大黄芒硝外敷联合温针灸对腹腔镜阑尾切除术后康复的影响  

Effect of External Application of Rhubarb and Mirabilite Combined with Warm Acupuncture on the Recovery after Laparoscopic Appendectomy

作　　者：刘攀[1] 秦忠萍[1] 吴少林[1] 曾为英 郭晚元 LIU Pan;QIN Zhongping;WU Shaoin;ZENG Weiying;GUO Wanyuan(Yichun Vocational and Technical College,Yichun Jiangxi 336000,China;Yichun Zhejiang Jiangxi Friendship Hospital,Yichun Jiangxi 336000,China.)

机构地区：[1]宜春职业技术学院,江西宜春336000 [2]宜春浙赣友好医院,江西宜春336000

出　　处：《药品评价》2024年第1期108-111,共4页Drug Evaluation

基　　金：江西省中医药管理局科技计划项目(2022B267)。

摘　　要：目的探讨大黄芒硝外敷联合温针灸对腹腔镜阑尾切除术后患者胃肠功能恢复、腹胀程度、胃动素(MTL)、胃泌素(GAS)的影响。方法回顾性分析宜春浙赣友好医院2021年12月至2023年1月腹腔镜阑尾切除术患者100例临床资料,术后给予常规治疗50例作为对照组;在对照组基础上给予大黄芒硝外敷联合温针灸治疗的50例作为观察组。比较两组胃肠功能恢复指标、腹胀程度、MTL、GAS及并发症发生率。结果治疗后,观察组肠鸣音恢复时间、首次排气时间、首次排便时间均短于对照组;观察组腹胀程度轻于对照组;观察组血清MTL、GAS水平均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症总发生率(6.00%)低于对照组(20.00%),差异有统计学意义(P<0.05)。结论大黄芒硝外敷联合温针灸可有效地改善腹腔镜阑尾切除术后胃肠蠕动功能,促进胃肠功能恢复,减轻腹胀程度,降低并发症发生率。Objective To investigate the effects of external application of rhubarb and mirabilite combined with warm acupuncture on the recovery of gastrointestinal function,the degree of abdominal distension,and the effects of motilin(MTL)and gastrin(GAS)in patients after laparoscopic appendectomy.Methods 100 cases of laparoscopic appendectomy patients were selected from Yichun Zhejiang Jiangxi Friendship Hospital from December 2021 to January 2023,and the clinical data were retrospectively analyzed,among which 50 cases were given conventional treatment after operation as the control group,the other 50 cases were given external application of rhubarb and mirabilite combined with warm acupuncture on the basis of the control group as the observation group.The two groups were compared in terms of gastrointestinal function recovery indexes,degree of abdominal distension,MTL,GAS and complication rate.Results After treatment,the recovery time of bowel sounds,the time of first gas evacuation and the time of first defecation of the observation group were shorter than that of the control group,the degree of abdominal distension of the observation group was lighter than that of the control group,and the levels of serum MTL and GAS of the observation group were higher than that of the control group,and the differences were statistically significant(P<0.05).The total complication rate of the observation group(6.00%)was lower than that of the control group(20.00%),the difference was statistically significant(P<0.05).Conclusion External application of rhubarb and mirabilite combined with warm acupuncture can effectively improve gastrointestinal peristalsis after laparoscopic appendectomy,promote the recovery of gastrointestinal function,reduce the degree of abdominal distension,and decrease the incidence of complications.

关 键 词：大黄芒硝外敷 温针灸 阑尾炎 胃动素 胃泌素 

分 类 号：R656.8[医药卫生—外科学]