Detection Of The Auricular Sensitive Acupoints In Patients Undergoing Distal Gastrectomy

[Objective] To detect the auricular sensitive acupoints in patients who will be treated with distal gastrectomy. To summarized the distribution and the change trends of auricular sensitive acupoints at different time points on patients undergoing distal gastrectomy. And to identify its’influencing factors. Analysising and summarizing the auricular sensitive acupoints closely related to the postoperative recovery of gastrointestinal motility function. Then developing directed prescription auricular acupoints. It will provide a reference to which auricular acupoints may better be used in the early recovery of gastrointestinal motility function after distal gastrectomy.[Methods] All patients came from Department of Digestive Tumor Surgery, Affiliated Hospital of Nanjing University of TCM, who were diagnosed with gastric cancer.And they were treated with elective surgery from December-2013 to December-2014. Assessing and recording the symptoms and signs of them at different time points. Detecting and recoding the auricular acupoints by using auricular points detector (XS-100A) which is made by Komatsu Nanjing Institute of Medical Instruments. Statistical analysis for variables of the rate of positive reaction points was performed by the Chi-square test or Fisher’s exact. Logistic regression analyses were applied to study the association between the symptoms and signs and the auricular sensitive acupoints.[Results] Auricular sensitive acupoints with high rate at different time points concluded shenmen, bladder, kidney, pancreas and gallbladder, liver, spleen, large intestine, small intestine, duodenum, stomach, cardia, esophagus, heart, triple burner, endocrine, sympathetic, abdomen, brain stem, subcortex, rectum et al. Auricular sensitive acupoints which throughout the recovery of gastrointestinal function after distal gastrectomy were shenmen, pancreas and gallbladder, large intestine, small intestine, duodenum, stomach, triple burner, endocrine, sympathetic, abdomen, brain stem, subcortex.[Conclusions] Shenmen, pancreas and gallbladder, large intestine, small intestine, duodenum, stomach, triple burner, endocrine, sympathetic, abdomen, brain stem, subcortex had been considered to have highly relevant correlation with the recovery of gastrointestinal function after distal gastrectomy which may provide evidence for the clinical acupoint prescription for the recovery of gastrointestinal function after distal gastrectomy. However, further rigorous studies are needed to be intensively conducted toverify its efficacy.