The Effect of Acupuncture on Enteral Nutrition and Gastrointestinal Dynamics in Patients Who Have Suffered a Severe Stroke.

IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Current neurovascular research Pub Date : 2022-01-01 DOI:10.2174/1567202619666220822123023
Liang Qin, Xin-Xin Zhang, Xin Jin, Cai-Hong Cui, Chun-Zhi Tang
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引用次数: 1

Abstract

Objective: This study aimed to explore and analyze the effect of acupuncture on improving the enteral nutrition level and gastrointestinal dynamics in patients who had suffered a severe stroke.

Methods: A total of 122 patients who experienced a severe stroke who were treated in the intensive care unit of the Affiliated Hospital of Hebei University (China) between September 2021 and March 2022 were randomly divided into two groups as follows: 1) the observation group, the participants of which received acupuncture combined with early enteral nutrition (61 cases); 2) the control group, the participants of which received early enteral nutrition (61 cases). Following treatment, the hemoglobin, neutrophil count, blood glucose, albumin, pre-albumin, immediate postprandial antral area, antral contraction frequency (at 2 min), and antral motility index on days 1 and 7 of treatment were compared between the two groups.

Results: The total clinical effective rate was 96.72% in the observation group and 77.05% in the control group. The curative effect comparison between the two groups after seven days of treatment showed a lower probability of gastrointestinal bleeding, faster recovery of gastrointestinal motility, and a higher level of nutrient absorption in the observation group. Serum albumin, pre-albumin, hemoglobin, total lymphocyte count, immediate postprandial maximum (max) and minimum (mix) area of the gastric antrum, antral contraction frequency (at 2 min), and antral motility index were higher in the observation group than in the control group (P < 0.05). The difference in blood glucose levels between the two groups was not statistically significant (P > 0.05).

Conclusion: Acupuncture improved the enteral nutrition status of patients who had suffered a severe stroke and promoted gastrointestinal motility. The combination of acupuncture and early enteral nutrition could reduce damage to the gastrointestinal mucosal barrier caused by stress, changes in metabolism, and improved gastrointestinal function.

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针刺对严重脑卒中患者肠内营养和胃肠动力学的影响。
目的:探讨和分析针刺对改善重度脑卒中患者肠内营养水平和胃肠动力学的影响。方法:选取2021年9月~ 2022年3月河北大学附属医院重症监护室收治的重症脑卒中患者122例,随机分为两组:1)观察组,采用针刺联合早期肠内营养治疗(61例);2)对照组,早期给予肠内营养61例。治疗后比较两组患者治疗第1天、第7天的血红蛋白、中性粒细胞计数、血糖、白蛋白、前白蛋白、餐后即刻窦面积、2 min时窦收缩频率及窦动力指数。结果:观察组临床总有效率为96.72%,对照组为77.05%。两组治疗7天后的疗效比较显示,观察组胃肠道出血发生率较低,胃肠运动恢复较快,营养吸收水平较高。观察组患者血清白蛋白、前白蛋白、血红蛋白、总淋巴细胞计数、餐后立即胃窦最大(max)和最小(混合)面积、胃窦收缩频率(2min)、胃窦运动指数均高于对照组(P < 0.05)。两组患者血糖水平差异无统计学意义(P > 0.05)。结论:针刺可改善严重脑卒中患者的肠内营养状况,促进胃肠运动。针刺与早期肠内营养相结合,可减少应激对胃肠粘膜屏障的损害,改变代谢,改善胃肠功能。
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来源期刊
Current neurovascular research
Current neurovascular research 医学-临床神经学
CiteScore
3.80
自引率
9.50%
发文量
54
审稿时长
3 months
期刊介绍: Current Neurovascular Research provides a cross platform for the publication of scientifically rigorous research that addresses disease mechanisms of both neuronal and vascular origins in neuroscience. The journal serves as an international forum publishing novel and original work as well as timely neuroscience research articles, full-length/mini reviews in the disciplines of cell developmental disorders, plasticity, and degeneration that bridges the gap between basic science research and clinical discovery. Current Neurovascular Research emphasizes the elucidation of disease mechanisms, both cellular and molecular, which can impact the development of unique therapeutic strategies for neuronal and vascular disorders.
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