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中药穴位热敷对急性阑尾炎腹腔镜术后胃肠运动功能的影响
曾昭,易敏,严培彩,李健,杨元东,罗汝君
0
梧州市中医医院 急诊科;梧州市中医医院 保健科;梧州市中医医院 普通外科广西梧州 543000
摘要:
目的:探讨中药穴位热敷对急性阑尾炎腹腔镜术后胃肠运动功能的影响。方法:收集2017年10月—2020年10月本院通过腹腔镜手术治疗的165例急性阑尾炎患者,根据随机数字表法将其分为两组,对照组82例术后行常规治疗,观察组83例术后在常规治疗基础上予以中药穴位热敷治疗,对比两组中医症状评分、临床疗效、胃肠激素水平及患者胃肠运动功能恢复时间。结果:观察组治疗后腹胀评分是(1.52±0.36)分,纳差评分是(1.55±0.33)分,呕吐评分是(4.77±0.56)分,腹痛评分是(1.69±0.23)分,分别低于对照组的(2.19±0.35)分、(2.24±0.29)分、(2.13±0.22)分及(2.65±0.38)分,差异有统计学意义(P<0.05);观察组总有效率是97.59%,高于对照组的89.02%,差异有统计学意义(P<0.05);观察组治疗后胃泌素(GAS)是(154.26±7.21)pg/mL,胃动素(MTL)是(230.45±15.27)pg/mL,分别高于对照组的(138.41±7.62)pg/mL、(230.45±15.27)pg/mL,差异有统计学意义(P<0.05);观察组首次排气时间是(19.86±4.58)h,首次排便时间是(32.76±4.64)h,肠鸣音恢复时间是(11.67±2.33)h,住院时间是(5.23±1.21)d,分别短于对照组的(19.86±4.58)h、(45.67±5.78)h、(18.34±3.65)h及(7.86±1.23)d,差异有统计学意义(P<0.05)。结论:中药穴位热敷可有效提升急性阑尾炎腹腔镜术后胃肠运动功能干预效果及患者胃肠激素水平,并且有助于缩短患者胃肠运动功能恢复时间。
关键词:  中药穴位热敷  脐周  内关穴  急性阑尾炎  腹腔镜  胃肠运动功能
DOI:10.3969/j.issn.1007-6948.2021.03.012
投稿时间:2020-12-25
基金项目:
Effect of Acupoint Hot Compress of Chinese Medicine on Gastrointestinal Motility after Laparoscopic Surgery for Acute Appendicitis
ZENG Zhao,YI Min,YAN Pei-cai
Abstract:
Objective To explore the effects of hot compresses on acupoints of traditional Chinese medicine on gastrointestinal motility after laparoscopic surgery for acute appendicitis. Methods 165 cases of patients with acute appendicitis who were treated by laparoscopic surgery in our hospital from October 2017 to October 2020 were collected, randomly divided into two groups according to the random number table method. 82 cases of patients in the control group were received conventional treatment after surgery, and 83 cases of observation group were treated with traditional Chinese medicine acupoint hot compress on the basis of conventional treatment after operation. The TCM symptom score, clinical efficacy, gastrointestinal hormone levels and gastrointestinal function recovery time of the two groups were compared. Results In the observation group, the abdominal distension score was ( 1 . 52 ±0 . 36 ) points, anorexia score was ( 1 . 55 ±0 . 33 ) points, vomiting score was (4.77±0.56) points and abdominal pain score was (1.69±0.23) points after treatment, which lower than (2.19±0.35) points, (2.24±0.29) points, (2.13±0.22) points and (2.65±0.38) points in the control group (P<0.05). In the observation group, the total effective rate was 97.59%, which was higher than 89.02% of the control group (P<0.05). In the observation group, the gastrin (GAS) was (154.26±7.21) pg/mL, and motilin (MTL) was (230.45±15.27) pg/mL after treatment, which were higher than ( 138 . 41 ±7 . 62 ) pg/mL, (230.45±15.27) pg/mL in the control group (P<0.05). In the observation group, the time of first defecation
Key words:  Acupoint hot compress with Chinese medicine  around the umbilicus  Neiguan point  acute appendicitis  laparoscopy  gastrointestinal motor function

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