针刺辅助对全身麻醉妇科腹腔镜手术患者术后康复及术后并发症的影响
Effect of Acupuncture as Adjuvant Therapy on Postoperative Rehabilitation and Complications of Gynecological Laparoscopic Surgery Under General Anesthesia
宁凤华 1贾鹏 1宋美美1
作者信息
- 1. 061000,河北 沧州,河北省沧州中西医结合医院麻醉科
- 折叠
摘要
目的 探讨针刺辅助对全身麻醉妇科腹腔镜手术患者术后康复及术后并发症的影响,以提高治疗效果及手术安全性.方法 选取2022 年2 月至2024 年2 月收治的全身麻醉妇科腹腔镜手术患者 100 例,采用随机数字表法分为针刺组和常规组各50 例,常规组术后采用常规干预,针刺组在常规组基础上采用针刺辅助干预,患者均干预至出院.干预后比较常规组和针刺组患者治疗效果,术后恢复情况[术后排气时间、术后排便时间、疼痛持续时间、切口愈合时间、术后首次下床时间、术后住院时间],手术结束时、术后1d、术后3d疼痛视觉模拟评分法(VAS)评分,干预前后中医证候积分及术后并发症发生率.结果 针刺组治疗总有效率高于常规组(P＜0.05).干预后,针刺组术后排气时间、术后排便时间、疼痛持续时间、切口愈合时间、术后首次下床时间、术后住院时间均短于常规组(P＜0.01).术后1d,针刺组疼痛VAS评分低于常规组(P＜0.05).干预后2 组中医证候积分均降低,且针刺组中医证候积分低于常规组(P＜0.05,P＜0.01).干预后,针刺组术后并发症总发生率低于常规组(P＜0.05).结论 针刺辅助治疗能够有效促进全身麻醉妇科腹腔镜手术患者术后康复,减轻患者术后疼痛,改善患者中医症状,降低术后并发症发生率,提高手术安全性.
Abstract
Objective To investigate the effect of acupuncture as adjuvant therapy on postoperative rehabilitation and complications of gynecological laparoscopic surgery under general anesthesia,to improve therapeutic efficacy and surgical safe-ty.Methods A total of 100 patients undergoing gynecological laparoscopic surgery under general anesthesia treated from February 2022 to February 2024 were selected and divided into the acupuncture group(n=50)and the conventional group(n=50)by random number table method.The conventional group received conventional intervention after surgery,while the acupuncture group received needle-assisted intervention on the basis of the conventional group.All patients were treated until discharge.After intervention,the therapeutic effect of patients,the postoperative recovery conditions[postoperative exhaust time,postoperative defecation time,pain duration,incision healing time,the first time of off-bed activity after surgery,dura-tion of postoperative hospitalization],visual analogue scale(VAS)pain score at the end of surgery,1 day after surgery,and 3 days after surgery,as well as traditional Chinese medicine(TCM)syndrome integrals and incidence of postoperative compli-cations before and after intervention,were compared between the conventional group and the acupuncture group.Results The total effective rate of acupuncture group was higher than that of conventional group(P＜0.05).After intervention,the postoperative exhaust time,postoperative defecation time,pain duration,incision healing time,the first time of off-bed activi-ty after surgery and duration of postoperative hospitalization in acupuncture group were all shorter than those in conventional group(P＜0.01).At 1 d after surgery,the VAS pain score of acupuncture group was lower than that of conventional group(P＜0.05).After intervention,the TCM syndrome integrals of both groups were decreased,which were lower in acupuncture group than in conventional group(P＜0.05,P＜0.01).After intervention,the total incidence of postoperative complications in acupuncture group was lower than that in conventional group(P＜0.05).Conclusion Acupuncture assisted treatment can effectively promote the postoperative rehabilitation of patients undergoing gynecological laparoscopic surgery under general an-esthesia,reduce the postoperative pain,improve the TCM symptoms,reduce the incidence of postoperative complications and improve surgical safety.
关键词
针刺/全身麻醉/腹腔镜/妇科外科手术/术后排气时间/中医证候/术后疼痛/手术后并发症Key words
Acupuncture/General anesthesia/Laparoscopy/Gynecological surgery/Postoperative exhaust time/TCM syndrome/Postoperative pain/Postoperative complications引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据