首页|腹部中药穴位贴敷对腹腔镜胃肠手术患者腹胀程度及胃肠功能恢复的影响

腹部中药穴位贴敷对腹腔镜胃肠手术患者腹胀程度及胃肠功能恢复的影响

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目的 探讨腹部中药穴位贴敷在腹腔镜胃肠手术患者中的应用效果.方法 选取2019年5月—2023年5月菏泽市中医医院收治的 70 例腹腔镜胃肠手术患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 35例.对照组采用常规干预,观察组在对照组基础上采用腹部中药穴位贴敷干预,均持续干预至术后 72 h.对比两组患者的腹胀、腹痛及恶心呕吐程度、胃肠功能恢复情况及血清胃肠激素水平.结果 干预后,观察组的腹胀、腹痛及恶心呕吐评分均低于对照组,组间差异有统计学意义(P<0.05);观察组的肠鸣音恢复、肛门排气、肛门排便时间分别为(17.44±2.36)h、(20.26±3.79)h、(28.79±4.10)h,均短于对照组的(22.03±3.85)h、(24.31±3.47)h、(36.11±5.02)h,组间差异有统计学意义(P<0.05);两组的胃动素、胃泌素、胆囊收缩素、生长抑素水平比较,组间差异无统计学意义(P>0.05).结论 腹部中药穴位贴敷可减轻腹腔镜胃肠手术患者的腹胀、腹痛及恶心呕吐程度,加快其胃肠功能恢复.
Effect of Abdominal Traditional Chinese Medicine Acupoint Application on Abdominal Distension Degree and Gastrointestinal Function Recovery in Patients Undergoing Laparoscopic Gastrointestinal Surgery
Objective To investigate the effect of abdominal traditional Chinese medicine acupoint application in patients undergoing laparoscopic gastrointestinal surgery.Methods A total of 70 patients undergoing laparoscopic gastrointestinal surgery in Heze Traditional Chinese Medicine Hospital from May 2019 to May 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group was treated with routine intervention,and the observation group was treated with abdominal traditional Chinese medicine acupoint application on this basis of the control group.Both groups continued the intervention until 72 h after surgery.The degree of abdominal distension,abdominal pain,nausea and vomiting,gastrointestinal function recovery and serum gastrointestinal hormone levels were compared between the two groups.Results After intervention,the scores of abdominal distension,abdominal pain,nausea and vomiting in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05);the time of bowel sound recovery,anal exhaust and anal defecation in the observation group were(17.44±2.36)h,(20.26±3.79)h and(28.79±4.10)h,respectively,which were shorter than(22.03±3.85)h,(24.31±3.47)h and(36.11±5.02)h in the control group,the differences between the groups were statistically significant(P<0.05);there were no significant differences in the levels of motilin,gastrin,cholecystokinin and somatostatin between the two groups(P>0.05).Conclusion Acupoint application of abdominal Chinese medicine can alleviate abdominal distension,abdominal pain,nausea and vomiting in patients undergoing laparoscopic gastrointestinal surgery,and accelerate the recovery of gastrointestinal function.

Laparoscopic gastrointestinal surgeryAbdominal traditional Chinese medicine acupoint applicationAbdominal distensionGastrointestinal functionSerum gastrointestinal hormones

李印虎

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菏泽市中医医院外一科,山东菏泽 274000

腹腔镜胃肠手术 腹部中药穴位贴敷 腹胀 胃肠功能 血清胃肠激素

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(17)