耳穴压豆联合艾灸在减重术后患者中的应用效果  

Clinical Efficacy of Auricular Point Pressing Combined with Moxibustion in Patients after LSG

作　　者：朱小华[1] 徐雯[2] 殷俊翔 林伟青[3] 陈晓亮[1] ZHU Xiao-hua;XU Wen;YIN Jun-xiang;LIN Wei-qing;CHEN Xiao-liang(Department of General Surgery I,Jiangxi Provincial People’s Hospital/the First Affiliated Hospital of Nanchang Medical College,Nanchang 330006,China;Division of First Ward,Jiangxi Provincial People’s Hospital/the First Affiliated Hospital of Nanchang Medical College,Nanchang 330006,China;Department of Integrative Chinese and Western Medicine,Jiangxi Provincial People’s Hospital/the First Affiliated Hospital of Nanchang Medical College,Nanchang 330006,China)

机构地区：[1]江西省人民医院南昌医学院第一附属医院普外一科,南昌330006 [2]江西省人民医院南昌医学院第一附属医院一部病区,南昌330006 [3]江西省人民医院南昌医学院第一附属医院中西医结合科,南昌330006

出　　处：《实用临床医学（江西）》2024年第2期93-97,共5页Practical Clinical Medicine

基　　金：江西省中医药管理局科技计划项目(2021A066)。

摘　　要：目的探究耳穴压豆联合艾灸在腹腔镜袖状胃切除术(LSG)后患者中的应用效果。方法选取2018年3月至2022年11月期间在普外一科接受LSG的105例患者作为研究对象,采用随机抽签法将其分为对照组(n=53)与试验组(n=52)。对照组术后采用常规护理加认知行为模式进行干预,试验组在对照组护理的基础上,于术后6个月时增加使用艾灸联合耳穴压豆方法干预。比较2组患者手术后6、8、10、12个月所测体重、体重指数(BMI)、腰臀比(WHR)、体脂率(BF)、内脏脂肪面积(VFA)、多余体重减少百分比(EWL)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)水平。结果术后6个月,2组体重、BMI、WHR、BF、VFA、EWL、TC、TG、LDL-C、HDL-C比较差异无统计学意义(P>0.05)。术后8、10和12个月时,试验组体重、BMI、WHR、BF、VFA、TC、TG、LDL-C、HDL-C明显低于对照组(P<0.05或P<0.001),且EWL明显高于对照组(P<0.05)。结论耳穴压豆联合艾灸应用于LSG术后的患者可以有效提高其代谢水平,调节其内分泌功能,有助于巩固减重手术的中长期效果,预防术后复胖的发生。Objective To explore the clinical efficacy of auricular point pressing combined with moxibustion in patients after laparoscopic sleeve gastrectomy(LSG).Methods A total of 105 patients who underwent LSG in the Department of General Surgery I between March 2018 and November 2022 were selected for the study,and they were randomly divided into the control group(n=53)and the experimental group(n=52).The control group was intervened with conventional nursing care plus cognitive-behavioral model after surgery,and the experimental group was further intervened with auricular point pressing combined with moxibustion at 6 months postoperatively.Body mass index(BMI),waist-to-hip ratio(WHR),body fat percentage(BF),viscera fat area(VFA),percentage of excess weight loss(EWL),total cholesterol(TC),triglyceride cholesterol(TG),low-densitylipoprotein cholesterol(LDL-C)and high-density lipoprotein cholesterol(HDL-C)levels were compared between the two groups at 6,8,10 and 12 months postoperatively.Results At 6 months postoperatively,there was no statistically significant difference in the comparison of weight,BMI,WHR,BF,VFA,EWL,TC,TG,LDL-C,and HDL-C between the 2 groups(P>0.05).At 8,10,and 12 months postoperatively,body weight,BMI,WHR,BF,VFA,TC,TG,LDL-C,and HDL-C were significantly lower in the experimental group than in the control group(P<0.05 or P<0.001),and EWL was significantly higher than in the control group(P<0.05).Conclusion Auricular point pressing combined with moxibustion can effectively improve metabolism and regulate endocrine in patients after LSG,helping to consolidate the medium-and long-term effects of weight-loss surgery and prevent the occurrence of postoperative weight regain.

关 键 词：耳穴压豆 艾灸 减重术后 术后复胖 

分 类 号：R656.61[医药卫生—外科学] R259[医药卫生—临床医学] R473.5