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| 针刺治疗对腹壁巨大疝术后患者胃肠功能的临床观察 |
| 路夷平,叶晋生,梁燕凯,邵欣欣,于淼,冀祯,贺志坚,张洪海,王洁,王啸飞,高建新 |
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| 首都医科大学附属北京中医医院肿瘤外科北京100010 |
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| 摘要: |
| 目的:观察针刺对于腹壁巨大疝手术后患者胃肠功能恢复的临床疗效。方法:选取2015年1月—2017年12月我院收治的行巨大腹壁疝手术的患者90例，随机分为对照组和研究组，每组各45例。对照组行常规治疗，研究组在常规治疗的基础上加用针刺足三里、内关、上巨虚、公孙穴位治疗，比较两组术后肠道功能恢复效果、并发症发生情况及临床疗效。结果:研究组排气时间、首次排便时间、肠鸣音恢复时间及住院时间均明显低于对照组，差异有统计学意义(P<0.001)。术后第1天，两组腹胀、胃肠反应分级、腹痛评分比较差异无统计学意义(P>0.05)，术后第5天，研究组的腹胀、胃肠反应分级、腹痛评分均低于对照组，差异有统计学意义(P<0.001)。研究组并发症发生率为6.66%，显著低于对照组(20.00%)，差异有统计学意义(P<0.01)。研究组的总有效率为97.78%，显著优于对照组(71.11%)，差异有统计学意义(P<0.05)。结论:针刺对于腹壁巨大疝术后胃肠功能恢复具有显著作用，且能减少并发症，安全性较好。 |
| 关键词: 针刺 腹壁巨大疝术后 胃肠功能 并发症 |
| DOI：10.3969/j.issn.1007-6948.2021.05.012 |
| 投稿时间：2021-01-12 |
| 基金项目:北京中医医院院级课题暨两院合作课题(YJ201728) |
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| Clinical Observation of the Acupuncture Therapy on Gastrointestinal Function after the Operation of Giant Abdominal Incisional Hernia |
| LU Yi-ping,Ye Jin-sheng,LIANG Yan-kai |
| Department of Surgical Oncology, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing 100010, China |
| Abstract: |
| Objective To observe the clinical effect of acupuncture on recovery of gastrointestinal function after giant abdominal incisional hernia operation. Methods 90 patients were randomly divided into two groups, 45 in each group. On the basis of the routine treatment, the acupuncture group was treated with acupuncture at Zusanli, Neiguan, Shangjuxu and Gongsun points, in order to observe the effect of intestinal function recovery, complications and clinical efficacy of the acupuncture group and the control group after operation. Results The recovery time and hospitalization time of intestinal function indexes in the observation group were significantly shorter than those in the control group (P<0.05), and the incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Acupuncture has a significant effect on the recovery of gastrointestinal function after giant abdominal incisional hernia operation, which can reduce complications with high safety. |
| Key words: Acupuncture After operation of giant abdominal incisional hernia gastrointestinal function complication |
