intraabdominal pressure and intragastric residual volume on day 3

6 and 10 were significantly lower in the treatment group than those in the control group(P<0.05)

whereas the borborygmus levels at the 3 rd

6 th and 10 th day in the treatment group were apparently higher than those of the control group(P<0.05).Conclusion Acupuncture stimulation of EX-B2 has a good curative effect in improving gastrointestinal dysfunction in sepsis patients.