小茴香盐包联合耳穴埋豆对腹腔镜下胃肠道术后患者胃肠功能的影响  

Effects of fennel salt bag combined with ear point embedding beans on gastrointestinal function of patients received laparoscopic gastrointestinal surgery

作　　者：赵淋琪 周丽[1] 施洁 韦爱雄[1] 黄华勇[1] ZHAO Linqi;ZHOU Li;SHI Jie;WEI Aixiong;HUANG Huayong

机构地区：[1]广西中医药大学第一附属医院,广西南宁530001

出　　处：《中医临床研究》2023年第30期94-96,共3页Clinical Journal Of Chinese Medicine

基　　金：广西中医药大学第一附属医院院级科研项目(合同号:2017QN011)。

摘　　要：目的:研究小茴香盐包联合耳穴埋豆对腹腔镜下胃肠道手术后患者胃肠功能的影响。方法:选取在广西中医药大学第一附属医院胃肠肛门外科首次择期接受全身麻醉下腹腔镜胃肠道手术患者150例,按照随机数字表法分为对照组和观察组各75例,其中对照组中男性41例,女性34例,年龄31~67岁,平均(47.85±7.22)岁;观察组中男性42例,女性33例,年龄31~68岁,平均(48.39±7.57)岁。对照组实施常规护理方法,观察组在常规护理基础上使用小茴香盐包热敷联合耳穴埋豆,对比两组患者首次出现肠鸣音时间、首次肛门排气时间、首次肛门排便时间及腹胀程度。结果:经独立样本t检验,观察组术后肠鸣音恢复时间(t=16.450,P <0.001)、肛门首次排气时间(t=25.508,P <0.001)和肛门首次排便时间(t=12.376,P <0.001)均小于对照组,差异有统计学意义;经重复测量方差分析,对照组和观察组两组5 d腹胀评分差异有统计学意义(P <0.05),又根据描述性分析可知两组5 d腹胀评分的均值递减,因此可认为两组5 d腹胀评分在不断下降。经独立样本t检验,观察组2 d腹胀评分(t=3.266,P=0.001)、3 d腹胀评分(t=5.492,P <0.001)、4 d腹胀评分(t=4.182,P <0.001)、5 d腹胀评分(t=3.084,P <0.001)均低于对照组,差异有统计学意义。结论:在常规护理方法的基础上,使用小茴香盐包热敷联合耳穴埋豆能促进腹腔镜下胃肠道手术患者胃肠道功能恢复,该方法简便易行,不良反应少,值得临床推广应用。Objective:To study the effect of fennel salt bag combined with ear point embedding beans on gastrointestinal function in patients after laparoscopic gastrointestinal surgery.Methods:A total of 150 patients who received laparoscopic gastrointestinal surgery under general anesthesia for the first time in the Gastrointestinal and Anal Surgery Department of the First Affiliated Hospital of Guangxi University of Chinese Medicine were selected and divided into the control group and the observation group according to random number table method,with 75 patients in each group.In the control group,there were 41 males and 34 females,aged 31-67 years,with an average age of(47.85±7.22)years.In the observation group,there were 42 males and 33 females,ranging in age from 31 to 68 years,with an average age of(48.39±7.57)years.The control group was given routine nursing,and the observation group was given hot compress with fennel salt and buried beans at ear points.The time of first bowel sound,first anal exhaust time,first anal defecation time and abdominal distension were compared between the two groups.Results:The t test of independent samples showed that the recovery time of postoperative bowel sound(t=16.450,P<0.001),the time of first anal exhaust(t=25.508,P<0.001)and the time of first anal defecation(t=12.376,P<0.001)in the observation group were all lower than those in the control group;the difference was of statistical significance.According to repeated measurement ANOVA,there was a statistically significant difference in 5-day bloating scores between the control group and the observation group(P<0.05),and the mean value of 5-day bloating scores in the two groups were decreased according to descriptive analysis,so it could be considered that the 5-day bloating scores in the two groups were continuously declined.By independent sample t test,2-day bloating score(t=3.266,P=0.001),3d bloating score(t=5.492,P<0.001),4-day bloating score(t=4.182,P<0.001)and 5-day bloating score(t=3.084,P<0.001)in the observation group were al

关 键 词：胃肠道手术 小茴香盐包 耳穴埋豆 胃肠道功能 

分 类 号：R25[医药卫生—中医内科学]