acupuncture versus metoclopramide in treatment of postoperative gastroparesis syndrome in abdominal surgical patients

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1、Acupunctureversusmetoclopramideintreatmentofpostoperativegastroparesissyndromeinabdominalsurgicalpatients作者：BaomuSun,MingLuo,ShengbingWu,XiaoxiaChen,MengchaoWu【摘要】　　　　Background:Postoperativegastroparesissyndrome(PGS)isacommoncomplicationafterabdomina

2、lsurgeryinpatientswithprimarylivercancer.However,surgeonsusuallydonothaveeffectivetreatmentforthem.Objective:ToexploretheeffectsofacupunctureappliedtoZusanliandotheracupointsonPGSinpatientsafterabdominalsurgery.Design,setting,participantsandinterventions:

3、SixtythreePGSpatientsofabdominalsurgery,fromEasternHepatobiliarySurgicalHospital,wererandomizedintoacupuncturegroup(32cases)andmetoclopramidegroup(31cases).ThepatientsinacupuncturegroupweretreatedwithacupunctureappliedtoZusanliandotheracupointsonceaday,w

4、hilethepatientsinmetoclopramidegroupwereintramuscularlyinjected20mgmetoclopramidethreetimesaday.Mainoutcomemeasures:Volumeofgastricdrainage,numberoftreatmentandcurerateinthe15twogroupsweremeasuredandevaluated.Results:Acupunctureandmetoclopramidecouldsigni

5、ficantlyreducegastricdrainagevolume.Inacupuncturegroup,thecureratewas90.6%andthenumberoftreatmentwas6.58±4.26,whileinmetoclopramidegroup,thecurerateandthenumberoftreatmentwere32.3%and10.13±3.60respectively.Thereweresignificantdifferencesingastricdrainagev

6、olume,curerateandnumberoftreatmentbetweenthetwogroups(P<0.05,P<0.01).Conclusion:AcupunctureisagoodtreatmentforPGS,withfewertreatments,highcurerateandrapideffect.【关键词】acupuncturetherapy;abdominalneoplasms;gastroparesis;randomizedcontrolledtrial　　Post

7、surgicalgastroparesissyndrome(PGS)isonetypeofgastricfunctionaldisordersmainlymanifestedasdelayedgastricemptying.PGSoftenoccursafterresectionofstomach,pancreas,duodenumorgallbladder,whichcanbecuredbyconservativetreatmentandwithoutmechanicalobstruction［1］.B

8、ecauseitsmainsymptomisdelayofstomachevacuation,itisalsocalledgastroplegia,delayedgastricemptyingdisease,orgastroatonia,etc.PGSasafrequentpostsurgicalcomplication15hasanincreasingincidencerateinrecentyears.Nearly2%to