耳穴贴压对腹腔镜胆囊切除患者胃肠功能的影响

发布时间：2018-03-17 14:42

本文选题：胆囊切除术　切入点：耳穴贴压　出处：《中医学报》2016年12期 　论文类型：期刊论文

【摘要】：目的:探讨耳穴贴压对腹腔镜胆囊切除患者术后胃肠功能的影响。方法:选取86例行腹腔镜胆囊切除手术的患者,随机分为观察组和对照组,每组各43例,对照组采用全身麻醉,观察组在对照组的基础上给予耳穴贴压,对比两组患者术后肠鸣音恢复、首次排气、进食、下床活动时间及腹胀、恶心、呕吐的发生情况,并于术后第1天、第3天,对比两组患者的疼痛视觉模拟评分((visual analogue scale,VAS)、恶心呕吐程度视觉模拟量表评分(nausea and vomiting degree of visual analog scale score,NVAS)。结果:观察组患者术后肠鸣音恢复、首次排气、进食、下床活动时间均明显短于对照组,差异具有统计学有意义(t=-23.403、-15.419、-13.143、-8.880,P均0.05)。观察组患者在术后第1天、第3天VAS评分、NVAS评分均明显低于对照组的,差异具有统计学有意义(t=-4.442、-8.243、-6.253、-7.934,P均0.05);观察组患者术后出现腹胀6例,占13.95%,恶心、呕吐4例,占9.30%,对照组出现腹胀18例,占41.86%,恶心、呕吐12例,占27.91%,观察组腹胀、恶心呕吐发生率明显低于对照组的,差异具有统计学意义(χ2=8.323、4.914,P均0.05)。结论:耳穴贴压联合全身麻醉能改善腹腔镜胆囊切除患者术后胃肠功能,促进胃肠蠕动,减轻术后疼痛,降低术后腹胀、恶心、呕吐发生,有利于预后。
[Abstract]:Objective: to investigate the effect of auricular acupoint pressing on gastrointestinal function after laparoscopic cholecystectomy. Methods: 86 patients undergoing laparoscopic cholecystectomy were randomly divided into observation group (n = 43) and control group (n = 43). The control group was treated with general anesthesia, and the observation group was given auricular point pressing on the basis of the control group. The patients in the two groups were compared in the recovery of bowel sounds, the first time of exhaust, eating, the time of getting out of bed and the occurrence of abdominal distension, nausea and vomiting. On the first day and the third day after operation, the visual analogue scale and the visual analogue scale of nausea and vomiting were compared between the two groups. Results: the patients in the observation group recovered their bowel sounds, vented for the first time and ate food. The time of getting out of bed was significantly shorter than that of the control group, and the difference was statistically significant (P < 0.05). The VAS scores in the observation group were significantly lower than those in the control group on the 1st and 3rd day after operation. The difference was statistically significant (P 0.05), abdominal distension occurred in 6 cases (13.95%), nausea and vomiting in 4 cases (9.30%), abdominal distension in 18 cases (41.86%), nausea and vomiting in 12 cases (27.91%) in the control group. The incidence of nausea and vomiting was significantly lower than that in the control group (蠂 ~ 2 = 8.3234.914 P = 0.05). Conclusion: auricular point sticking and general anesthesia can improve gastrointestinal function, promote gastrointestinal peristalsis and relieve postoperative pain in patients with laparoscopic cholecystectomy. Reducing postoperative abdominal distension, nausea and vomiting is beneficial to prognosis.
【作者单位】：南京中医药大学昆山附属医院;
【基金】：江苏省中医药科技攻关项目(LZ13106)
【分类号】：R246.2

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