芒硝外敷联合穴位按摩对急性化脓性胆囊炎患者术后胃肠功能恢复的影响  

Effect of External Application of Glauber’s Salt Combined with Acupoint Massage on the Postoperative Recovery of Gastrointestinal Function in Patients with Acute Suppurative Cholecystitis

作　　者：姚蕊 肖颖 姜慧萍[1] 陈瑞丹 刘常 赵奇 YAO Rui;XIAO Ying;JIANG Huiping;CHEN Ruidan;LIU Chang;ZHAO Qi(Department of Traditional Chinese Medicine,Zhengzhou Third People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第三人民医院中医科,河南郑州450000

出　　处：《河南医学研究》2022年第21期3990-3993,共4页Henan Medical Research

摘　　要：目的探讨芒硝外敷联合穴位按摩对急性化脓性胆囊炎术后胃肠功能恢复的影响。方法选取2019年10月至2021年4月郑州市第三人民医院102例急性化脓性胆囊炎患者,以随机数字表法分为两组,每组51例。患者均接受气管插管全麻下腹腔镜胆囊切除术,对照组手术当天即进行穴位按摩,治疗组在对照组基础上于术后24~48 h联合芒硝外敷。对比两组手术及术后即刻基本情况、胃肠功能恢复情况、手术前及术后胃肠激素(胃动素、促胃液素)水平变化、术后并发症发生率及住院时间。结果两组手术用时、术中出血量及术毕腹内压比较,差异无统计学意义(P>0.05)。治疗组肠鸣音恢复、肛门排气及腹胀持续时间短于对照组(P<0.05),术后3 d腹内压及胃肠功能评分低于对照组(P<0.05)。手术前两组血清胃动素、促胃液素水平比较,差异无统计学意义(P>0.05),术后3 d两组血清胃动素及促胃液素水平较术前降低(P<0.05),但治疗组高于对照组(P<0.05)。治疗组术后并发症发生率(5.88%)与对照组(13.73%)比较,差异无统计学意义(P>0.05)。治疗组住院时间短于对照组(P<0.05)。结论在排除手术因素等对胃肠功能影响的情况下,术后联合芒硝外敷与穴位按摩有利于促进急性化脓性胆囊炎患者胃肠功能恢复,缩短住院时间,可能与其可调节血清胃肠激素表达有关。Objective To investigate the effect of external application of Glauber’s salt combined with acupoint massage on gastrointestinal function recovery after acute suppurative cholecystitis.Methods A total of 102 patients with acute suppurative cholecystitis in Zhengzhou Third People’s Hospital from October 2019 to April 2021 were randomly divided into treatment group and control group,with 51 cases in each group.All patients underwent laparoscopic cholecystectomy under general anesthesia with endotracheal intubation.The control group received acupoint massage on the day of operation.The treatment group received Glauber’s salt on the basis of the control group at 24 to 48 hours after operation.The basic conditions,gastrointestinal function recovery,preoperative and postoperative gastrointestinal hormone(motilin,gastrin)levels,postoperative complication rate and hospitalization time were compared between the two groups.Results There were no significant differences between the two groups in terms of operation time,intraoperative blood loss and intra-abdominal pressure(P>0.05).The recovery of bowel sounds,anal exhaust and abdominal distension in the treatment group were shorter than that in the control group(P<0.05),and the intra-abdominal pressure and gastrointestinal function scores were lower than the control group 3 days after operation(P<0.05).There was no significant difference in serum motilin and gastrin levels between the two groups before operation(P>0.05).The levels of serum motilin and gastrin in the two groups at 3 days after operation were lower than those before operation(P<0.05),but those in the treatment group were higher than those in the control group(P<0.05).There was no significant difference in the incidence of postoperative complications in the treatment group(5.88%)and the control group(13.73%)(P>0.05).The hospitalization time of the treatment group was shorter than that of the control group(P<0.05).Conclusion In addition to the surgical factors and other effects on gastrointestinal function

关 键 词：急性化脓性胆囊炎 芒硝外敷 穴位按摩 促胃液素 

分 类 号：R244.1[医药卫生—针灸推拿学]