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针刺对腰椎融合术后胃肠功能障碍效果分析

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目的 观察针刺对腰椎融合术后胃肠功能障碍的作用。方法 收集2021年8月-2022年12月于辽宁省人民医院骨科住院并行腰椎后路融合手术术后患者80例。按照随机分组原则,针刺组44例,非针刺组36例。刺穴位包括天枢、中脘、足三里。观察胃肠功能情况及满意度。结果 针刺组在术后腹胀痛、便秘、胃肠功能障碍的发生率低于非针刺组(P<0。05)。在术后术后初次排气、排便时间上快于非针刺(P<0。01)。针刺组与非针刺组胃肠道症状改善以及生活质量改善的满意度均优于非针刺组(P<0。05)。结论 腰椎融合术后胃肠功能障碍的发生率高,通过针刺能有预防以及效降低胃肠功能障碍的发生率,有效促进术后排气、排便,对于对于缓解术后腹胀痛起到明显作用,加速患者快速康复,提高患者满意度。
Analysis of The Effect of Acupuncture on Gastrointestinal Dysfunction after Lumbar Fusion
Objective The effect of acupuncture on gastrointestinal dysfunction after lumbar fusion was observed.Methods 80 patients hospitalized in orthopedic department of Liaoning Provincial People's Hospital during the period from August 2021 to De-cember 2022 were collected.According to the principle of randomization,44 people were in the acupuncture group and 36 people in the non-acupuncture group.The acupuncture points include Tianshu,Zhongwan and Zusanli.Gastrointestinal function and sat-isfaction were observed.Results The incidence of postoperative abdominal distension,constipation,and gastrointestinal dysfunction was lower in the acupuncture group than in the non-acupuncture group(P<0.05).Primary postoperative exhaust and defeca-tion time were faster than non-acupuncture(P<0.01).The satisfaction with the improvement of gastrointestinal symptoms and quality of life in the non-acupuncture group was better than that in the non-acupuncture group(P<0.05).Conclusion The in-cidence of gastrointestinal dysfunction after lumbar fusion is high,which can prevent and reduce the incidence of gastrointestinal dysfunction,effectively promote postoperative exhaust and defecation,play an obvious role in relieving postoperative abdominal distension and pain,accelerate the rapid recovery of patients,and improve patient satisfaction.

gastrointestinal dysfunctionacupunctureaccelerated rehabilitation surgerylumbar fusioncomplications

张博华、刘军、任伟剑、邹德峰、张书博、徐贯彭、孙邵铜、刘莛予

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辽宁省人民医院,辽宁沈阳 110016

四川大学华西临床医学院,四川成都 610044

胃肠功能障碍 针刺 加速康复外科 腰椎融合术 并发症

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(9)