脉冲中频电疗法对妇科手术后患者胃肠功能恢复的影响  

Influence of pulse mid-frequency electric therapy on gastrointestinal function recovery of patients after undergoing gynecological operation

作　　者：李敬香[1] 蒋素英[1] 陈惠云[1] 吴钦兰[1] 王宏波[1] 燕军[1] 

机构地区：[1]广州医学院附属深圳沙井医院妇产科,深圳518104

出　　处：《中国当代医药》2014年第26期19-21,共3页China Modern Medicine

基　　金：广东省深圳市宝安区科技局资助项目(20110522)

摘　　要：目的：探讨脉冲中频电疗法对妇科手术后患者胃肠功能恢复的影响，为提高患者的生活质量提供依据。方法以本院妇科2011年7月~2013年3月接收的60例行妇科传统剖腹手术的患者为研究对象，随机分为两组，观察组患者给予脉冲中频电疗，20 min/次，2次/d，对照组患者给予新斯的明肌内注射，0.5 mg/次，1次/d。观察比较两组患者的临床病理生理参数，包括首次排气、排便时间等日采用症状自评量表，在术后1、5d对两组患者的主要临床症状进行评分。观察比较两组患者的腹胀发生率。结果观察组患者的首次排气时间、首次排便时间、规律肠鸣音出现时间、起床时间、进食时间分别为（34.21±6.37）h、（73.52±13.44）h、（26.43±7.15）h、（1.43±0.72）d、（1.29±0.78）d，均显著低于对照组的（45.98±7.63）h、（86.01±12.56）h、（37.28±8.90）h、（2.57±0.89）d、（2.31±0.65）d，差异有统计学意义（P〈0.05）。术后1 d，观察组患者的症状评分与对照组比较，差异无统计学意义[（11.94±1.63）分vs（12.01±1.59）分，t=0.019，P〉0.05]，术后5 d，观察组的症状评分显著低于对照组[（3.25±1.28）分vs（8.64±1.70）分，t=9.427，P〈0.05]。观察组的腹胀发生率显著低于对照组（3.3% vs 26.7%，χ2=6.405，P〈0.05）。结论脉冲中频电疗法对妇科手术后患者胃肠功能紊乱有良好的疗效，对改善患者的预后有正向意义，值得临床推广应用。Objective To observe the influence of pulse mid-frequency electric therapy on gastrointestinal function recovery of patients after undergoing gynecological operation. Methods 60 cases of patients with gynecological operation from July of 2011 to March of 2013 were randomly divided into the two groups：patients in the observation group were given pulse mid-frequency electric therapy,20 min every time,2 times every day,patients in the control group were given neostigmine for intramuscular injection,0.5mg every time,1 time every day.The clinical pathological physiological parameters （the first exhaust,defecate time and so on）.By symptom checklist,the main clinical symptom of patients in the two groups were scored after 1 day,and 5 days operation,and incidence rate of abdominal distension of patients in the two groups were compared. Results The first exhaust time,the first defecation time,regular bowel sounds appear time,wake time,eating time in the observation group [（34.21±6.37）h,（73.52±13.44）h ,（26.43±7.15）h ,（1.43±0.72）d and （1.29±0.78）d respectively] were significantly lower than those in the control group[（45.98±7.63）h, （86.01±12.56）h, （37.28±8.90）h,（2.57±0.89）d,（2.31±0.65）d respectively] （P〈0.05）.After 1 day operation,there was no statistical difference of symptom score of the two groups [（11.94±1.63）points vs （12.01±1.59）points,t=0.019,P〉0.05],after 5 days operation,there was a tatistical difference of symptom score of the two groups [（3.25±1.28）points vs （8.64±1.70）points,t=9.427,P〈0.05]. The incidence rate of abdominal distension in the observation group was significant lower than that in the control group（3.3% vs 26.7%,χ2=6.405,P〈0.05）. Conclusion The pulse mid-frequency electric therapy has a good curative effect on gastrointestinal function recovery of patients after undergoing gynecological operation.There is positive significance to improve the prognosis of the patients,it is worthy of clinical promotion and app

关 键 词：妇科手术 脉冲中频电疗法 胃肠功能 

分 类 号：R473.71[医药卫生—护理学]