耳穴压贴联合穴位注射疗法促进腹腔镜下十二指肠穿孔修补术后康复的临床研究  

Clinical research on promoting rehabilitation after laparoscopic repair of duodenal perforation surgery by auricular plaster plus point injection

作　　者：王萌[1] 孙颖[2] 

机构地区：[1]广州市番禺区中医院,广东广州511400 [2]广州中医药大学,广东广州510405

出　　处：《中医临床研究》2016年第19期30-32,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨耳穴压贴联合穴位注射疗法对腹腔镜下十二指肠穿孔修补术后患者快速康复的影响。方法:收集我院2012年1月-2014年12月腹腔镜下十二指肠穿孔修补术后病例46例,对照组24例仅给予常规胃肠减压、抗感染、补液支持等治疗,治疗组22例予术后常规治疗配合耳穴压贴联合穴位注射疗法,比较两组患者首次排气时间、拔除腹腔引流管时间、住院总天数、住院总费用、恶心呕吐、腹胀等不适症状发生情况,术前、术后白蛋白、C反应蛋白水平。结果:治疗组患者的首次排气时间、拔除腹腔引流管时间、住院总天数、住院总费用均显著低于对照组,差异有统计学意义(P<0.05);恶心呕吐、腹胀等不适症状发生率明显低于对照组,差异有统计学意义(P<0.05),炎症指标CRP水平明显低于对照组,差异有显著性(P<0.05),白蛋白水平变化较对照组无统计学差异(P>0.05)。结论:耳穴压贴联合穴位注射疗法对腹腔镜下十二指肠穿孔修补术后患者早期应用能显著促进术后康复,降低住院成本和并发症发生率。Objective: To investigate efficacy of auricular plaster plus point injection on rehabilitation after laparoscopic repair of duodenal perforation surgery. Methods: From January 2012 to December 2014, 46 patients in our hospital were selected.24 cases in the control group were given the conventional treatment such as GI decompression, anti-infective and fluid infusion; 22 cases in the treatment group were given auricular plaster plus point injection more. The first flatus, removal of peritoneal drainage,the total hospitalization, total cost, nausea, vomiting, abdominal distension, levels of albumin and C-reactive protein in two groups were contrasted. Results: The first flatus, removal of peritoneal drainage, the total hospitalization, total cost, nausea,vomiting, abdominal distension and CRP in the treatment group were lower (P<0.05); but levels of albumin in two group showed no significant difference (P>0.05). Conclusion: Auricular plaster plus point injection on promoting rehabilitation after laparoscopic repair of duodenal perforation surgery could improve rehabilitation quickly, with less hospitalization cost and fewer adverse reactions.

关 键 词：耳穴 腹腔镜下十二指肠穿孔修补 术后康复 维生素B1 

分 类 号：R656.64[医药卫生—外科学]