阑尾穴中药贴敷联合艾灸在腹腔镜阑尾切除术后患者的应用  

Application of traditional Chinese medicine application combined with moxibustion at appendiceal point in patients after laparoscopic appendectomy

作　　者：刘洪豪 张寒寒 石明亮 LIU Hong-hao;ZHANG Han-han;SHI Ming-liang(The First Affiliated Hospital of Henan University,Kaifeng,Henan 475000,China)

机构地区：[1]河南大学第一附属医院普通外科,河南开封475000

出　　处：《医药论坛杂志》2023年第5期101-105,共5页Journal of Medical Forum

基　　金：开封市科技发展计划项目(1803016)。

摘　　要：目的探讨阑尾穴中药贴敷联合艾灸对于腹腔镜阑尾切除术患者术后腹胀及胃肠技术的影响,旨在进一步促进患者预后,并为临床提供参考。方法选取河南大学第一附属医院在2021年1月—2021年11月收治的腹腔镜阑尾切除术患者68例为对象,对患者进行数字编码后,以随机数字表法分为对照组和研究组,每组34例。对照组患者按照常规外科手术后干预,研究组患者则辅以阑尾穴中药贴敷联合艾灸。比较2组患者术后胃肠功能恢复情况,统计、评估患者术后腹胀发生率与程度,并对患者进行术后12 h、24 h、48 h、72 h的腹胀评分、肠鸣音评分进行评估,而且统计两组患者干预前后胃肠激素[胃泌素(GAS)、胃动素(MTL)、抑胃肽(GIP)]。结果干预后,研究组患者首次排气时间、肠鸣音恢复时间、首次排便时间等胃肠功能恢复时间均短于对照组(P<0.05);研究组腹胀发生率(67.65%)低于对照组(88.24%),(χ^(2)=4.191,P<0.05)且发生腹胀患者程度较对照组患者轻(χ^(2)=6.319,P<0.05);研究组术后12 h、24 h、48 h、72 h的腹胀评分、肠鸣音评分均低于对照组(P<0.05)。干预后,两组患者GAS、MTL、GIP均干预前提高,但是研究组患者高于对照组,(P<0.05)。结论阑尾穴中药贴敷联合艾灸应用于腹腔镜阑尾切除术患者中,对促进患者胃肠功能恢复效果显著,能够有效预防和改善术后腹胀,患者认可度更高。Objective To explore the effects of appendectomy with Chinese medicinal plaster combined with moxibustion on postoperative abdominal distention and gastrointestinal technology in patients with laparoscopic appendectomy,in order to further promote the prognosis of patients and provide reference for clinical practice.Methods A total of 68 patients with laparoscopic appendectomy admitted to the First Affiliated Hospital of Henan University Hospital from Jan.2021 to Nov.2021 were selected as subjects.After numerical coding,the patients were divided into control group and research group by random number table method,with 34 patients in each group.Patients in the control group were treated with routine surgical intervention,while patients in the research group were treated with appendectomy plaster combined with moxibustion.The postoperative gastrointestinal function recovery of patients in the two groups was compared,the incidence and degree of postoperative abdominal distension were statistically evaluated,and the abdominal distension score and bowel sound score were evaluated at 12 h,24 h,48 h and 72 h after surgery.Furthermore,gastrointestinal hormones[gastrin(GAS),motilin(MTL),and gastric inhibitory peptide(GIP)] were counted before and after intervention in 2 groups.Results Ater intervention,the recovery time of gastrointestinal function such as first exhaust time,bowel sound recovery time and first defecation time in the study group was shorter than that in the control group(P<0.05).The incidence of abdominal distension in the study group(67.65%)was lower than that in the control group(88.24%)(χ^(2)=4.191,P<0.05),and the degree of abdominal distension was less than that in the control group(χ^(2)=6.319,P<0.05).The abdominal distension score and bowel sound score in the study group were lower than those in the control group at 12 h,24 h,48 h and 72 h postoperatively(P<0.05).After intervention,GAS,MTL and CIP in 2 groups were increased before intervention,but those in study group were higher than those in contro

关 键 词：阑尾穴 中药贴敷 艾灸 腹腔镜阑尾切除术 术后腹胀 胃肠激素 

分 类 号：R656.8[医药卫生—外科学]