Effect of Acupoint Injection Combined with Ventral Massage in Neurosurgical Patients with Gastric Retention Affter Enteral Nutrition

Abstract

Objective To investigate the effect of acupoint injection combined with ventral massage in neurosurgical patients with gastric retention after enteral nutrition. Methods A total of 102 patients with gastric retention after enteral nutrition were randomly divided into observation group (51 cases) and control group (51 cases) from Jun. 2015 to Oct. 2016. The patients of control group were treated with acupoint injection of metoclopramide while the patients of the observation group were additionally treated with ventral massage based on the treatment of control group. Two groups were treated for 7 d. To observe clinical effect, GCS score, gastric residual, vomiting, abdominal distention and abdominal circumference change. Results The total effective rate of observation group was 96.08% whereas that of control group was 82.35%, implying that the effective rate of observation group was significantly higher than that in control group (P < 0.05). Compared with before treatment, GCS scores increased significantly after treatment in two groups (P < 0.01), GCS score of observation group increased more significantly than that in control group after treatment (P < 0.01). Gastric residual volume of observation group was significantly lower than that in control group after treatment (P < 0.01); vomiting incidence and abdominal distention incidence of observation group were significantly lower than those in control group after treatment (P < 0.05); abdominal circumference change of observation group was significantly higher than that in control group after treatment (P < 0.01). Conclusion Acupoint injection combined with ventral massage has a significant effect on improving GCS score, reducing gastric residual and decreasing occurrence of vomiting and abdominal distension in neurosurgical patients with gastric retention after enteral nutrition.