热敏灸联合山茶油治疗术后早期炎性肠梗阻临床观察  

Thermal Moxibustion Combined with Camellia Oil in the Treatment of Early Postoperative Inflammatory Small Bowel Obstruction

作　　者：陈子文 刘红权 曾莉娟 刘传渊 何仙平 钟武 CHEN Ziwen;LIU Hongquan;ZENG Lijuan;LIU Chuanyuan;HE Xianping;ZHONG Wu(Department of Gastrointestinal Hernia Surgery,Ganzhou Hospital Affiliated to Nanchang University/Ganzhou People’s Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]南昌大学附属赣州医院/赣州市人民医院胃肠疝外科,江西赣州341000

出　　处：《光明中医》2024年第15期3075-3078,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：江西省中医药管理局科技计划项目(No.2022B668)。

摘　　要：目的探讨热敏灸联合山茶油治疗术后早期炎性肠梗阻的疗效。方法采用随机对照研究方法,将纳入研究的患者随机分为观察组和对照组,各36例。对照组采用常规西医治疗,观察组在常规西医治疗的基础上采用热敏灸联合山茶油口服或胃管内注入治疗,比较2组临床疗效和不良反应发生率。结果观察组治疗总有效率高于对照组(P<0.05);观察组恢复排气排便时间、术后住院时间、胃肠减压时间、腹痛缓解时间、腹胀缓解时间均少于对照组(P<0.05);治疗1周后,观察组血清炎症因子CRP、TNF-α、IL-6较对照组下降更明显(P<0.05)。结论热敏灸联合山茶油治疗术后早期炎性肠梗阻的临床疗效显著,安全性好,值得推广。Objective To explore the efficacy of thermal moxibustion combined with camellia oil in the treatment of early postoperative inflammatory small bowel obstruction.Methods Using randomized controlled experiment,the patients included in this study were randomly divided into observation group and control group.The control group was treated with conventional Western medical treatment,and the observation group was treated with thermal moxibustion combined with camellia oil orally or injected into gastric tube on the basis of conventional Western medical treatment.The clinical efficacy and the incidence of adverse reactions of the two groups were compared.Results The total effective rate of observation group was higher than that of control group(P<0.05).The recovery time of exhaust and defecation,postoperative hospitalization time,gastrointestinal decompression time,abdominal pain relief time and abdominal distension relief time in the observation group were lower than those in the control group(P<0.05).After 1 week of treatment,serum inflammatory factors CRP,TNF⁃αand IL⁃6 were significantly decreased in observation group compared with control group(P<0.05).Conclusion The thermal moxibustion combined with camellia oil in the treatment of early postoperative inflammatory small bowel obstruction has significantly clinical effect and good safety,and is worth promoting.

关 键 词：关格 炎性肠梗阻 热敏灸疗法 山茶油 

分 类 号：R246.1[医药卫生—针灸推拿学]