摘要
目的观察壮医药线点灸治疗脓毒性休克急性胃肠损伤的临床疗效。方法将脓毒性休克急性胃肠损伤的80例患者随机分为常规组和药线点灸组,每组40例。2组均使用甲氧氯普胺改善胃肠动力、早期肠内营养支持治疗,药线点灸组联合药线点灸治疗,疗程均为7 d。比较2组患者胃肠道功能障碍评分、腹内压、胃肠道新发并发症发生率(喂养不耐受、腹泻、胃潴留、胃肠道出血、下消化道麻痹)、入住ICU时间、28 d死亡率。结果药线点灸组胃肠道功能障碍评分、腹内压、喂养不耐受发生率、腹泻发生率、胃潴留发生率、胃肠道出血发生率、下消化道麻痹发生率较常规组低(P<0.05);药线点灸组入住ICU时间短于常规组(P<0.05),药线点灸组28 d死亡率低于常规组(P<0.05)。结论药线点灸能改善脓毒性休克急性胃肠损伤患者胃肠道功能,减少胃肠道新发并发症,缩短ICU住院时间,减低死亡率。
Objective To observe the clinical effect of medicated thread moxibustion on acute gastrointestinal injury in septic shock.Methods 80 patients with acute gastrointestinal injury in septic shock were randomly divided into normal group and medicated thread moxibustion group,with 40 patients in each group.Both groups were treated with metoclovir to improve gastrointestinal motility,with early enteral nutrition support therapy.The medicated thread moxibustion group was combined with medicated thread moxibustion treatment.The course of treatment was 7 days.Gastrointestinal dysfunction score,intra-abdominal pressure,incidence of new gastrointestinal complications(feeding intolerance,diarrhea,gastric retention,gastrointestinal bleeding,lower gastrointestinal paralysis),ICU stay and 28-day mortality were compared between the two groups.Results The score of gastrointestinal dysfunction,intra-abdominal pressure,incidence of feeding intolerance,incidence of diarrhea,incidence of gastric retention,incidence of gastrointestinal bleeding and incidence of lower gastrointestinal paralysis in medicated thread moxibustion group were lower than those in the normal group(P<0.05).The hospitalization time of the moxibustion group was shorter than that of the conventional group(P<0.05),and the mortality of the medicated thread moxibustion group on 28 days was lower than that of the normal group(P<0.05).Conclusion Medicated thread moxibustion can improve gastrointestinal function of patients with acute gastrointestinal injury due to septic shock,reduce the incidence of new gastrointestinal complications,shorten the length of stay in ICU,and reduce mortality.
作者
高天野
刘杰
黄丽英
GAO Tianye;LIU Jie;HUANG Liying(Surgical ICU Ward,Liuzhou Hospital of Traditional Chinese Medicine,Guangxi,Liuzhou 545001,China)
出处
《中国中医药现代远程教育》
2021年第8期117-119,共3页
Chinese Medicine Modern Distance Education of China
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研课题【No.Z20180372】。
关键词
脓毒症
休克
腹胀
泄泻
急性胃肠损伤
药线点灸
壮医药
sepsis
shock
acute gastrointestinal injury
abdominal distension
diarrhea
medicated thread moxibustion
Zhuang medicine
