穴位贴敷联合中药热奄包对肠道手术后胃肠功能恢复的效果观察
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摘要
目的探讨穴位贴敷联合中药热奄包对肠道手术后胃肠功能恢复的效果观察。方法选取2017年7月—12月收治的腹腔镜结直肠手术患者120名,随机分成4组,各30例。常规护理组采用常规外科护理;穴位贴敷组在常规护理组的基础上予纳米穴位贴敷足三里、中脘、关元、上巨虚穴;中药热奄包组在常规护理组的基础上使用艾绒+粗盐可调温充电式热奄包放置于患者腹部;穴位贴敷联合中药热奄包组在常规护理组的基础上,分别按照穴位贴敷组和中药热奄包组的要求配合治疗。比较4组术后腹胀的发生率、肠鸣音的恢复时间及肛门排气恢复时间。结果穴位贴敷联合中药热奄包组术后腹胀发生率为10.00%(3/30),低于常规护理组的60.00%(18/30)、穴位贴敷组的36.67%(11/30)、中药热奄包组的33.33%(10/30),差异有统计学意义(P<0.05)。穴位贴敷联合中药热奄包组术后肠鸣音恢复时间和肛门排气时间短于常规护理组、穴位贴敷组的、中药热奄包组,差异有统计学意义(P<0.05)。结论穴位贴敷联合中药热奄包治疗对肠道手术后胃肠功能恢复的效果显著,有利于患者术后康复。
Objective To investigate the effect of acupoint application combined with Chinese medicine hot compress in improving rehabilitation of gastrointestinal function after intestinal surgery. Methods Totally 120 patients undergoing laparoscopic colorectal surgery between July,2017 and December,2017 were assigned into four groups( group A with routine care,group B with acupoint application,group C with Chinese medicine hot compress,group D with combination therapy of acupoint application and hot compress,n = 30,respectively). The incidence of postoperative abdominal distention,time to recovery of bowel sound and anus exhausting were recorded and compared among four groups. Results The incidence of postoperative abdominal distention was 10. 00%(3/30) in group D,which was lower than 60. 00%(18/30) in group A,36. 67%(11/30) in group B and 33. 33%(10/30) in group C,with significant differences( P <0. 05).The time to recovery of bowel sound and anus exhausting was shorter in the group D than that of group A,B,C,respectively( P < 0. 05). Conclusion The acupoint application combined with Chinese medicine hot compress is effective to improve the rehabilitation of gastrointestinal function after intestinal surgery.
Objective To investigate the effect of acupoint application combined with Chinese medicine hot compress in improving rehabilitation of gastrointestinal function after intestinal surgery. Methods Totally 120 patients undergoing laparoscopic colorectal surgery between July,2017 and December,2017 were assigned into four groups( group A with routine care,group B with acupoint application,group C with Chinese medicine hot compress,group D with combination therapy of acupoint application and hot compress,n = 30,respectively). The incidence of postoperative abdominal distention,time to recovery of bowel sound and anus exhausting were recorded and compared among four groups. Results The incidence of postoperative abdominal distention was 10. 00%(3/30) in group D,which was lower than 60. 00%(18/30) in group A,36. 67%(11/30) in group B and 33. 33%(10/30) in group C,with significant differences( P <0. 05).The time to recovery of bowel sound and anus exhausting was shorter in the group D than that of group A,B,C,respectively( P < 0. 05). Conclusion The acupoint application combined with Chinese medicine hot compress is effective to improve the rehabilitation of gastrointestinal function after intestinal surgery.
引文
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[10]程艳婷,路晓红,王艳珍,等.中脘、天枢、上巨虚为肠病基本方的古代文献研究[J].江苏中医药,2011,43(7):79-80.
[2]ZHAO J H,SUN J X,GAO P,et al.Fast-track surgery versus traditional perioperative care in laparoscopic colorectal cancer surgery:a meta-analysis[J].BM C Cancer,2014,14:607.
[3]陈思敏,吴至久.中西医结合治疗Ⅱ、Ⅲ度直肠脱垂疗效观察和护理探讨[J].中西医结合护理(中英文),2016,2(8):54-56.
[4]VAN BREE S H,VLUG M S,BEMELMAN W A,et al.Faster recovery of gastrointestinal transit after laparoscopy and fast-track care in patients undergoing colonic surgery[J].Gastroenterology,2011,141(3):872-880.
[5]姜娜娜.穴位贴敷联合中药热奄包对慢性呼吸系统疾病患者便秘的效果观察[J].护理学报,2017,24(6):48-51.
[6]于福源,王媛媛,高峰,等.穴位贴敷联合耳穴压豆治疗胃肠道术后腹胀的疗效观察[J].中医临床研究,2015,7(16):103-104.
[7]刘巧玲.中药足浴配合热奄包促进剖宫产术后胃肠蠕动恢复的效果观察[J].护理实践与研究,2014,11(7):89-90.
[8]PATERSON H M,CREAMER F,BALFOUR A,et al.A randomised,open-label,phase II study comparing targinact vs.oxycodone in early return of gastrointestinal function after laparoscopic colorectal surgery[J].Clin Nutr ESPEN,2016,12:e30.
[9]谢文堂,李茂清,员晋锋.穴位贴敷治疗支气管哮喘临床研究[J].中医学报,2016,31(2):189-191.
[10]程艳婷,路晓红,王艳珍,等.中脘、天枢、上巨虚为肠病基本方的古代文献研究[J].江苏中医药,2011,43(7):79-80.