Prevention and Treatment of Gastrointestinal Dysfunction in Patients Undergoing Thoracoscopic Surgery with Umbilical Therapy
Objective To observe the clinical efficacy of navel needle for postoperative gastrointestinal dysfunction in patients undergoing thoracoscopic surgery and explore its mechanism.Methods A hundred and twenty patients undergoing thoracoscopic surgery were randomly divided into a navel needle group and a control group using a random number table method.After anesthe-sia recovery and extubation,the patients in the navel needle group completed 30 minutes of navel needle intervention at 7:00-11:00 am every day 1～3 days after surgery,while those in the control group did not receive any treatment.The first postoperative exhaust time,first defecation time,incidence of nausea,vomiting and abdominal distension as well as the serum levels of 5-HT3,5-HT4 and 5-HT7 receptors at the time of entry,after tracheal catheter extubation,24 h and 72 h after surgery were compared between two groups.Results The first postoperative exhaust time,first defecation time,incidence of nausea,vomiting and abdomi-nal distension in the navel needle group were significantly lower than those in the control group and the difference was statistically obvious(P＜0.05).The levels of 5-HT3,5-HT4 and 5-HT7 receptors in the two groups after tracheal catheter extubation were obvious lower than those at entry,and the difference was statistically obvious(P＜0.05).The levels of 5-HT3,5-HT4 and 5-HT7 receptors in the navel needle group were obviously higher than those of the control group 24 h after surgery with statistical obvious(P＜0.05).There was no statistically obvious difference in the levels of 5-HT3,5-HT4 or 5-HT7 receptors between the two groups 72 h after surgery(P＞0.05).Conclusion Navel needle may treat postoperative gastrointestinal dysfunction in tho-racoscopic patients by promoting the recovery of 5-HT3,5-HT4 and 5-HT7 receptors.
万方数据
维普
