艾灸足三里联合腹针对腹腔镜胆囊切除术后患者胃肠功能的影响  

Effect of moxibustion at Zusanli combined with abdominal acupuncture on gastrointestinal function after laparoscopic cholecystectomy

作　　者：吴晓兵 王佳禾[1] WU Xiaobing;WANG Jiahe(The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 100034,China)

机构地区：[1]辽宁中医药大学附属第二医院,沈阳110034

出　　处：《吉林中医药》2018年第12期1464-1467,共4页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金项目(81173291);国家科技支撑计划(2008BAI53B012);辽宁省科技厅项目(2015225016)

摘　　要：目的探讨艾灸足三里联合腹针对腹腔镜胆囊切除术后患者胃肠功能的影响。方法收集我院收治的行腹腔镜胆囊切除术后出现胃肠功能紊乱的患者104例,依据随机数字表法随机分为对照组和治疗组,各52例,对照组予以禁食、胃肠减压、电解质补液及抗感染等西医常规治疗;治疗组在对照组的基础上加艾灸足三里联合腹针治疗,2组患者均治疗4周。结果治疗组临床总有效率为96.15%,对照组临床总有效率为73.07%,2组结果具有显著差异(P <0.05);2组患者术后胃肠激素MMP-9、TIMP-1水平均降低,治疗组较对照组降低明显,2组结果具有显著差异(P <0.05);治疗组首次排气时间、排便时间短于对照组,胃肠功能恢复情况较对照组更佳,差异有显著差异(P <0.05);2组患者中医证候积分评分均有所降低,相对于对照组,治疗组患者降低更明显(P <0.05);2组患者SF-12评估生活质量均有所提升,相对于对照组,治疗组患者提升较为显著(P <0.05)。结论艾灸足三里联合腹针对腹腔镜胆囊切除术患者术后胃肠功能恢复具有较好的治疗意义,起到调畅气机、疏通经络、促进胃肠蠕动及恢复排气排便的临床治疗作用。Objective To explore the effect of moxibustion at Zusanli combined with abdominal acupuncture on gastrointestinal function after laparoscopic cholecystectomy. Methods Select 104 patients with gastrointestinal function after laparoscopic cholecystectomy were randomly divided into treatment group and control group, 52 cases in each group, control group was treated with the conventional treatment such as fasting, gastrointestinal decompression, electrolyte rehydration and anti-infection. The treatment group on the base of the control group was treated with moxibustion at Zusanli combined with abdominal acupuncture, and the two groups were treated for 4 weeks. Results After treatment, the total clinical eff ective rate of the treatment group was 96.15%, the total clinical eff ective rate of the control group was 73.07%, the treatment group was better than the control group, the diff erence was statistically significant(P < 0.05).The level of postoperative gastrointestinal hormone MMP-9, TIMP-1 after surgery in two groups both had lower, compared with the control group, the treatment group decreased significantly, the diff erence was statistically significant(P < 0.05). Compare the postoperative gastrointestinal function recovery of two groups, the treatment group patient first exhaust time and defecation time were significantly shortened, the difference was statistically significant(P < 0.05). Compared with the control group, the TCM syndrome scale scores of treatment group reduce more obviously(P < 0.05). Compared with the control group, the treatment group quality of life of SF-12 improved more significantly, the diff erence was statistically significant(P < 0.05). Conclusion Moxibustion at Zusanli and combined with the abdominal acupuncture for postoperative gastrointestinal function in patients with laparoscopic cholecystectomy has good therapeutic significance. It can play a role in regulating qi, dredging meridians, promoting gastrointestinal peristalsis and recovering exhaust and defecation.

关 键 词：艾灸 足三里 腹针 胆囊切除术 

分 类 号：R269[医药卫生—中西医结合]