排气汤联合电刺激及艾灸疗法治疗腹腔镜下子宫全切术后肠胀气临床研究  

Clinical Study on Flatulence-Expelling Decoction Combined with Electric Stimulation and Moxibustion in the Treatment of Intestinal Flatulence After Laparoscopic Total Hysterectomy

作　　者：刁小兰 陈航娇 朱燕孜 DIAO Xiaolan;CHEN Hangjiao;ZHU Yanzi(Yudu County Hospital of Traditional Chinese Medicine,Yudu,Jiangxi,China,342300)

机构地区：[1]于都县中医院,江西于都342300

出　　处：《河南中医》2023年第10期1571-1575,共5页Henan Traditional Chinese Medicine

基　　金：江西省中医药管理局科技计划项目(2022B524)。

摘　　要：目的:观察排气汤联合电刺激及艾灸疗法治疗腹腔镜下子宫全切术患者术后肠胀气的临床疗效。方法:选择2020年10月至2022年10月于都县中医院行腹腔镜下子宫全切术,术后出现肠胀气的60例患者为研究对象,按照随机数字表法分为对照组和试验组,每组各30例。对照组给予电刺激联合艾灸治疗,试验组在对照组治疗的基础上联合排气汤治疗。比较两组患者的临床疗效、术后首次排气时间、首次排便时间及腹胀缓解时间,检测两组患者治疗前后胃动素(motilin, MTL)、胃泌素(gastrin, GAS)、白细胞介素-6(interleukin-6,IL-6)及肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平,比较两组患者治疗前后腹胀程度变化情况。结果:试验组有效率为93.33%,对照组有效率为70.00%,两组患者有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后MTL、GAS水平高于本组治疗前,且治疗后试验组高于对照组(P<0.05)。两组患者治疗后IL-6、TNF-α低于本组治疗前,且治疗后试验组低于对照组(P<0.05)。试验组术后首次排气时间、首次排便时间及腹胀缓解时间均短于对照组,差异有统计学意义(P<0.05)。两组患者治疗后腹胀程度轻于本组治疗前,且治疗后试验组轻于对照组(P<0.05)。结论:排气汤联合电刺激及艾灸疗法治疗腹腔镜下子宫全切术后肠胀气,可改善患者腹胀程度,缩短病程,纠正胃肠激素紊乱状态,降低炎症因子水平。Objective:To observe the clinical efficacy of Flatulence-Expelling Decoction combined with electric stimulation and moxibus-tion on patients with intestinal flatulence after laparoscopic total hysterectomy.Methods:A total of 60 patients with intestinal flatulence after laparoscopic total hysterectomy in Yudu County Hospital of Traditional Chinese Medicine from October 2020 to October 2022 were selected as the study objects and divided into the control group and the experimental group according to the random number table meth-od,with 30 cases in each group.The control group was treated with electric stimulation combined with moxibustion,while the experimen-tal group was additionally treated with Flatulence-Expelling Decoction on the basis of the control group.The clinical efficacy,first post-operative flatulence-expelling time,first defecation time and abdominal distension relief time of the two groups were compared;motilin(MTL),gastrin(GAS)and interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)levels of the two groups before and after treat-ment were detected;and the changes in the degree of abdominal distension between the two groups before and after treatment were com-pared.Results:The effective rate of the experimental group was 93.33%,and that of the control group was 70.00%.The difference be-tween the two groups was statistically significant(P<0.05).The levels of MTL and GAS in the two groups after treatment were higher than those before treatment,and the above levels in the experimental group were higher than those in the control group after treatment(P<0.05).IL-6 and TNF-αin two groups after treatment were lower than those before treatment,and the above indexes of the experi-mental group were lower than those of the control group after treatment(P<0.05).The first postoperative flatulence-expelling time,first defecation time and abdominal distension relief time of the experimental group were shorter than those of the control group,and all the dfferences were statistically significant(P<0.05).The degree

关 键 词：腹腔镜下子宫全切术 肠胀气 排气汤 艾灸 电刺激 

分 类 号：R271.913.42[医药卫生—中西医结合]