耳穴贴压治疗腹腔镜术后胃肠功能障碍50例
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摘要
目的:观察耳穴贴压疗法对妇科腹腔镜术后患者胃肠功能的影响。方法:将100例患者随机分为2组,每组50例,2组均给予西药常规治疗,观察组同时给予耳穴贴压治疗。观察2组患者下床活动时间、肠鸣音恢复时间、肛门首次排气时间及胃肠道反应程度、临床疗效、疼痛评分。结果:下床活动时间、肠鸣音恢复时间、肛门首次排气时间2组比较,差异均有统计学意义(P<0.05)。胃肠道反应程度2组比较,差异有统计学意义(P<0.05)。临床疗效2组比较,差异有统计学意义(P<0.05)。疼痛评分治疗2、6、10、24小时后2组比较,差异均有统计学意义(P<0.05)。结论:将耳穴贴压疗法应用于腹腔镜术后肠胃功能障碍患者,疗效确切,使用安全,能够恢复机体正常生理规律,提高整体疗效。
Objective: To observe the effects of auricular acupoints pressing on gastrointestinal function after laparoscopy. Methods: All 100 patients were randomly allocated to two groups, 50 cases each group, both groups were given conventional therapy of Western medicine, the observation group accepted auricular acupoints pressing,to observe pain scores, clinical effects, gastrointestinal reaction, first anal exhaust time, borborygmus recovery time and ambulation time between both groups. Results: The difference had statistical meaning in the comparisons of ambulation time, borborygmus recovery time and first anal exhaust time(P<0.05). The difference had statistical meaning in gastrointestinal reaction(P<0.05). The difference was statistically significant in clinical effects between both groups(P<0.05). The difference had statistical meaning in pain scores between both groups after treating for 2,6, 10 and 24 hours(P<0.05). Conclusion: Auricular acupoints pressing could obtain definite effects and use safely,it could promote normal physiological laws of human body and improve overall effects.
Objective: To observe the effects of auricular acupoints pressing on gastrointestinal function after laparoscopy. Methods: All 100 patients were randomly allocated to two groups, 50 cases each group, both groups were given conventional therapy of Western medicine, the observation group accepted auricular acupoints pressing,to observe pain scores, clinical effects, gastrointestinal reaction, first anal exhaust time, borborygmus recovery time and ambulation time between both groups. Results: The difference had statistical meaning in the comparisons of ambulation time, borborygmus recovery time and first anal exhaust time(P<0.05). The difference had statistical meaning in gastrointestinal reaction(P<0.05). The difference was statistically significant in clinical effects between both groups(P<0.05). The difference had statistical meaning in pain scores between both groups after treating for 2,6, 10 and 24 hours(P<0.05). Conclusion: Auricular acupoints pressing could obtain definite effects and use safely,it could promote normal physiological laws of human body and improve overall effects.
引文
[1]朱晓辉.耳穴贴压对妇科腹腔镜术后患者腹胀的预防作用[J].中国实用医药,2016,11(11):244-245.
[2]王晓娟,李佳燕,梁姣,等.托烷司琼加耳穴贴压预防妇科腔镜术后恶心呕吐的临床研究[J].新疆中医药,2015,33(3):5-6.
[3]Luszczki J J,Wlaz A,Karwan S.et al.Effects of WIN55,212-2 mesylate on the anticonvulsant action of lamotrigine,oxcarbazepine,pregabalin and topiramate against maximal electroshock-induced seizures in mice[J].European Journal of Pharmacology:An International Journal,2013,720(1/3):247-254.
[4]孙龙,李菊云,段培蓓,等.不同时间点耳穴贴压对胃癌患者术后胃肠功能恢复的作用[J].中华护理杂志,2015,50(7):845-847.
[5]王燕,李燕玲,刘玮,等.耳穴贴压联合托烷司琼对妇科腹腔镜术后恶心呕吐发生率的影响[J].中国医学创新,2013,77(29):40-42.
[6]万赖思琪,李万山,李万瑶,等.耳穴贴压辅助全麻妇科手术镇痛效果观察[J].中国针灸,2013,33(3):237-240.
[7]刘桂兰.艾灸联合耳穴贴压预防妇科术后腹胀的疗效观察[J].中外健康文摘,2014,52(27):31-32.
[8]李丽.当归益母四妙汤加减联合耳穴贴压治疗人工流产手术后阴道出血的疗效观察[J].河北中医,2016,38(6):865-867.
[9]Nakamura Y,Saito A,Fujisawa Y.et al.High-grade mucoepidermoid carcinoma of the columella successfully reconstructed using bilateral nasolabial flaps set up in a sandwich shape and an auricular cartilage graft after surgical resection[J].The Journal of dermatology,2013,40(11):911-914.
[10]李万山,万赖思琪,刘晓静,等.耳穴磁贴辅助全麻对妇科手术患者术后恢复的影响[J].中国针灸,2013,33(7):648-652.
[11]唐秀琴,王芳,张海燕,等.耳穴贴压对腹部手术患者术后疼痛干预的效果观察[J].西部中医药,2014,19(7):113-118.
[12]潘庆华.耳穴贴压联合西药对功能性消化不良相关胃肠激素的影响[J].河北中医,2015,37(10):1463-1465.
[13]潘彩虹.艾灸联合耳穴贴压对妇科术后腹胀的预防作用研究[J].中国民族民间医药,2013,22(13):67-69.
[14]唐秀琴,王芳,张海燕.耳穴贴压对腹部手术患者术后疼痛干预的效果观察[J].西部中医药,2014,27(7):113-118.
[15]钮健,施丽娟,包正英,等.耳穴贴压联合刮痧对慢性盆腔痛炎症因子表达的影响[J].西部中医药,2017,30(12):97-99.
[16]邵安民,翁建东,俞灵,等.耳穴贴压对全麻妇科腹腔镜术患者镇痛效果及胃肠功能的影响[J].西部中医药,2018,31(10):102-105.
[17]徐涛,赵崎慧,李雪静.腹部按摩联合耳穴贴压治疗骨科手术术后便秘护理体会[J].河北中医,2015,37(11):1729-1731.
[18]张爱军,赵建杰,雷淼娜,等.耳穴贴压联合中药灌肠治疗慢性非特异性溃疡性结肠炎临床疗效及对患者生活质量的影响[J].河北中医,2016,38(2):188-191.
[19]陶涛,陈婷,杨爱明,等.耳穴贴压对全麻下妇科腹腔镜术后患者血浆胃动素的影响[J].中国针灸,2017,37(2):171-174.
[2]王晓娟,李佳燕,梁姣,等.托烷司琼加耳穴贴压预防妇科腔镜术后恶心呕吐的临床研究[J].新疆中医药,2015,33(3):5-6.
[3]Luszczki J J,Wlaz A,Karwan S.et al.Effects of WIN55,212-2 mesylate on the anticonvulsant action of lamotrigine,oxcarbazepine,pregabalin and topiramate against maximal electroshock-induced seizures in mice[J].European Journal of Pharmacology:An International Journal,2013,720(1/3):247-254.
[4]孙龙,李菊云,段培蓓,等.不同时间点耳穴贴压对胃癌患者术后胃肠功能恢复的作用[J].中华护理杂志,2015,50(7):845-847.
[5]王燕,李燕玲,刘玮,等.耳穴贴压联合托烷司琼对妇科腹腔镜术后恶心呕吐发生率的影响[J].中国医学创新,2013,77(29):40-42.
[6]万赖思琪,李万山,李万瑶,等.耳穴贴压辅助全麻妇科手术镇痛效果观察[J].中国针灸,2013,33(3):237-240.
[7]刘桂兰.艾灸联合耳穴贴压预防妇科术后腹胀的疗效观察[J].中外健康文摘,2014,52(27):31-32.
[8]李丽.当归益母四妙汤加减联合耳穴贴压治疗人工流产手术后阴道出血的疗效观察[J].河北中医,2016,38(6):865-867.
[9]Nakamura Y,Saito A,Fujisawa Y.et al.High-grade mucoepidermoid carcinoma of the columella successfully reconstructed using bilateral nasolabial flaps set up in a sandwich shape and an auricular cartilage graft after surgical resection[J].The Journal of dermatology,2013,40(11):911-914.
[10]李万山,万赖思琪,刘晓静,等.耳穴磁贴辅助全麻对妇科手术患者术后恢复的影响[J].中国针灸,2013,33(7):648-652.
[11]唐秀琴,王芳,张海燕,等.耳穴贴压对腹部手术患者术后疼痛干预的效果观察[J].西部中医药,2014,19(7):113-118.
[12]潘庆华.耳穴贴压联合西药对功能性消化不良相关胃肠激素的影响[J].河北中医,2015,37(10):1463-1465.
[13]潘彩虹.艾灸联合耳穴贴压对妇科术后腹胀的预防作用研究[J].中国民族民间医药,2013,22(13):67-69.
[14]唐秀琴,王芳,张海燕.耳穴贴压对腹部手术患者术后疼痛干预的效果观察[J].西部中医药,2014,27(7):113-118.
[15]钮健,施丽娟,包正英,等.耳穴贴压联合刮痧对慢性盆腔痛炎症因子表达的影响[J].西部中医药,2017,30(12):97-99.
[16]邵安民,翁建东,俞灵,等.耳穴贴压对全麻妇科腹腔镜术患者镇痛效果及胃肠功能的影响[J].西部中医药,2018,31(10):102-105.
[17]徐涛,赵崎慧,李雪静.腹部按摩联合耳穴贴压治疗骨科手术术后便秘护理体会[J].河北中医,2015,37(11):1729-1731.
[18]张爱军,赵建杰,雷淼娜,等.耳穴贴压联合中药灌肠治疗慢性非特异性溃疡性结肠炎临床疗效及对患者生活质量的影响[J].河北中医,2016,38(2):188-191.
[19]陶涛,陈婷,杨爱明,等.耳穴贴压对全麻下妇科腹腔镜术后患者血浆胃动素的影响[J].中国针灸,2017,37(2):171-174.