耳穴压豆联合大柴胡汤加减治疗对腹腔镜胆囊切除术患者的疗效  

Efficacy of Auricular Point Pressure on Beans Combined with Modified Dachaihu Decoction in the Treatment of Laparoscopic Cholecystectomy

作　　者：田蕾 郝忻伟 姜玉婷 TIAN Lei;HAO Yiwei;JIANG Yuting(Second Affiliated Hospital of Shandong First Medical University,Tai´an,Shandong,271000,China;Seventh People´s Hospital of Jinan,Jinan,Shandong,250132,China)

机构地区：[1]山东第一医科大学第二附属医院,山东泰安271000 [2]济南市第七人民医院,山东济南250132

出　　处：《中外医疗》2025年第2期136-139,共4页China & Foreign Medical Treatment

摘　　要：目的 观察对腹腔镜胆囊切除术患者行耳穴压豆结合大柴胡汤加减治疗的疗效。方法 简单方便选取2022年7月—2023年7月山东第一医科大学第二附属医院接收的腹腔镜胆囊切除术患者54例为研究对象,按照治疗方法的不同分为对照组(n=27)和观察组(n=27)。对照组采取耳穴压豆治疗,观察组在此方法基础上联合大柴胡汤加减治疗,对比两组术后胃肠功能、生活质量、治疗效果、不良反应发生情况。结果 观察组首次排气时间、首次排便时间、恢复肠鸣时间、恢复饮食时间均短于对照组,差异均有统计学意义(P均<0.05)。治疗后,两组生活质量评分高于治疗前,观察组中生理功能、心理功能、行为能力、社会能力评分均高于对照组,差异均有统计学意义(P均<0.05)。观察组治疗总有效率高于对照组[96.30%(26/27)比70.37%(19/27)],差异有统计学意义(χ^(2)=4.800,P<0.05)。观察组不良反应(腹胀、恶心呕吐、皮肤红肿及皮肤酸、麻、胀感)总发生率低于对照组,差异有统计学意义(P<0.05)。结论 相较于单纯耳穴压豆治疗,联合大柴胡汤加减治疗更有助于行腹腔镜胆囊切除术后患者缓解病情,能够促进胃肠功能恢复,提高患者生活质量。Objective To observe the curative effect of auricular point pressing beans combined with modified Dachaihu decoction in patients undergoing laparoscopic cholecystectomy.Methods A total of 54 patients with laparoscopic cholecystectomy admitted to the Second Affiliated Hospital of Shandong First Medical University from July 2022 to July 2023 were selected simply and conveniently as the research objects.According to different treatment methods,they were divided into the control group(n=27)and the observation group(n=27).The control group was treated with auricular point pressing beans,and the observation group was treated with modified Dachaihu Decoction on the basis of this method.The postoperative gastrointestinal function,quality of life,therapeutic effect and adverse reactions were compared between the two groups.Results The first exhaust time,the first defecation time,the recovery time of bowel sounds and the recovery time of diet in the observation group were shorter than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the quality of life scores of the two groups were higher than those before treatment,and the scores of physiological function,psychological function,behavioral ability and social ability of the observation group were higher than those of the control group,the differences were statistically significant(all P<0.05).The total effective rate of the observation group was higher than that of the control group[96.30%(26/27)than 70.37%(19/27)],and the difference was statistically significant(χ^(2)=4.800,P<0.05).The total incidence of adverse reactions(abdominal distension,nausea and vomiting,skin redness and skin acid,numbness and distension)in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The clinical treatment of patients after laparoscopic cholecystectomy is more helpful to alleviate the condition,promote the recovery of gastrointestinal function and improve the

关 键 词：腹腔镜胆囊切除术 大柴胡汤加减 耳穴压豆 胃肠功能 

分 类 号：R9[医药卫生—药学]