穴位艾灸在重症急性胰腺炎早期肠内营养支持中的应用效果评价

Objective To evaluate the therapeutic efficacy of acupoint moxibustion in early enteral nutrition(EN) support for severe acute pancreatitis(SAP) patients complicated with gastrointestinal dysfunction. Methods This randomized controlled trial enrolled 120 SAP patients from June 2023 to June 2025, equally allocated via random number table to control group and intervention groups, with 60 cases in each group. Both groups received guidelinedirected comprehensive management with EN initiation within 24h post-admission. The intervention group received additional mild moxibustion at Zhongwan, Tianshu, Zusanli, Shangjuxu, Qihai and Shenque, administered twice daily(20min/session) for 7 consecutive days. The effect of EN implementation was compared, and gastrointestinal function, inflammatory indicators, clinical outcomes, and adverse events were detected. Results The implementation effect of EN in the intervention group was better than that in the control group(P<0.05). After intervention, the gastrointestinal function and inflammatory indexes of the intervention group were better than those of the control group(P<0.05). The APACHE Ⅱ scores, length of ICU stay and length of hospital stay in the intervention group were better than those in the control group(P<0.05). These was no significant difference in the incidence of adverse reactions between the two gruops(P>0.05). Conclusion Hexa-acupoint moxibustion potentiates gastrointestinal function recovery in SAP patients, enhances early EN tolerance/implementation efficiency, and demonstrates favorable safety profiles.