不同时机艾灸对腹腔镜全麻术后胃肠功能恢复的影响  

Effects of moxibustion at different timings on recovery of gastrointestinal function after laparoscopic surgery

作　　者：薛莲[1] 李敏 赵江[1] 孙志岭[1] XUE Lianr;LI Min;ZHAO Jiang;SUN Zhiling(College of Nursing, Nanjing University of CM, Nanjing 210023, Jiangsu Province, China)

机构地区：[1]南京中医药大学护理学院,江苏南京210023

出　　处：《中国针灸》2018年第6期571-574,579,共5页Chinese Acupuncture & Moxibustion

基　　金：江苏省优势学科二期项目南京中医药大学护理学一级学科指令性课题:YSHL2016-015;江苏省"青蓝工程"资助项目(2014)

摘　　要：目的:评价术前、术后不同时机艾灸对促进腹腔镜术后患者胃肠功能恢复的效果。方法:将108例患者随机分为术前艾灸组(36例)、术后艾灸组(36例,1例剔除)、对照组(36例,1例剔除)。3组均接受腹腔镜术后常规护理,术前艾灸组与术后艾灸组分别从术前1d、术后6h开始艾灸双侧足三里,每穴20min,至患者出现首次排气或排便即停止干预。记录各组患者首次自主排气或排便时间、耐受固体食物时间、术后1~3 d视觉模拟量表(VAS)腹痛评分及干预期间的不良反应。结果:与术后艾灸组、对照组比较,术前艾灸组排气或排便时间较早(均P<0.01),术后耐受固体食物时间较早(均P<0.01),术后1~3d VAS评分均较低(P<0.05,P<0.01);术后1~3d,术后艾灸组VAS评分低于对照组(均P<0.05)。3组均无不良反应发生。结论:术前艾灸能更有效地促进腹腔镜术后胃肠功能恢复,提高患者术后生活质量。Objective To evaluate the effect of preoperative and postoperative moxibustion at different timings on the recovery of gastrointestinal function in patients undergoing laparoscopic surgery. Methods A total of 108 patients were randomly divided into a preoperative moxibustion group（36 cases）, a postoperative moxibustion group（36 cases and 1 dropping）, and a control group（36 cases and 1 dropping）. Routine care after laparoscopic surgery was received in all three groups. In the preoperative moxibustion group, moxibustion was used at bilateral Zusanli（ST 36） one day before surgery, and 6h after surgery in the postoperative moxibustion group. The treatment was given 20 min per acupoint. Intervention stopped after the patient＇s first self-exhaust or defecation. The time of first self-exhaust or defecation, the time of solid food tolerated, the postoperative 1-3 days visual analogue scale（VAS） abdominal pain scores, and adverse reactions during the intervention were recorded. Results Compared with the postoperative moxibustion group and the control group, the time of first self-exhaust or defecation was earlier in the preoperative moxibustion group（both P〈0.01）; the time of solid food tolerated was earlier in the postoperative moxibustion group（both P〈0.01）; postoperative 1-3d VAS scores were lower（P〈0.05, P〈0.01）. The VAS scores in the postoperative moxibustion group were lower than those in the control group（all P〈0.05）. No adverse reactions occurred in the three groups. Conclusion Preoperative moxibustion can more effectively promote the recovery of gastrointestinal function after laparoscopic surgery and improve the postoperative quality of life.

关 键 词：腹腔镜术后 不同时机 艾灸 穴 足三里 胃肠功能 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]