针刺辅助对全身麻醉妇科腹腔镜手术患者术后康复及术后并发症的影响  

Effect of Acupuncture as Adjuvant Therapy on Postoperative Rehabilitation and Complications of Gynecological Laparoscopic Surgery Under General Anesthesia

作　　者：宁凤华 贾鹏 宋美美 NING Fenghua;JIA Peng;SONG Meimei(Department of Anesthesiology,Cangzhou Hospital of Integrative Traditional Chinese and Western Medicine,Cangzhou,Hebei 061000,China)

机构地区：[1]河北省沧州中西医结合医院麻醉科,河北沧州061000

出　　处：《临床误诊误治》2024年第20期66-70,共5页Clinical Misdiagnosis & Mistherapy

基　　金：河北省中医药管理局科研计划项目(2023262)。

摘　　要：目的 探讨针刺辅助对全身麻醉妇科腹腔镜手术患者术后康复及术后并发症的影响,以提高治疗效果及手术安全性。方法 选取2022年2月至2024年2月收治的全身麻醉妇科腹腔镜手术患者100例,采用随机数字表法分为针刺组和常规组各50例,常规组术后采用常规干预,针刺组在常规组基础上采用针刺辅助干预,患者均干预至出院。干预后比较常规组和针刺组患者治疗效果,术后恢复情况[术后排气时间、术后排便时间、疼痛持续时间、切口愈合时间、术后首次下床时间、术后住院时间],手术结束时、术后1 d、术后3 d疼痛视觉模拟评分法(VAS)评分,干预前后中医证候积分及术后并发症发生率。结果 针刺组治疗总有效率高于常规组(P<0.05)。干预后,针刺组术后排气时间、术后排便时间、疼痛持续时间、切口愈合时间、术后首次下床时间、术后住院时间均短于常规组(P<0.01)。术后1 d,针刺组疼痛VAS评分低于常规组(P<0.05)。干预后2组中医证候积分均降低,且针刺组中医证候积分低于常规组(P<0.05,P<0.01)。干预后,针刺组术后并发症总发生率低于常规组(P<0.05)。结论 针刺辅助治疗能够有效促进全身麻醉妇科腹腔镜手术患者术后康复,减轻患者术后疼痛,改善患者中医症状,降低术后并发症发生率,提高手术安全性。Objective To investigate the effect of acupuncture as adjuvant therapy on postoperative rehabilitation and complications of gynecological laparoscopic surgery under general anesthesia,to improve therapeutic efficacy and surgical safety.Methods A total of 100 patients undergoing gynecological laparoscopic surgery under general anesthesia treated from February 2022 to February 2024 were selected and divided into the acupuncture group(n=50)and the conventional group(n=50)by random number table method.The conventional group received conventional intervention after surgery,while the acupuncture group received needle-assisted intervention on the basis of the conventional group.All patients were treated until discharge.After intervention,the therapeutic effect of patients,the postoperative recovery conditions[postoperative exhaust time,postoperative defecation time,pain duration,incision healing time,the first time of off-bed activity after surgery,duration of postoperative hospitalization],visual analogue scale(VAS)pain score at the end of surgery,1 day after surgery,and 3 days after surgery,as well as traditional Chinese medicine(TCM)syndrome integrals and incidence of postoperative complications before and after intervention,were compared between the conventional group and the acupuncture group.Results The total effective rate of acupuncture group was higher than that of conventional group(P<0.05).After intervention,the postoperative exhaust time,postoperative defecation time,pain duration,incision healing time,the first time of off-bed activity after surgery and duration of postoperative hospitalization in acupuncture group were all shorter than those in conventional group(P<0.01).At 1 d after surgery,the VAS pain score of acupuncture group was lower than that of conventional group(P<0.05).After intervention,the TCM syndrome integrals of both groups were decreased,which were lower in acupuncture group than in conventional group(P<0.05,P<0.01).After intervention,the total incidence of postoperative complications in a

关 键 词：针刺 全身麻醉 腹腔镜 妇科外科手术 术后排气时间 中医证候 术后疼痛 手术后并发症 

分 类 号：R713[医药卫生—妇产科学]