International Journal of Medicine and Data
International Journal of Medicine and Data. 2024; 8: (1) ; 10.12208/j.ijmd.20240012 .
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湖北中医药大学 湖北武汉
*通讯作者： 赵慧,单位：湖北中医药大学 湖北武汉；
针灸治疗在胃癌和结直肠癌术后胃肠功能紊乱的治疗中具有重要作用。针灸治疗能够明显改善患者术后胃肠功能紊乱，主要机制为调节肠道菌群，调节神经内分泌及免疫功能。针灸治疗不仅对术后胃肠功能紊乱有确切疗效，且对术后全身免疫机能、细胞因子、炎症反应及全身代谢等亦有调节作用。针灸治疗胃癌和结直肠癌术后胃肠功能紊乱，需要进一步明确其作用机制及评价方法，使其规范化、标准化，提高临床疗效。
Acupuncture therapy has an important role in the treatment of postoperative gastrointestinal dysfunction in gastric and colorectal cancer. Acupuncture and moxibustion therapy can significantly improve the postoperative gastrointestinal dysfunction of patients, and the main mechanism is to regulate the intestinal flora, and regulate the neuroendocrine and immune functions. Acupuncture not only has a definite effect on postoperative gastrointestinal dysfunction, but also regulates the systemic immune function, cytokines, inflammatory response and systemic metabolism. Acupuncture treatment for postoperative gastrointestinal dysfunction in gastric and colorectal cancers needs to be further clarified in terms of its mechanism of action and evaluation methods, so that it can be standardised to improve the clinical efficacy.
[1] Bai, Yafan, et al. "Transcutaneous electrical acupuncture stimulation (TEAS) for gastrointestinal dysfunction in adults undergoing abdominal surgery: study protocol for a prospective randomized controlled trial." Trials (2020).
[2] Liu M ,Wang C ,Wu Z , et al. Electroacupuncture for the prevention of postoperative gastrointestinal dysfunction in patients undergoing vascular surgery under general anesthesia: study protocol for a prospective practical randomized controlled trial[J].Journal of Integrative Medicine,2014,12(06): 512-519.
[3] Yang, Na-Na, et al. "Effects of electroacupuncture on the intestinal motility and local inflammation are modulated by acupoint selection and stimulation frequency in postoperative ileus mice." Neurogastroenterology & Motility (2020).
[4] 薛儒雅,王婕,曹立幸.针刺治疗腹部术后胃肠功能紊乱疗效的Meta分析[J].广州中医药大学学报,2020,37(07):1410-1416.
[5] 王一,李统虎.电针远近取穴促进直肠癌术后胃肠功能恢复研究[J].针灸临床杂志,2019,35(04):26-28.
[6] 王士源,顾沐恩,金珠等.单纯针刺促进腹部术后胃肠功能紊乱恢复的Meta分析[J].世界中医药,2018,13(11):2911-2920.
[7] 韩旭,任逸东,李庚等.针灸治疗术后胃肠功能紊乱的研究进展[J].中医临床研究,2018,10(11):138-141.
[8] 王晓秋,吴文忠,郑曼等.电针干预防治术后胃肠功能紊乱随机对照预试验[J].辽宁中医药大学学报,2018,20(06):179-182.
[9] 唐炜,季锋,袁岚.电针预处理对胃癌根治术患者术后应激反应、肠黏膜功能及炎性因子水平的影响[J].实用临床医药杂志,2021,25(16):40-44.
[10] 李小华,许志恒,陈镇瑶等.针灸对腹腔镜术后胃肠功能紊乱疗效的Meta分析[J].云南中医学院学报,2020,43(03):59-66.
[11] 周岩. 电针促进腹腔镜结直肠癌术后胃肠功能康复的临床研究[D].山东中医药大学,2021.
[12] 蒲琳,印义琼,文曰.电针对腹部手术后胃肠道功能恢复影响的随机对照研究[J].蚌埠医学院学报,2019,44(05):687-689.DOI:10.13898/j.cnki.issn.1000-2200.2019.05.036.
[13] 孙晖,张波,钱海华,等.结直肠癌根治术后温针灸干预对患者免疫功能和肠道菌群的影响[J].针刺研究, 2021, 46(7):6.
[14] 林泉营,刘皓怡.中医综合疗法对结直肠癌患者术后胃肠功能的影响[J].结直肠肛门外科, 2020(S02):2.
[15] Heng-qin, Gao. "Clinical Study on the Recovery of Gastrointestinal Function Promoted by Ginger Moxibustion and Ironing Abdomen After Sphincter Preserving Operation for Rectal Cancer." (2014).
[16] 刘雪妍,黄剑,姚昊,等.针灸对结直肠癌术后胃肠功能恢复作用的系统评价[J].世界中医药, 2023, 18(4):473-481.
[17] 刘梦阅,王成伟,文谦等.电针预防血管外科术后胃肠功能紊乱临床观察[J].中国针灸,2016,36(10):1041-1044.
[18] 敖雪仁,马凯敏,廖聪等.电针疗法对腹部手术患者胃肠功能及血清胃泌素水平的影响[J].陕西中医,2017,38(08): 1130-1131.
[19] Zhao, Hai-dong, and Wenhui Sun. "Effect of Enhanced Recovery after Surgery with Integrated Traditional Chinese and Western Medicine on Postoperative Stress Response of Patients with Gastrointestinal Tumors." Computational and Mathematical Methods in Medicine (2022).
[20] Cui, Mengying, et al. "[Effect of electroacupuncture of "Tianshu"(ST25) at different frequencies on electromyography and immunoactivity of SP and VIP of colon in rats with slow transit constipation]." Zhen ci yan jiu = Acupuncture research (2022).
[21] 冯亮亮.针灸治疗术后胃肠功能紊乱分子机制和临床应用研究进展[J].首都食品与医药, 2022, 29(12):3.