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观察药物配合针灸促进妇产科术后患者胃肠功能恢复的疗效

Observation on the efficacy of drugs combined with acupuncture and moxibustion to promote the recovery of gastrointestinal function in postoperative obstetrics and gynecology patients
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摘要 目的 对妇产科术后患者使用药物配合针灸进行治疗的效果做出分析。方法 研究对象选择行妇产科手术的患者82例,通过随机抽样法分为常规组、研究组,各41例。常规组术后采用药物疗法,研究组术后采用药物配合针灸疗法。比较两组患者的治疗效果、临床指标、并发症发生率、症状积分、生活质量。结果 研究组总有效率为97.56%,高于常规组的80.49%,差异性具有统计学价值(P<0.05)。研究组腹胀消失时间、首次排气时间、首次排便时间、输液天数分别为(12.01±1.25)h、(4.44±0.25)h、(30.01±3.66)h、(2.71±0.54)d,均短于常规组的(27.78±2.42)h、(23.28±2.12)h、(45.76±4.12)h、(4.25±0.86)d,差异性具有统计学价值(P<0.05)。研究组并发症发生率为2.44%,低于常规组的17.07%,差异性具有统计学价值(P<0.05)。治疗后,研究组症状积分(5.10±1.20)分低于常规组的(7.45±1.68)分,差异性具有统计学价值(P<0.05)。治疗后,研究组生理功能、生理职能、精神健康、情感职能、社会职能评分分别为(89.78±5.65)、(89.89±5.76)、(89.90±5.87)、(88.78±4.69)、(88.74±4.67)分,高于常规组的(74.58±10.25)、(74.47±10.14)、(75.58±10.25)、(76.47±9.17)、(76.13±9.84)分,差异性具有统计学价值(P<0.05)。结论 行妇产科手术的患者术后实施药物配合针灸疗法,可以减少患者并发症,改善临床症状,缩短首次排气、排便时间,促进胃肠功能快速恢复,临床应用价值较高。 Objective To analyze the effect of drugs combined with acupuncture and moxibustion to promote the recovery of gastrointestinal function in postoperative obstetrics and gynecology patients.Methods 82 patients who underwent obstetric and gynecological surgery were selected for the study,and were divided into a conventional group and a study group by the random sampling method,each with 41 cases.The conventional group was treated with drugs after surgery,and the study group was treated with drugs in combination with acupuncture and moxibustion after surgery.The therapeutic effects,clinical indicators,incidence of complications,symptom score,and quality of life were compared between the two groups.Results The total effective rate of 97.56%in the study group was higher than 80.49%in the conventional group,and the difference was statistically significant(P<0.05).In the study group,the disappearance time of abdominal distension,first exhaust time,first defecation time,and infusion days were(12.01±1.25)h,(4.44±0.25)h,(30.01±3.66)h,and(2.71±0.54)d,which were shorter than(27.78±2.42)h,(23.28±2.12)h,(45.76±4.12)h and(4.25±0.86)d in the conventional group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was 2.44%,which was lower than 17.07%in the conventional group,and the difference was statistically significant(P<0.05).After treatment,the symptom score of(5.10±1.20)points in the study group was lower than(7.45±1.68)points in the conventional group,and the difference was statistically significant(P<0.05).After treatment,the scores of physical functioning,role-physical function,mental health,role-emotional and social functioning were(89.78±5.65),(89.89±5.76),(89.90±5.87),(88.78±4.69)and(88.74±4.67)points in the study group,which were higher than(74.58±10.25),(74.47±10.14),(75.58±10.25),(76.47±9.17)and(76.13±9.84)points in the conventional group,and the difference was statistically significant(P<0.05).Conclusion The combination of drugs and acupuncture and moxibustion therapy for patients after gynecological and obstetric surgery can reduce the complications of patients,improve their clinical symptoms,shorten the first exhaust time and first defecation time,and promote the rapid recovery of their gastrointestinal function,and it has high clinical application value.
作者 李琳 陈廷顺 郭法荣 LI Lin;CHEN Ting-shun;GUO Fa-rong(Jiyang District Hospital of Traditional Chinese Medicine,Jinan 251400,China)
出处 《中国实用医药》 2024年第19期33-36,共4页 China Practical Medicine
关键词 药物 针灸 妇产科 术后 胃肠功能恢复 Drugs Acupuncture and moxibustion Obstetrics and gynecology Postoperative Gastrointestinal function recovery
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