摘要
目的:观察和胃通降穴位贴敷法对妇科腹腔镜术后患者胃肠功能康复的影响。方法:将80例行腹腔镜手术治疗后胃肠功能障碍的患者随机分为治疗组和对照组,每组40例。对照组予常规西医对症治疗,治疗组在此基础上,予和胃通降穴位贴敷法治疗。比较两组治疗后主要临床指标恢复时间以及治疗前后临床症状积分和胃肠道激素含量的变化情况,并评估临床疗效。结果:两组治疗后腹痛、腹胀、恶心呕吐、肠鸣音积分均明显降低,且治疗组治疗后上述指标改善情况均优于对照组(P<0.05);治疗组治疗后肠鸣音恢复时间、腹痛消失时间、首次肛门排气时间以及首次排便时间均短于对照组(P<0.05);两组治疗后MLT和GAS含量均升高(P<0.05),VIP含量均降低(P<0.05),且治疗组治疗后胃肠道激素含量改善情况均显著优于对照组(P<0.05)。治疗组治疗后总有效率为97.5%,显著高于对照组的85.0%(P<0.05)。结论:采用和胃通降穴位贴敷法对妇科腹腔镜术后患者进行治疗,能够有效调节胃肠道激素水平,快速改善患者胃肠功能紊乱症状,疗效确切。
Objective： To observe the effect of acupoint application of Hewei Tongjiang on the recovery of gastrointestinal function in patients after gynecologic laparoscopy. Methods： A total of 80 patients with gastrointestinal dysfunction after laparoscopy were randomly divided into the treatment and control groups, with 40 cases in each group. The control group was treated with conventional western medicine. On this basis, the treatment group was treated with acupoint application of Hewei Tongjiang. The recovery time of main clinical indicators and the changes of clinical symptom scores and gastrointestinal hormones were compared between the two groups after treatment, and the clinical efficacy was evaluated. Results： The abdominal pain, abdominal distension, nausea and vomiting and bowel sounds scores significantly reduced in the two groups after treatment, and the index of which in the treatment group after treatment improved significantly better than the control group （P〈0.05）; The treatment group showed shorter intestinal sound recovery time, abdominal pain disappeared time, anal exhaust time and defecation time than the control group after treatment （P〈0.05）; The MLT and GAS content were significantly increased in the two groups after treatment （P〈0.05）, while the contents of VIP were decreased （P〈0.05）, and the treatment group showed better improvement of gastrointestinal tract hormones content than the control group after treatment （P〈0.05）. The total effective rate was 97.5% in the treatment group and 85.0% in the control group, and the treatment group showed significantly better efficacy than the control group （P〈0.05）. Conclusion： The application of acupoint application of Hewei Tongjiang therapy for patients after gynecologic laparoscopic surgery can effectively regulate the level of gastrointestinal hormones, and improve the symptoms of gastrointestinal dysfunction rapidly.
出处
《中医药导报》
2017年第23期96-99,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
广东省中医药局科研项目(20161134)
关键词
妇科腹腔镜术
和胃通降穴位贴敷法
术后胃肠功能
胃肠道激素
gynecological laparoscopy
acupoint application of Hewei Tongiiang
postoperative gastrointestinalfunction
gastrointestinal hormone
