Effect Of The Post-operative Gastrointestinal Function In Gastric Cancer By Enhanced Recovery After Surgery Combined With Acupuncture

Objective: To explore Effect of the post-operative gastrointestinal function in gastric cancer by enhanced recovery after surgery combined with acupunctureMethods: 100 patients with gastric cancer who underwent laparotomy and endoscopic surgery were randomly divided into 4 groups.25 patients underwent open ERAS concept management group,25 patients underwent open ERAS combined acupuncture group,and 25 patients underwent simple endoscopic ERAS concept management.Mirror ERAS combined acupuncture group 25 cases;Both groups were given conventional gastrointestinal surgery care and treatment?Open ERAS combined acupuncture group and endoscopic ERAS combined acupuncture group after surgery took Sanli,Hegu,Guan Yuan,Tianshu,Zusanli and on the giant points,with a needle to slowly twist into the acupuncture points above the needle,needle 30 min,Every 10 min needle 1 times,1 time / d,a total of 5d.Patients in each group were recorded after the first exhaust treatment time,defecation,bowel sounds recovery time,postoperative hospital stay,incidence of complications and efficacy,Open surgeryERAS group and endoscopic ERAS group operation time and intraoperative blood loss.Results: Endoscopic ERAS group was significantly less than open ERAS group in operative time,intraoperative blood loss,initial exhaust,defecation time,bowel sounds recovery time and postoperative hospital stay(P<0.01),in reducing the complications were better than the open ERAS group(P<0.05),meanwhile clinical efficiency than open ERAS group(P<0.05);Endoscopic ERAS combined with acupuncture group was significantly shorter than the open ERAS combined acupuncture group in the first exhaust,defecation time,bowel sound recovery time,postoperative hospital stay(P<0.01),In reducing the complications were better than open ERAS combined acupuncture group(P<0.05),meanwhile clinical efficiency than open ERAScombined acupuncture group(P<0.05);Endoscopic ERAS combined acupuncture group was significantly shorter than the endoscopic ERAS group in the first exhaust,defecation time,bowel sounds recovery time,postoperative hospital stay(P<0.01),There was no statistical difference between the two groups in reducing complications(P>0.05),At the same time there is no significant difference in the overall clinical between the two groups efficiency(P>0.05);The open ERAS combined acupuncture group was significantly shorter than the open ERAS in the first episode of exhaust,defecation,bowel sounds recovery,postoperative length of stay(P<0.01),There was no statistical difference between the two groups in reducing complications(P>0.05),At the same time there is no significant difference in the overall clinical between the two groups efficiency(P>0.05).Conclusions: ERAS combined with acupuncture can significantly promote gastrointestinal function recovery reduce complications and reduce hospitalization time after laparotomy or laparoscopic radical gastrectomy,at the same time,laparoscopic surgery in this area more advantages than laparotomy.