超声中频穴位导药技术对腰椎手术患者术后胃肠功能恢复作用的研究  

Study on the effect of ultrasound intermediate frequency acupoint drug guiding technology on the recovery of gastrointestinal function in patients undergoing lumbar spine surgery

作　　者：马建华[1] 王庆雷[1] 毕靓 耿海凤 丁立祥 甄菊梅 Ma Jianhua;Wang Qinglei;Bi Jing;Geng Haifeng;Ding Lixiang;Zhen Jumei(Department of Orthopaedics,Beijing Geriatrics Hospital,Beijing 100095,China;Department of Spine,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]北京老年医院骨科,北京100095 [2]首都医科大学附属北京世纪坛医院脊柱外科,北京100038

出　　处：《中国医师进修杂志》2023年第6期507-511,共5页Chinese Journal of Postgraduates of Medicine

基　　金：北京市医院管理中心重点医学专业发展计划(ZYLX202135);北京老年医院老年医学科研专项自主创新项目(2018bjlnyy-自-1)。

摘　　要：目的观察超声中频穴位导药技术对全身麻醉老年腰椎手术患者术后胃肠功能恢复及血清胃泌素水平的影响。方法采用前瞻性研究的方法,选取2019年6月至2021年6月北京老年医院骨科病房行全身麻醉腰椎手术的60岁以上患者90例,按照随机数字表法分成空白对照组、药物对照组及导药治疗组各30例,空白对照组术后不施加任何干预措施,药物对照组术后给予枸橼酸莫沙必利片口服治疗,导药治疗组术后使用超声中频导药仪D贴片在足三里、中脘两个穴位导药治疗,各治疗1周。检测各组患者术前1 d、术后第3天及术后1周血清胃泌素水平,并记录患者术后第一次排气时间与第一次排便时间。结果三组患者术前血清胃泌素水平比较差异无统计学意义(P>0.05);术后第3天,导药治疗组、药物对照组、空白对照组胃泌素水平均低于术前1 d[(66.51±5.34)ng/L比(69.36±6.50)ng/L、(58.34±5.71)ng/L比(68.75±5.13)ng/L、(55.76±6.23)ng/L比(70.20±6.71)ng/L],差异有统计学意义(P<0.05),且呈依次递减趋势,其中导药治疗组水平高于药物对照组及空白对照组。术后1周,三组患者的血清胃泌素水平与术后第3天比较均出现上升(P<0.05),且导药治疗组高于药物对照组及空白对照组[(72.38±6.78)ng/L比(67.15±6.27)ng/L、(63.52±5.38)ng/L],差异有统计学意义(P<0.05)。三组患者术后首次排气及排便时间,导药治疗组明显短于药物对照组及空白对照组[(15.25±3.10)h比(20.38±4.21)h和(28.52±3.69)h、(24.14±3.53)h比(36.15±3.54)h和(49.51±4.37)h],差异有统计学意义(P<0.05)。结论超声中频穴位导药技术可以提高患者的血清胃泌素水平,加速全身麻醉老年腰椎手术患者术后胃肠机能的康复。Objective To observe the effects of ultrasound intermediate frequency acupoint targeted drug guiding technology on the recovery of gastrointestinal function and serum gastrin levels in elderly patients after lumbar spine surgery under general anesthesia.Methods This study used prospective research methods.A total of 90 elderly patients undergoing lumbar spine surgery after general anesthesia in the orthopaedic ward of Beijing Geriatrics Hospital from June 2019 to June 2021 were randomly divided into blank control group,drug control group,and drug-guided treatment group,with 30 cases each group.After the operation,no intervention was given to the blank control group,the drug control group received oral mosapride citrate tablets,the drug-guided treatment group used the D patch to guide the medicine at the two acupoints of Zusanli and Zhongwan with ultrasound medium frequency guided medicine instrument for 1 week each.The serum gastrin levels of the patients in each group were detected 1 d before operation,3 d after operation,and 1 week after operation,and the time of first exhaust and first defecation after operation were recorded.Results The results showed that the level of serum gastrin preoperativein the three groups was not significantly different(P>0.05).On the third day after operation,the levelof serum gastrin in the drug guide treatment group,drug control group and blank control group were lower than those at 1 d before operation:(66.51±5.34)ng/L vs.(69.36±6.50)ng/L,(58.34±5.71)ng/L vs.(68.75±5.13)ng/L,(55.76±6.23)ng/L vs.(70.20±6.71)ng/L,the differences were statistically significant(P<0.05),and showed a decreasing trend in turn.Among them,the level of serum gastrin in the drug guide treatment group was higher than that in the drug control group and blank control group,the difference was statistically significant(P<0.05).One week after operation,the level of serum gastrin in the three groups increased compared with the third day after operation(P<0.05),and the drug guiding treatment group was higher

关 键 词：超声波法 超声透入疗法 胃泌素类 老年人 腰椎手术 术后胃肠功能 

分 类 号：R687.3[医药卫生—骨科学]