腹针治疗妇科腹部手术患者术后粘连性腹痛临床效果分析  

Clinical effect of abdominal acupuncture in treating ankylenteron abdominal pain after gynecological abdominal surgery

作　　者：孙艳梅[1] 董燕[1] 陈小凤[1] 肖静[1] SUN Yan-mei DONG Yan CHEN Xiao-feng XIAO Jing(Department of Gynaecology, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510006, Guangdong Province, China)

机构地区：[1]广东省中医院妇科,广东广州510006

出　　处：《新乡医学院学报》2017年第4期279-281,共3页Journal of Xinxiang Medical University

基　　金：广东省中医药局建设中医药强省立项课题(编号:粤中医2014-25)

摘　　要：目的观察腹针治疗妇科腹部手术患者术后粘连性腹痛的临床效果。方法选择2015年11月至2016年10月在广东省中医院妇科因妇科良性肿瘤行经腹或经腹腔镜择期手术治疗且术后符合粘连性腹痛诊断标准的患者56例,根据治疗方法分为对照组(n=28)和观察组(n=28),治疗过程中因发热、腹泻退出2例,最终每组入组27例,对照组患者采用术后辨证口服中药+假腹针治疗,观察组患者采用术后辨证口服中药+腹针治疗。患者接受治疗过程采用盲法,共治疗3 d。治疗前、后采用视觉模拟评分法对2组患者腹痛及腹胀症状进行评分,检测患者血中白细胞计数和C-反应蛋白水平并进行比较。结果 2组患者治疗前腹胀、腹痛评分比较差异均无统计学意义(P>0.05);治疗后2组患者腹胀、腹痛评分较治疗前显著下降,且观察组患者较对照组下降更显著(P<0.05)。2组患者治疗前血中白细胞计数和C反应蛋白水平比较差异均无统计学意义(P>0.05);治疗后2组患者血中白细胞计数和C反应蛋白水平均较治疗前显著下降(P<0.05),但2组患者之间治疗后血中白细胞计数和C反应蛋白水平比较差异均无统计学意义(P>0.05)。结论腹针治疗可有效改善妇科腹部手术患者术后粘连性腹痛患者的腹痛、腹胀症状,而在术后降低白细胞计数和C反应蛋白水平方面其作用尚不确切。Objective To observe the clinical effect of abdominal acupuncture in treating ankylenteron abdominal pain after gynecological abdominal surgery. Methods Fifty-six gynecologic neoplasms patients with ankylenteron abdominal pain after abdominal surgery in Guangdong Provincial Hospital of Traditional Chinese Medicine from November 2015 to October 2016 were selected and divided into control group（n = 28） and observation group（ n = 28） according to the treatment method. Two patients withdrew from the study because of occuring fever or diarrhea;Fifty-four patients were enroll in this study finally, with 27 patients in each group. The patients in control group were treated with oral traditional Chinese medicine according to syndrome differentia- tion and sham abdominal acupuncture therapy ;the patients in observation group were treated with oral traditional Chinese medi- cine according to syndrome differentiation and abdominal acupuncture therapy. The treatment procedure was blind for the pa- tients. All patients were treated for 3 days. Before and after treatment, the degree of abdominal pain and abdominal distension symptoms of patients was evaluated by visual analogue scale. Besides,the white blood cell（WBC） counts and C-reactive protein （CRP） levels were detected and compared between the two groups before and after the treatment. Results There were no statistic difference in the scores of abdominal distention and abdominal pain of patients before treatment between the two groups（P 〉 0. 05）. The scores of abdominal distention and abdominal pain of patients after treatment were significantly lower than those before treatment in the two groups（P 〈0. 05） ;and the scores of abdominal distention and abdominal pain of patients in observation group were significantly lower than those in the control group after treatment （ P 〈 0.05 ）. There were no statistic difference in WBC counts and CRP levels of patients between the two groups before treatment（P 〉0.05）. The WBC counts and CRP leve

关 键 词：腹针 腹部手术 粘连性腹痛 

分 类 号：R269[医药卫生—中西医结合]