揿针刺法早期干预对腰椎骨折术后患者腹胀影响的研究  

Study on the Effect of Early Intervention of Acupuncture on Abdominal Distension in Patients with Lumbar Fracture After Operation

作　　者：张颖 王义沙 李素琰 潘佩婵[1] Zhang Ying(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400)

机构地区：[1]中山市中医院,广东中山528400

出　　处：《黑龙江医药》2023年第4期954-956,共3页Heilongjiang Medicine journal

基　　金：中山市医学科研项目(项目编号:2021A020462)。

摘　　要：目的:探究揿针刺法早期干预对腰椎骨折术后患者腹胀影响的价值。方法:选取2021年3月1日至2021年12月31日期间在中山市中医院(广州中医药大学附属中山中医院)接受腰椎骨折手术治疗的患者80例,根据患者进入的先后顺序,根据双色球分组法将研究对象划分为参照组(n=40)和研究组(n=40)。参照组给予常规护理口服西甲硅油干预,研究组施以揿针循经取穴刺法。比较两组干预前后腹胀VAS评分;比较两组患者术后肠鸣音恢复时间、术后首次肛门排气及排便时间;比较两组干预后中医症状(脘腹痞闷、肠鸣矢气、呕恶纳呆、腹痛、睡眠、神疲乏力)评分;比较干预前后生活质量(Kolcaba舒适状况量表)评分。结果:相比于干预前,两组腹胀VAS评分干预后均下降,而生活质量评分干预后均升高,且在干预后研究组的腹胀VAS评分、肠鸣音恢复时间、术后首次肛门排气及排便时间、中医症状总分以及各症状评分较参照组的低,而干预后研究组的生活质量评分较参照组的高(P<0.05)。结论:腰椎骨折术后患者腹胀通过揿针刺法早期干预后腹胀程度明显改善,且各中医症状显著缓解,缩减术后肠鸣音恢复时间、术后首次肛门排气及排便时间,辅助改善患者术后生活质量,值得推广。Objective:To explore the effect of early intervention of acupuncture on abdominal distension of patients after lumbar fracture surgery.Methods:A total of 80 patients who received surgical treatment for lumbar fracture in Zhongshan Hospital of Traditional Chinese Medicine(Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine)from March 1,2021 to December 31,2021 were selected,and the subjects were divided into a reference group(n=40)and a research group(n=40)according to the sequence of patients entering the hospital.The control group was given routine nursing intervention with oral simethicillin silicone oil,and the study group was given spontaneous electric acupuncture with acupuncture point selection.VAS scores of abdominal distension were compared between the two groups before and after intervention.Postoperative bowel sound recovery time,first postoperative anal exhaust and defecation time were compared between the two groups.The scores of TCM symptoms(epigastric tightness,bowel ringing and qi,nausea,abdominal pain,sleep and fatigue)were compared between the two groups after intervention.Kolcaba Comfort Scale scores were compared before and after the intervention.Results:Compared with before intervention,abdominal distension VAS score of both groups decreased after intervention,while quality of life score increased after intervention.After intervention,abdominal distension VAS score,bowel sound recovery time,first postoperative anal exhaust and defecation time,total score of traditional Chinese medicine symptoms and all symptom scores of the study group were lower than those of the control group.The quality of life score of the intervention group was higher than that of the control group(P<0.05).Conclusion:Abdominal distension of patients after lumbar fracture surgery was significantly improved by the early intervention of the acupuncture method,and the symptoms of traditional Chinese medicine were significantly relieved,reducing the recovery time of postope

关 键 词：腰椎骨折 术后腹胀 揿针刺法 早期干预 生活质量 

分 类 号：R683.2[医药卫生—骨科学]