经皮穴位电刺激联合耳穴压豆治疗妇科腹部术后胃肠功能障碍的临床观察  

Clinical Observation of Transcutaneous Acupoint Electrical Stimulation Combined with Auricular Point Seed-Pressing Therapy in Treatment of Gastrointestinal Dysfunction after Gynecological Abdominal Surgery

作　　者：李晓瑜 张永顺 管莉文 石志敏[1] 杜伟[1] 武文印 LI Xiao-Yu;ZHANG Yong-Shun;GUAN Li-Wen;SHI Zhi-Min;DU Wei;WU Wen-Yin(Tangshan City Hospital of Traditional Chinese Medicine,Tangshan 063000 Hebei,China;Laoting County Hospital of Traditional Chinese Medicine,Laoting 063600 Hebei,China;Laoting County Maternal and Child Health Hospital,Laoting 063600 Hebei,China)

机构地区：[1]唐山市中医医院,河北唐山063000 [2]乐亭县中医医院,河北乐亭063600 [3]乐亭县妇幼保健院,河北乐亭063600

出　　处：《广州中医药大学学报》2021年第9期1893-1898,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：北京中医药大学东直门医院2016年度医疗联盟临床研究专项资助项目(编号:2016YLLM01)。

摘　　要：【目的】观察经皮穴位电刺激联合耳穴压豆治疗妇科腹部术后胃肠功能障碍患者的临床疗效。【方法】将70例妇科腹部术后胃肠功能紊乱患者随机分为观察组和对照组,每组各35例。对照组给予马来酸曲美布汀口服治疗,观察组给予经皮穴位电刺激联合耳穴压豆治疗。疗程为7 d。治疗7 d后,评价2组的临床疗效,比较2组患者术后首次肠鸣音、首次排气与排便时间的情况,观察2组患者治疗前后主要症状、体征评分的变化情况,以及2组患者治疗前后血清二胺氧化酶(DAO)、D-乳酸的水平的变化情况。【结果】(1)研究过程中,观察组失访3例,对照组失访4例。最终观察组32例、对照组31例纳入疗效统计。(2)治疗后,与对照组比较,观察组在改善术后肠鸣音恢复、首次排气和排便时间方面均明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的主要症状、体征评分均明显改善(P<0.05),且观察组在改善患者主要症状、体征评分方面明显优于对照组,差异均有统计学意义(P<0.05)。(4)治疗后,2组患者的血清DAO、D-乳酸水平均明显改善(P<0.05),且观察组在改善血清DAO、D-乳酸水平方面明显优于对照组,差异均有统计学意义(P<0.05)。(5)观察组总有效率为90.63%(29/32),对照组为74.19%(23/31)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】经皮穴位电刺激联合耳穴压豆治疗妇科腹部术后胃肠功能障碍,能快速促进腹部术后患者胃肠功能的恢复,改善患者的症状、体征及肠黏膜屏障功能指标,疗效显著。Objective To observe the clinical effect of transcutaneous acupoint electrical stimulation(TAES)combined with auricular point seed-pressing therapy in the treatment of gastrointestinal dysfunction after gynecological abdominal surgery. Methods A total of 70 patients with gastrointestinal dysfunction after gynecological abdominal surgery were randomly divided into observation group and control group,35 cases in each group. The control group was treated with oral use of trimebutine maleate,while the observation group was treated with TAES combined with auricular point seed-pressing therapy,the course lasting for 7 days. After 7 days of treatment, the clinical efficacy of the two groups was evaluated, the first time to borborygmus, exhaust and defecation after surgery,the scores of main symptoms and signs as well as the changes of serum diamine oxidase(DAO)and D-lactic acid levels in the two groups were compared before and after treatment. Results(1)During the study, 3 cases in the observation group and 4 cases in the control group were lost to follow up. Finally,32 cases in the observation group and 31 cases in the control group were included in the curative effect statistics.(3)After treatment, the scores of main symptoms and signs of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the scores of main symptoms and signs of patients,the difference being statistically significant(P<0.05).(4)After treatment,the serum levels of DAO and D-lactic acid in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the serum levels of DAO and D-lactic acid, with statistical significance(P<0.05).(5)The total effective rate was 90.63%(29/32)in the observation group, and 74.19%(23/31)in the control group. The curative effect of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05). Con

关 键 词：经皮穴位电刺激 耳穴压豆 马来酸曲美布汀 胃肠道功能障碍 妇科腹部术后 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]