Acupuncture Combined with Early Enteral Nutrition on Patients with Postoperative Laparoscopic Common Bile Duct Exploration:A Prospective Randomized Trial

作     者：YUAN Hai-cheng XIANG Qi ZHANG Nan QIN Wei-jing CAI Wang YUAN Hai-cheng;XIANG Qi;ZHANG Nan;QIN Wei-jing;CAI Wang

作者机构：Department of Minimally Invasive SurgeryTianjin Nankai HospitalTianjin(300100)China Department of Gastrointestinal SurgeryTianjin Nankai HospitalTianjin(300100)China Department of NutritionTianjin Nankai HospitalTianjin(300100)China Department of AcupunctureTianjin Nankai HospitalTianjin(300100)China 

出 版 物：《Chinese Journal of Integrative Medicine》 (中国结合医学杂志（英文版）)

年 卷 期：2020年第26卷第10期

页      面：769-775页

核心收录：

学科分类：1005[医学-中医学] 100512[医学-针灸推拿学] 10[医学] 

主　　题：laparoscopic bile duct exploration acupuncture enteral nutrition gastrointestinal function enhanced recovery after surgery 

摘      要：Objective To assess the efficiency of acupuncture combined with early enteral nutrition(EEN)in patients with postoperative laparoscopic common bile duct *** A total of 200 patients with postoperative laparoscopic bile duct exploration was randomized using sealed envelopes and assigned to the convenitional,EEN,acupuncture plus convenitional and acupuncture plus EEN groups,50 cases in each *** hours after operation,the patients in EEN groups began to receive oral enteral nutrition,and the acupuncture approach was performed by acupuncturist in acupuncture plus conventional and acupuncture plus EEN *** was given at Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39)with a depth of 15–20 mm,using the lifting-thrusting and twisting method to obtain Deqi *** needles were maintained for 30 *** was given once daily,3 times per *** the intervention,the patients’characteristics,operation time,bleeding volume,postoperative time to first anal exhaust,postoperative complications including abdominal distension,diarrhea,gastric dilatation,intestinal obstruction,pharyngodynia,incision,abdominal and pulmonary infection and postoperative hospitalization days were assessed and compared in patients among 4 *** Postoperative time to first anal exhaust in the convenitional group was longer compared with the other 3 groups(P0.05),and was shorter in the acupuncture plus EEN group than those of the convenitional,acupuncture plus convenitional and EEN groups(P0.01).The acupuncture plus EEN group showed significant decrease in the incidence of complications and less postoperative hospitalization days compared with the other groups(P0.05 or P0.01).There was no *** After laparoscopic bile duct exploration,acupuncture combined with EEN treatment significantly improves the patients’gastrointestinal function,reduces complications,and shortens postoperative hospitalization days.