无针穿皮神经调节在胰腺脱皮术后对胃肠功能的影响和机制
Xu-Dong Wu1, Huan-Jun Yan1, Yue-Mei Xu2
1Hepatopancreatobiliary Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo University, Ningbo, China.
Scandinavian journal of gastroenterology
|September 27, 2023
概括
无针穿皮神经调节 (TN) 显著加快了胰腺双管切除术 (PD) 后的胃肠道恢复. 这种技术增强了阴道活动,减少了炎症,导致PD患者的住院时间缩短.
科学领域:
- 胃肠病学 胃肠病学
- 术后恢复 术后恢复
- 神经调节是一种神经调节.
背景情况:
- 在胰腺二管切除术 (PD) 后,胃肠道运动障碍很常见.
- 研究改善术后康复的非侵入性方法至关重要.
研究的目的:
- 评估无针穿皮神经调节 (TN) 对PD后术后康复的影响.
- 阐明TN可以改善PD后胃肠功能的机制.
主要方法:
- 41名接受PD的患者随机分为TN和Sham-TN组.
- 在手术后7天内,每天两次将TN应用于针点ST-36和PC-6.
- 用心率变化和电胃学测量阴道活动 (HF) 和胃节奏.
主要成果:
- 与假药相比,TN显著减少了第一次浮,排便和恢复饮食的时间.
- 在PD后,TN增加了正规的胃节奏活动和阴道活动 (HF).
- TN降低了血清IL-6水平,并且是短期住院的独立预测因素.
结论:
- 无针的TN加速了PD后的胃肠道恢复.
- 增强阴道活动,调节炎症反应,降低延迟胃空化的风险.
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