摘要
目的探讨中药熨烫联合穴位注射对妇科腹腔镜术后胃肠功能恢复的影响。方法选取本院120例妇科腹腔镜手术患者为研究对象,根据随机数字表法分为3组,各40例。对照组采用常规术后干预,中药组在对照组的基础上加用中药熨烫疗法,研究组在中药组的基础上联合穴位注射。比较3组首次肠鸣音出现时间、首次排气时间、首次排便时间、住院时间、术后腹胀发生率、术后胃肠道不良反应发生率及治疗前后胃肠道激素水平。结果研究组首次肠鸣音出现时间、首次排气时间、首次排便时间、住院时间短于中药组、对照组,差异有统计学意义(P<0.05);研究组术后腹胀发生率为10.00%,低于对照组的72.50%和中药组的30.00%,差异有统计学意义(P<0.05);治疗后,研究组胃泌素、胃动素水平低于对照组和中药组,差异有统计学意义(P<0.05);研究组术后胃肠道不良反应发生率为2.50%,低于对照组的22.50%及中药组的17.50%,差异有统计学意义(P<0.05)。结论对妇科腹腔镜手术患者给予中药熨烫联合穴位注射,能有效促进患者胃肠功能恢复,缓解腹胀症状,且有利于改善胃肠激素水平,降低术后胃肠道不良反应发生率。
Objective To explore the effect of traditional Chinese medicine ironing combined with acupoint injection on the recovery of gastrointestinal function after gynecological laparoscopic surgery.Methods 120 patients undergoing gynecological laparoscopic surgery in our hospital were selected as the research subjects,and were divided into three groups based on a random number table method,with 40 patients in each group.The control group received routine postoperative intervention,while the traditional Chinese medicine group received traditional Chinese medicine ironing therapy on top of the control group.The study group received acupoint injection on top of the traditional Chinese medicine group.Compare the occurrence time of first bowel sounds,first exhaust time,first defecation time,hospitalization time,incidence of postoperative abdominal distension,incidence of postoperative gastrointestinal adverse reactions,and gastrointestinal hormone levels before and after treatment among three groups.Results The first appearance time,first exhaust time,first defecation time,and hospitalization time of the research group were shorter than those of the traditional Chinese medicine group and the control group,with statistically significant differences(P<0.05);The incidence of postoperative abdominal distension in the study group was 10.00%,lower than 72.50%in the control group and 30.00%in the traditional Chinese medicine group,with a statistically significant difference(P<0.05);After treatment,the levels of gastrin and motilin in the study group were lower than those in the control group and traditional Chinese medicine group,with a statistically significant difference(P<0.05);The incidence of postoperative gastrointestinal adverse reactions in the study group was 2.50%,lower than the 22.50%in the control group and 17.50%in the traditional Chinese medicine group,with a statistically significant difference(P<0.05).Conclusion Traditional Chinese medicine ironing combined with acupoint injection can effectively promote the recovery of gastrointestinal function,alleviate abdominal distension symptoms,improve gastrointestinal hormone levels,and reduce the incidence of postoperative gastrointestinal adverse reactions in patients undergoing gynecological laparoscopic surgery.
作者
何丽萍
孔美然
符慧慧
He Liping;Kong Meiran;Fu Huihui(Department of Obstetrics and Gynecology,Yunfu Traditional Chinese Medicine Hospital,Yunfu 527300,China)
出处
《实用妇科内分泌电子杂志》
2023年第26期6-9,共4页
Electronic Journal of Practical Gynecological Endocrinology
基金
云浮市医学科学技术研究立项(编号2021B037)。
关键词
妇科
腹腔镜手术
中药熨烫
穴位注射
胃肠功能
Gynecology
Laparoscopic surgery
Traditional Chinese medicine ironing
Acupoint injection
Gastrointestinal function
