通腑行气汤联合穴位贴敷治疗脊柱退变术后肠胀气的效果分析  

Analysis of Effect of Tongfu Xingqi Decoction Combined with Acupoint Application on Intestinal Distension After Spinal Degeneration

作　　者：谢君恩 杨亮辉 王展 XIE Jun-en;YANG Liang-hui;WANG Zhan(The First Department of Bone,Taishan Hospital of Traditional Chinese Medicine,Taishan 529200,Guangdong Province,China)

机构地区：[1]广东省台山市中医院骨一科,广东台山529200

出　　处：《罕少疾病杂志》2022年第8期94-96,共3页Journal of Rare and Uncommon Diseases

基　　金：江门市科技计划项目2021YL09037。

摘　　要：目的探究通腑行气汤联合穴位贴敷治疗脊柱退变术后肠胀气的效果。方法选取我院86例脊柱退变术后肠胀气患者(2019年1月至2021年2月)作为研究对象,按照随机数字表法分为观察组(n=43)和对照组(n=43),对照组采用穴位贴敷治疗,观察组采用通腑行气汤联合穴位贴敷治疗。比较2组疗效,肠鸣音恢复、肠胀气消失、首次排气、首次排便时间,治疗前后症状评分,术前、术毕、术后2d血清胃动素(MTL)、胃泌素(GAS)水平及不良反应发生率。结果观察组总有效率97.67%高于对照组81.40%(P<0.05);观察组肠鸣音恢复、肠胀气消失、首次排气、首次排便时间短于对照组(P<0.05);治疗后观察组症状评分低于对照组(P<0.05);术后2d观察组血清MTL、GAS水平高于对照组(P<0.05);2组治疗期间均未发生不良反应。结论通腑行气汤联合穴位贴敷治疗脊柱退变术后肠胀气患者效果显著,可有效缩短肠鸣音恢复、肠胀气消失、首次排气、排便时间,促使症状改善及胃肠功能恢复,且安全性高。Objective To explore the effect of tongfu Xingqi Decoction combined with acupoint application on intestinal distension after spinal degeneration.Methods A total of 86 patients with intestinal flatulence after spinal degeneracy in our hospital(from January 2019 to February 2021)were selected as the research objects and divided into the observation group(n=43)and the control group(n=43)according to the random number table method.The control group was treated with acupoint application,and the observation group was treated with tongfu Xingqi Decoction combined with acupoint application.The efficacy,recovery of bowel sounds,disappearance of intestinal flatulence,time of first exhaust and first defecation,symptom scores before and after treatment,serum motilin(MTL)and gagaolin(GAS)levels before,after and 2 days after surgery,and the incidence of adverse reactions were compared between the 2 groups.Results The total effective rate of observation group was 97.67%higher than that of control group(81.40%)(P<0.05).The recovery of bowel sounds,disappearance of intestinal distension,first exhaust and first defecation time in the observation group were shorter than those in the control group(P<0.05);Symptom score of observation group was lower than control group after treatment(P<0.05);The levels of serum MTL and GAS in observation group were higher than those in control group 2 days after operation(P<0.05).No adverse reactions occurred in 2 groups during treatment.Conclusion Tongfu Xingqi Decoction combined with acupoint application has a significant effect on patients with intestinal flatulence after spinal degeneration.It can effectively shorten the recovery of intestinal sounds,the disappearance of intestinal flatulence,the first exhaust and defecation time,and promote the improvement of symptoms and the recovery of gastrointestinal function,with high safety.

关 键 词：通腑行气汤 穴位贴敷 脊柱退变 术后肠胀气 疗效 胃肠功能 

分 类 号：R68[医药卫生—骨科学]