中药穴位贴敷促进腹部手术患者术后胃肠功能恢复的效果  

Effects of traditional Chinese medicine at the acupoint on gastrointestinal function recovery after abdominal surgery

作　　者：刘肄媛 陈宏[1] 王玉涛[1] 卢英[1] 徐秀琴[1] 胡海荣 王嘉麟[1] 刘仍海[1] 焦蕴岚[1] Liu Yiyuan;Chen Hong;Wang Yutao;Lu Ying;Xu Xiuqin;Hu Hairong;Wang Jialin;Liu Renghai;Jiao Yunlan(Department of Nursing, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China)

机构地区：[1]北京中医药大学东方医院护理部,北京100078

出　　处：《中华现代护理杂志》2019年第13期1685-1688,共4页Chinese Journal of Modern Nursing

基　　金：北京市中医药科技项目(JJ2016-50).

摘　　要：目的探讨中药穴位贴敷促进腹部手术患者术后胃肠功能恢复的临床疗效。方法采用随机、双盲、安慰剂平行对照的临床研究方法,将84例腹腔镜术后患者随机分为观察组和对照组,各42例,观察组给予中药穴位贴敷,对照组给予安慰剂,连续观察3d。比较两组术后肠鸣音恢复时间、首次排气时间和首次排便时间,并作安全性评价。结果观察组肠鸣音恢复时间为15.5(13 ~22)h,首次排便时间为45.5(29-62)h,均低于对照组,差异有统计学意义(Z值分别为2.40、2.05;P<0.05);观察组首次排气时间18(15 ~ 27)h,与对照组比较差异无统计学意义(Z=1.96,P=0.05).两组患者贴敷后局部皮肤均未出现不良反应。结论中药穴位贴敷可以促进腹部手术患者术后胃肠功能恢复,具有简、便、廉、效的特性,以及良好的安全性,适合推广使用。Objective To explore the clinical effects of traditional Chinese medicine at the acupoint on gastrointestinal function recovery after abdominal surgery. Methods Totally 84 patients receiving laparoscopy were divided into the observation group (n=42) and the control group (n=42) using randomized, double-blinded and placebo controls. Patients in the observation group received traditional Chinese medicine at the acupoint, while patients in the control group received placebo. Both groups were observed continuously for 3 days. Time of postoperative borborygmus recovery, time of first exhaust, and time of first defecation were compared between the two groups postoperatively, and safety evaluation was performed. Results The time of borborygmus recovery of the observation group was 15.5 (13-22) h, and the time of first defecation was 45.5 (29-62) h, both lower than those of the control group (Z=2.40, 2.05;P< 0.05). The time of first exhaust of the control group was 18 (15-27) h, and there was no statistically significant difference as compared with the observation group (Z=1.96, P=0.05). Neither group showed adverse effects on local skin after the use of traditional Chinese medicine. Conclusions Traditional Chinese medicine at the acupoint can promote gastrointestinal function recovery after abdominal surgery, which is simple, easy, cheap and effective and is worth promoting in clinical practice.

关 键 词：中医护理 穴位贴敷 腹部手术 手术后 胃肠功能 康复护理 

分 类 号：R248.2[医药卫生—中医临床基础]