针刺对全身麻醉下开腹手术后胃肠功能恢复的临床观察

发布时间：2018-01-07 04:19

本文关键词：针刺对全身麻醉下开腹手术后胃肠功能恢复的临床观察　出处：《中国中西医结合外科杂志》2016年03期 　论文类型：期刊论文

【摘要】：目的:观察针刺对全身麻醉下开腹手术后患者胃肠功能恢复的影响,客观科学地评价针刺疗效。方法:将40例全身麻醉下行妇科开腹手术病人随机分为针刺组和对照组,每组各20例。对照组术后常规处理,针刺组在常规处理基础上联合针刺双侧足三里、上巨虚、下巨虚、合谷、太冲,以平补平泻法行针20 s,留针30 min,每日治疗1次。借以观察针刺组与对照组在术后肠鸣音恢复时间及肛门排气方面的影响。结果:针刺组肠鸣音恢复时间(24.4±3.5)h明显短于对照组(31.2±3.9)h,(P0.05);针刺组肛门排气时间(28.8±2.9)h明显短于对照组(36.8±3.3)h,(P0.05)。结论:针刺治疗对妇科开腹手术后胃肠道功能的恢复有良好的效果。
[Abstract]:Objective: to observe the effect of acupuncture on the recovery of gastrointestinal function in patients undergoing open surgery under general anesthesia. Methods: 40 patients undergoing gynecologic laparotomy under general anesthesia were randomly divided into acupuncture group (n = 20) and control group (n = 20). On the basis of routine treatment, the acupuncture group combined with acupuncture on both sides of Zusanli, Upper Juxu, Lower Juxu, Hegu, Taichong, with the method of Pingbu Pingxiao for 20 s, and kept the needle for 30 min. The effect of acupuncture group and control group on the recovery time of bowel sound and anal exhaust after operation was observed. Results: the recovery time of bowel sound in acupuncture group was 24.4 卤3.5). H was significantly shorter than that in control group (31.2 卤3.9 h). P0.05; The anus exhaust time of acupuncture group was significantly shorter than that of control group (28.8 卤2.9 hours). Conclusion: acupuncture has a good effect on the recovery of gastrointestinal function after gynecological surgery.
【作者单位】：天津中医药大学;天津中医药大学第一附属医院麻醉科;天津中医药大学第一附属医院妇科;
【分类号】：R246.2
【正文快照】： 妇科开腹手术常采用全身麻醉。由于麻醉方式不同、脏器切除后盆腔解剖关系的改变、以及术中对脏器牵拉等因素的影响,可造成术后胃肠道自主神经麻痹和功能紊乱,进而导致患者术后发生不同程度的胃肠功能紊乱[1]。因而,寻找一种能促进术后胃肠功能恢复简便易行、疗效好、毒副作用

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