穴位刮痧联合中药热奄包对腹腔镜手术后胃肠功能紊乱患者排便功能的影响

摘要/Abstract

摘要： 目的探讨穴位刮痧联合中药热奄包在腹腔镜术后胃肠功能紊乱患者中的应用效果。方法回顾性分析2020年3月—2022年3月平邑县中医医院收治的84例腹腔镜术后胃肠功能紊乱患者的病历有关资料,按治疗方法的不同分为两组。其中行常规西医治疗的40例患者纳入对照组,而行穴位刮痧联合中药热奄包治疗的44例患者则纳入观察组,均进行2周的治疗。对比两组患者的临床疗效、中医证候积分、恢复情况。结果观察组患者治疗总有效率高于对照组,肠鸣音恢复时间、肛门排气时间、排便时间以及下床活动时间均短于对照组,差异有统计学意义（P<0.05）。治疗前,两组患者便秘、纳差、恶心呕吐、腹胀评分相比,差异无统计学意义（P>0.05）;治疗后,观察组患者便秘、纳差、恶心呕吐、腹胀评分低于对照组,差异有统计学意义（P<0.05）。结论穴位刮痧联合中药热奄包治疗腹腔镜术后胃肠功能紊乱患者作用明显,能够明显的缓解其各项临床表现,加速排便功能改善,值得临床应用。

关键词: 腹腔镜手术, 胃肠功能紊乱, 穴位刮痧, 排便功能, 临床表现

Abstract: Objective To investigate the application effect of acupoint gua sha combined with traditional Chinese medicine hot bao in patients with gastrointestinal dysfunction after laparoscopic surgery in general surgery. Methods A retrospective analysis was performed on the medical records of 84 patients with gastrointestinal dysfunction after laparoscopic general surgery admitted to Pingyi County Hospital of Traditional Chinese Medicine from March 2020 to March 2022, and divided into two groups according to different treatment methods. Among them, 40 patients who underwent conventional Western medicine treatment were included in the control group, while 44 patients who underwent acupoint gua sha combined with traditional Chinese medicine hot bambao were included in the observation group, all of whom were treated for 2 weeks and observed 1 month after treatment. The clinical efficacy, symptom improvement, recovery and quality of life of the two groups were compared. Results The total effective rate of treatment in the observation group was higher than that in the control group, and the recovery time of bowel sounds, exhaust time, defecation time and activity time were shorter than those in the control group, with statistically significant differences (P<0.05). Before treatment, there were no significant differences (P>0.05) between the two groups compared with the scores of each dimension in the health survey brief table (SF-36); After treatment, the scores of constipation, poor appetite, nausea and vomiting and abdominal distension in the observation group were lower than those in the control group, and the scores of all dimensions in SF-36 were higher than those in the control group,with a statistically significant difference (P<0.05). Conclusion Acupoint gua sha+traditional Chinese medicine hot bag in the treatment of patients with gastrointestinal dysfunction after laparoscopic general surgery has obvious effects,which can significantly alleviate its clinical manifestations, accelerate the improvement of bowel function,and then effectively improve the quality of life, which is worthy of vigorous clinical promotion.

Key words: laparoscopic surgery in general surgery, gastrointestinal disorders, acupuncture point guasha, defecation function, clinical manifestations

中图分类号:

R242

李传江. 穴位刮痧联合中药热奄包对腹腔镜手术后胃肠功能紊乱患者排便功能的影响[J]. 中华养生保健, 2023, 41(10): 19-22.

LI Chuan-jiang. Effect of Acupoint Scraping Combined with Traditional Chinese Medicine Hot Package on Defecation Function of Patients with Gastrointestinal Dysfunction after General Surgery[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(10): 19-22.

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