陆氏针灸对胃肠肿瘤患者腹腔镜术后胃肠功能紊乱、疼痛的影响  

The Efficacy of Lu's Acupuncture on Gastrointestinal Dysfunction and Postoperative Pain in Patients with Gastrointestinal Tumors Following Laparoscopic Surgery

作　　者：王秋月 钟雪菱 金珠 WANG Qiuyue;ZHONG Xueling;JIN Zhu(Department of Acupuncture,Shanghai Seventh People's Hospital,Shanghai 200137)

机构地区：[1]上海市第七人民医院针灸科,上海200137 [2]上海中医药大学,上海200137

出　　处：《医学临床研究》2024年第11期1648-1650,1654,共4页Journal of Clinical Research

基　　金：浦东新区卫健委2023年度卫生科技项目面上项目(编号:PW2023A-50);上海市第七人民医院“名中医继承人”项目(编号:JCR2023-01)。

摘　　要：【目的】探讨陆氏针灸对胃肠肿瘤患者腹腔镜术后胃肠功能紊乱、疼痛的影响。【方法】60例需行胃肠肿瘤腹腔镜手术的患者随机分为观察组与对照组,每组30例。对照组患者采用常规术后治疗,观察组患者采用“陆氏针灸”健脾通肠法治疗。比较两组患者术后炎症因子[白细胞介素-6(IL-6)、降钙素原(PCT)、超敏C反应蛋白(hs-CRP)]水平、术后48 h疼痛程度、胃肠道不良反应发生率以及术后恢复程度的差异。【结果】观察组术后第5天的IL-6、PCT和hs-CRP水平,术后48 h疼痛评分(VAS)以及术后胃肠道不良反应发生率均低于对照组,且差异有统计学意义(P<0.05)。观察组术后肠鸣音恢复时间、首次下床活动时间和首次可进食时间均短于对照组(P<0.05)。【结论】应用陆氏针灸治疗能够显著改善胃肠肿瘤患者腹腔镜术后的胃肠功能和疼痛程度,降低胃肠道不良反应发生率。【Objective】To investigate the efficacy of Lu's acupuncture on gastrointestinal dysfunction and pain in patients with gastrointestinal tumors after laparoscopic surgery.【Methods】Sixty patients requiring laparoscopic surgery for gastrointestinal tumors were randomly divided into an observation group and a control group,with 30 patients in each group.The control group received conventional postoperative treatment,while the observation group received intervention with Lu's acupuncture to strengthen the spleen and promote bowel function.The postoperative inflammatory factors[interleukin-6(IL-6),procalcitonin(PCT),and high-sensitivity C-reactive protein(hs-CRP)levels],pain scores at 48 hours post-surgery,incidence of gastrointestinal adverse reactions,and recovery status were compared between the two groups.【Results】On the fifth postoperative day,the levels of IL-6,PCT,and hs-CRP,the pain score(VAS)at 48 hours post-surgery,and the incidence of gastrointestinal adverse reactions in the observation group were significantly lower than those in the control group(P<0.05).The recovery time for bowel sounds,the time of first getting out of bed and the time of first eating after surgery were all shorter in the observation group compared to the control group(P<0.05).【Conclusion】The application of Lu's acupuncture significantly improves gastrointestinal function and pain level in patients with gastrointestinal tumors after laparoscopic surgery and reduces the incidence of gastrointestinal adverse reactions.

关 键 词：胃肠肿瘤/外科学 胃肠肿瘤/针灸疗法 腹腔镜检查 疼痛 手术后 

分 类 号：R735[医药卫生—肿瘤]