中药穴位贴敷联合假饲在促进腹腔镜胆总管切开取石术后胃肠功能恢复中的应用  

Application of traditional Chinese medicine acupoint application combined with sham feeding in promoting gastrointestinal function recovery after laparoscopic choledocholithotomy

作　　者：罗萍[1] 周琼美 李婷[2] 喻丹 张霖 LUO Ping;ZHOU Qiong-mei;LI Ting;YU Dan;ZHANG Lin(Department of Hepatobiliary Surgery,Jiangxi Pingxiang People′s Hospital,Jiangxi Province,Pingxiang337000,China;Department of Traditional Chinese Medicine Rehabilitation,Jiangxi Pingxiang People′s Hospital,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡市人民医院肝胆外科,江西萍乡337000 [2]江西省萍乡市人民医院中医康复科,江西萍乡337000

出　　处：《中国当代医药》2021年第7期162-164,共3页China Modern Medicine

基　　金：江西省萍乡市科技计划项目(2018PY049)。

摘　　要：目的探讨中药穴位贴敷联合假饲在促进腹腔镜胆总管切开取石术后胃肠功能恢复中的应用。方法选取2018年11月~2020年6月江西省萍乡市人民医院收治的60例行腹腔镜胆总管切开取石术的患者作为研究对象,按照随机数字表法将其分为空白组、对照组与观察组,每组各20例。空白组患者采用术后常规治疗,对照组患者采用常规治疗联合假饲,观察组患者采用足三里吴茱萸贴敷联合假饲。比较三组患者的胃肠功能恢复情况及并发症总发生率。结果对照组患者治疗后首次肠鸣音出现时间、首次肛门排气时间、首次排便时间、住院时间短于空白组,观察组患者治疗后首次肠鸣音出现时间、首次肛门排气时间、首次排便时间、住院时间短于对照组与空白组,差异有统计学意义(P<0.05)。对照组患者治疗后并发症总发生率低于空白组,观察组患者治疗后并发症总发生率低于对照组与空白组,差异有统计学意义(P<0.05)。结论采用中药穴位贴敷联合假饲可促进腹腔镜胆总管切开取石术后患者的胃肠功能恢复,缩短住院时间,降低并发症发生率,效果显著。Objective To explore the application of traditional Chinese medicine acupoint application combined with sham feeding in promoting gastrointestinal function recovery after laparoscopic choledocholithotomy.Methods A total of 60 patients who underwent laparoscopic choledocholithotomy in Jiangxi Pingxiang People′s Hospital from November 2018 to June 2020 were selected as the research objects.According to the random number table method,they were divided into the blank group,the control group and the observation group,with 20 cases in each group.Patients in blank group were treated with conventional postoperative treatment,patients in control group were treated with conventional treatment combined with sham feeding,and patients in observation group were treated with Zusanli ructus evodia paste combined with sham feeding.The recovery of gastrointestinal function and the total incidence of complications in the three groups were compared.Results After treatment,the time of first bowel sounds,first anal exhaust,first defecation and first hospital stay in the control group were shorter than those in the blank group,while the time of first bowel sounds,first anal exhaust,first defecation and first hospital stay in the observation group were shorter than those in the control group and the blank group,the differences were statistically significant(P<0.05).The total incidence of complications after treatment in the control group was lower than that in the blank group,and the total incidence of complications in the observation group was lower than those in the control group and the blank group,the differences were statistically significant(P<0.05).Conclusion The use of traditional Chinese medicine acupoint application combined with sham feeding can promote the recovery of gastrointestinal function of patients after laparoscopic choledochectomy,shorten the hospital stay,and reduce the incidence of complications with a remarkable effect.

关 键 词：胆总管结石 腹腔镜胆总管切开取石术 中药穴位贴敷 假饲 胃肠功能 

分 类 号：R256.4[医药卫生—中医内科学]