针刺对腰椎融合术后胃肠功能障碍效果分析  

Analysis of The Effect of Acupuncture on Gastrointestinal Dysfunction after Lumbar Fusion

作　　者：张博华 刘军 任伟剑 邹德峰 张书博 徐贯彭 孙邵铜 刘莛予 ZHANG Bohua;LIU Jun;REN Weijian;ZOU Defeng;ZHANG Shubo;XU Guanpeng;SUN Shaotong;LIU Yanyu(Liaoning Provincial People's Hospital,Shenyang 110016,Liaoning,China;West China Clinical Medical College,Sichuan University,Chengdu 610044,Sichuan,China)

机构地区：[1]辽宁省人民医院,辽宁沈阳110016 [2]四川大学华西临床医学院,四川成都610044

出　　处：《实用中医内科杂志》2024年第9期137-140,I0015,共5页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省自然科学基金项目(2022-BS-056)。

摘　　要：目的观察针刺对腰椎融合术后胃肠功能障碍的作用。方法收集2021年8月—2022年12月于辽宁省人民医院骨科住院并行腰椎后路融合手术术后患者80例。按照随机分组原则,针刺组44例,非针刺组36例。刺穴位包括天枢、中脘、足三里。观察胃肠功能情况及满意度。结果针刺组在术后腹胀痛、便秘、胃肠功能障碍的发生率低于非针刺组(P<0.05)。在术后术后初次排气、排便时间上快于非针刺(P<0.01)。针刺组与非针刺组胃肠道症状改善以及生活质量改善的满意度均优于非针刺组(P<0.05)。结论腰椎融合术后胃肠功能障碍的发生率高,通过针刺能有预防以及效降低胃肠功能障碍的发生率,有效促进术后排气、排便,对于对于缓解术后腹胀痛起到明显作用,加速患者快速康复,提高患者满意度。Objective The effect of acupuncture on gastrointestinal dysfunction after lumbar fusion was observed.Methods 80 patients hospitalized in orthopedic department of Liaoning Provincial People's Hospital during the period from August 2021 to December 2022 were collected.According to the principle of randomization,44 people were in the acupuncture group and 36 people in the non-acupuncture group.The acupuncture points include Tianshu,Zhongwan and Zusanli.Gastrointestinal function and satisfaction were observed.Results The incidence of postoperative abdominal distension,constipation,and gastrointestinal dysfunction was lower in the acupuncture group than in the non-acupuncture group(P<0.05).Primary postoperative exhaust and defecation time were faster than non-acupuncture(P<0.01).The satisfaction with the improvement of gastrointestinal symptoms and quality of life in the non-acupuncture group was better than that in the non-acupuncture group(P<0.05).Conclusion The incidence of gastrointestinal dysfunction after lumbar fusion is high,which can prevent and reduce the incidence of gastrointestinal dysfunction,effectively promote postoperative exhaust and defecation,play an obvious role in relieving postoperative abdominal distension and pain,accelerate the rapid recovery of patients,and improve patient satisfaction.

关 键 词：胃肠功能障碍 针刺 加速康复外科 腰椎融合术 并发症 

分 类 号：R256.3[医药卫生—中医内科学]