Acupuncture Combined with Early Enteral Nutrition on Patients with Postoperative Laparoscopic Common Bile Duct Exploration: A Prospective Randomized Trial
Autor: | Qi Xiang, Hai-cheng Yuan, Wang Cai, Nan Zhang, Wei-jing Qin |
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Rok vydání: | 2019 |
Předmět: |
Adult
medicine.medical_specialty Acupuncture Therapy 0211 other engineering and technologies 02 engineering and technology Zusanli 030226 pharmacology & pharmacy law.invention 03 medical and health sciences Enteral Nutrition Postoperative Complications 0302 clinical medicine Acupuncturist Randomized controlled trial law 021105 building & construction medicine Acupuncture Humans Pharmacology (medical) Prospective Studies Aged Postoperative Care Bile duct business.industry people.profession General Medicine Length of Stay Middle Aged Abdominal distension Combined Modality Therapy Surgery Choledocholithiasis Parenteral nutrition medicine.anatomical_structure Complementary and alternative medicine Laparoscopy medicine.symptom people Gastrointestinal function business |
Zdroj: | Chinese Journal of Integrative Medicine. 26:769-775 |
ISSN: | 1993-0402 1672-0415 |
DOI: | 10.1007/s11655-019-3048-0 |
Popis: | To assess the efficiency of acupuncture combined with early enteral nutrition (EEN) in patients with postoperative laparoscopic common bile duct exploration. 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 group. Twelve 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 groups. Acupuncture 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 sensation. The needles were maintained for 30 min. Treatment was given once daily, 3 times per section. After 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 groups. Postoperative time to first anal exhaust in the convenitional group was longer compared with the other 3 groups (P |
Databáze: | OpenAIRE |
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