针刺足三里等腧穴对剖宫产术后胃肠功能恢复的临床研究

发布时间：2018-04-20 19:05

本文选题：针刺 + 足三里　；参考：《新疆医科大学》2014年硕士论文

【摘要】：目的：观察针刺剖宫产术后首次排气、排便、肠鸣音恢复的时间及腹胀、腹痛、胃肠反应等指标,探讨足三里加上巨虚、足三里加曲池、足三里加尺泽对剖宫产术后胃肠功能恢复的有效性及差异性,为优化针灸选穴提供依据。方法：按照纳入标准纳入行硬膜外麻醉的剖宫产术患者100例,随机分为四组,足三里加上巨虚组、足三里加曲池组、足三里加尺泽组、对照组各25例。治疗组予术后12h行针刺捻转补法治疗,每日两次,中间间隔6h；对照组不予针刺干预。结果：1、首次排气时间、排便时间、肠鸣音恢复正常时间,四组比较差异具有统计学意义,P0.05,以足三里加上巨虚组最佳。2、术后18h、24h肠鸣音分级,四组比较差异具有统计学意义,P0.05,以足三里加上巨虚组最佳。术后36h肠鸣音分级,四组比较差异具有统计学意义,P0.05。3、术后腹胀、胃肠反应发生情况,四组比较差异具有统计学意义,P0.05,以足三里加上巨虚组最佳。4、术后36h、48h腹痛比较,P0.05,四组比较差异具有统计学意义,以足三里加上巨虚组最佳。结论：1、各治疗组对促进剖宫产术后胃肠功能恢复均有疗效。2、足三里加上巨虚组优于足三里加曲池组、足三里加尺泽组。3、足三里加曲池组与足三里加尺泽组无统计学差异。
[Abstract]:Objective: to observe the time of recovery of ventral distension, abdominal pain and gastrointestinal reaction after acupuncture for the first time after cesarean section, and to explore the indexes of Zusanli plus Juxu, Zusanli plus convoluted cistern, and other indexes, such as abdominal distension, abdominal pain, gastrointestinal reaction and so on. The effectiveness and difference of Zusanli plus zizawa in the recovery of gastrointestinal function after cesarean section provide basis for optimizing acupuncture and moxibustion. Methods: according to the inclusive criteria, 100 patients undergoing epidural anesthesia were randomly divided into four groups: Zusanli plus Juxu group, Zusanli plus Tuchi group, Zusanli plus zizawa group, and control group (25 cases each). The treatment group was treated with acupuncture twirling and toning at 12 hours after operation, twice a day, with an intermediate interval of 6 hours, while the control group was not treated with acupuncture intervention. Results: the first time of exhaust, the time of defecation, the time of bowel sound returning to normal were significantly different among the four groups (P 0.05). Zusanli plus Juxu group was the best. The difference among the four groups was statistically significant (P 0.05), and Zusanli plus Juxu group was the best. 36 h after operation, there were significant differences in the grade of bowel sounds among the four groups (P 0.05.3), abdominal distension and gastrointestinal reaction occurred after operation. The difference among the four groups was statistically significant (P 0.05). The best group was Zusanli plus Juxu group (P 0.05), and the abdominal pain was compared with P0.05 at 48h after operation. The difference among the four groups was statistically significant, especially in Zusanli plus Juxu group. Conclusion: 1, each treatment group has the curative effect to promote the recovery of gastrointestinal function after cesarean section. The effect of Zusanli plus Juxu group is better than that of Zusanli + Zizhi group, Zusanli plus zizawa group. There is no statistical difference between Zusanli plus zizawa group and Zusanli plus zizze group.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R246.3

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