摘要
目的:探讨耳穴贴压对腹腔镜胆囊切除患者术后胃肠功能的影响。方法:选取86例行腹腔镜胆囊切除手术的患者,随机分为观察组和对照组,每组各43例,对照组采用全身麻醉,观察组在对照组的基础上给予耳穴贴压,对比两组患者术后肠鸣音恢复、首次排气、进食、下床活动时间及腹胀、恶心、呕吐的发生情况,并于术后第1天、第3天,对比两组患者的疼痛视觉模拟评分((visual analogue scale,VAS)、恶心呕吐程度视觉模拟量表评分(nausea and vomiting degree of visual analog scale score,NVAS)。结果:观察组患者术后肠鸣音恢复、首次排气、进食、下床活动时间均明显短于对照组,差异具有统计学有意义(t=-23.403、-15.419、-13.143、-8.880,P均<0.05)。观察组患者在术后第1天、第3天VAS评分、NVAS评分均明显低于对照组的,差异具有统计学有意义(t=-4.442、-8.243、-6.253、-7.934,P均<0.05);观察组患者术后出现腹胀6例,占13.95%,恶心、呕吐4例,占9.30%,对照组出现腹胀18例,占41.86%,恶心、呕吐12例,占27.91%,观察组腹胀、恶心呕吐发生率明显低于对照组的,差异具有统计学意义(χ2=8.323、4.914,P均<0.05)。结论:耳穴贴压联合全身麻醉能改善腹腔镜胆囊切除患者术后胃肠功能,促进胃肠蠕动,减轻术后疼痛,降低术后腹胀、恶心、呕吐发生,有利于预后。
Objective： To study the influence of gastrointestinal function after operation of patients with laparoscopic gallbladder excision by auricular application pressure combined with anesthesia. Methods： 86 patients undergoing elective laparoscopic gallbladder surgery were collected,they were randomly divided into observation group and control group,each group 43 cases,control given was given general anesthesia,on the basis of the control group,observation group was given auricular application pressure,postoperative bowel sound recovery,for the first time the exhaust,eating,bed activity time and the occurrence of abdominal distension,nausea,vomiting were compared between two groups,and visual analogue scale（ VAS） score of pain,nausea and vomiting degree of visual analog scale score（ NVAS） score between two group were compared on postoperative 1,3 days. Results： Postoperative,bowel sound recovery,for the first time the exhaust,eating,ambulation time in observation group were significantly shorter than the control group,the differences were statistically significant（ t =- 23. 403,- 15. 419,- 13. 143,- 8. 880,P〈0. 05）. VAS score,NVAS scores on postoperative 1day,3 days of Observation group were significantly lower than in the control group,statistically significant difference（ t =- 4. 442,- 8. 243,- 6. 253,- 7. 934,P〈0. 05）; postoperative observation group appeared abdominaldistension for 6 cases（ 13. 95%）,nausea and vomiting for 4 cases,accounted for 9. 30%,abdominal distention for 18 cases,accounted for 41. 86%,nausea and vomiting for 12 cases,accounted for 27. 91%,the incidence of abdominal distension,nausea and vomiting of observation group was obviously lower than the control group,the differences were statistically significant（ χ^2= 8. 323,4. 914,P〈0. 05）. Conclusion： The auricular application pressure combined with anesthesia can improve postoperative gastrointestinal function in patients with laparoscopic gallbladder excision,promote gastrointestinal peristalsis,reduce postoperative pain,reduce the postoperative abdominal distention,nausea and vomiting,it is advantageous to the prognosis.
出处
《中医学报》
CAS
2016年第12期2029-2032,共4页
Acta Chinese Medicine
基金
江苏省中医药科技攻关项目(LZ13106)
关键词
胆囊切除术
耳穴贴压
胃肠功能
全身麻醉
腹腔镜手术
gallbladder excision
auricular application pressure
gastrointestinal function
general anesthesia
laparoscopic surgery
