The Efficacy of Lu's Acupuncture on Gastrointestinal Dysfunction and Postoperative Pain in Patients with Gastrointestinal Tumors Following Laparoscopic Surgery
WANG Qiuyue, ZHONG Xueling, JIN Zhu
Department of Acupuncture, Shanghai Seventh People's Hospital, Shanghai 200137
Abstract：【Objective】To investigate the efficacy of Lu's acupuncture on gastrointestinal dysfunction and pain in patients with gastrointestinal tumors after laparoscopic surgery.【Methods】Sixty patients requiring laparoscopic surgery for gastrointestinal tumors were randomly divided into an observation group and a control group, with 30 patients in each group. The control group received conventional postoperative treatment, while the observation group received intervention with Lu's acupuncture to strengthen the spleen and promote bowel function. The postoperative inflammatory factors [interleukin-6(IL-6), procalcitonin(PCT), and high-sensitivity C-reactive protein (hs-CRP) levels], pain scores at 48 hours post-surgery, incidence of gastrointestinal adverse reactions, and recovery status were compared between the two groups.【Results】On the fifth postoperative day, the levels of IL-6, PCT, and hs-CRP, the pain score (VAS) at 48 hours post-surgery, and the incidence of gastrointestinal adverse reactions in the observation group were significantly lower than those in the control group (P<0.05). The recovery time for bowel sounds, the time of first getting out of bed and the time of first eating after surgery were all shorter in the observation group compared to the control group (P<0.05).【Conclusion】The application of Lu's acupuncture significantly improves gastrointestinal function and pain level in patients with gastrointestinal tumors after laparoscopic surgery and reduces the incidence of gastrointestinal adverse reactions.
王秋月, 钟雪菱, 金珠. 陆氏针灸对胃肠肿瘤患者腹腔镜术后胃肠功能紊乱、疼痛的影响*[J]. 医学临床研究, 2024, 41(11): 1648-1650.
WANG Qiuyue, ZHONG Xueling, JIN Zhu. The Efficacy of Lu's Acupuncture on Gastrointestinal Dysfunction and Postoperative Pain in Patients with Gastrointestinal Tumors Following Laparoscopic Surgery. JOURNAL OF CLINICAL RESEARCH, 2024, 41(11): 1648-1650.
[1] LI H J, LIN Y Y, MA X D, et al.Systematic evaluation of guidelines for laparoscopic surgery and endoscopic management for colon cancer[J].Langenbecks Arch Surg,2023, 408(1): 76. [2] 姚红爱,谭洪婧,王波,等.超声引导下TAPB对老年腹腔镜手术疼痛应激及胃肠功能的影响[J].中国老年学杂志,2024,44(3):548-551. [3] 杨柳,黄双燕,王历刚,等.不同灸法在胃肠肿瘤病人护理中的应用效果观察[J].护理研究,2023,37(8):1484-1487. [4] 黄丽,王秋月,张小晋,等.陆氏健脾和胃针刺法治疗代谢综合征的随机对照研究[J].世界中医药,2024,19(14):2166-2170. [5] 黄竞威,郝霞,江顺波,等. 超声引导下中医内热针治疗腰椎内固定术后腰痛的疗效分析及对血清5-HT、SP、β-EP水平的影响[J].中国现代医学杂志,2023,33(18):52-58. [6] BEN-AHARON I, LAARHOVEN H, FONTANA E, et al.Early-onset cancer in the gastrointestinal tract is on the rise-evidence and implications[J].Cancer Discov,2023,13(3):538-551. [7] 杨猛.胃肠道恶性肿瘤患者行腹腔镜手术的应用进展研究[J].中国医疗器械信息,2021,25(10):25-26. [8] 覃巨林.腹腔镜手术对胃肠肿瘤患者营养状况及术后并发症的影响[J].中外医学研究,2020,18(16):142-144. [9] 陈孟,邓明.针灸联合药物治疗胃肠肿瘤化疗患者胃肠道反应疗效观察[J].现代中西医结合杂志,2016,25(15):1664-1666. [10] 陈亦琳,焦建东,王立新.针刺、隔姜灸及温针灸对比格拉斯琼对顺铂类化疗患者不同阶段胃肠反应的影响[J].上海针灸杂志,2020,39(4):431-435. [11] 李明哲,陶江涛,梁振新.温针灸联合健脾通络方治疗对类风湿性关节炎患者炎症因子和骨代谢的影响[J].实用医学杂志,2023,39(10):1305-1310. [12] 刘春英,刘春燕,余锐.胃瘫外敷方敷贴中脘、神阙穴联合针灸治疗老年肿瘤患者胰十二指肠术后胃瘫疗效研究[J].陕西中医,2023,44(8):1133-1136. [13] PETTERSSON P, WENGSTRÖM Y.Acupuncture prior to surgery to minimise postoperative nausea and vomiting: a systematic review[J].J Clin Nursing,2012,21(13-14):1799-1805. [14] 高丽丽,沙滔,尹菊,等.针灸防治肿瘤患者化疗不良反应的研究进展[J].辽宁中医杂志,2020,47(2):217-220. [15] 潘慧,李佳,赵雨,等.电针足三里、内关对开腹术后胃肠功能障碍的影响:随机对照试验[J].针刺研究,2016,41(5):457-461.
2024, Vol. 41 
