穴位埋线治疗术后胃肠功能障碍的临床研究

发布时间：2018-09-03 17:57

【摘要】：目的:术后胃肠功能障碍是术后患者出现恶心呕吐、腹胀腹痛、大便困难等不适症状,是腹部手术后常见的并发症。其既影响患者的术后恢复,也延长了住院时间,增加了患者院内感染和深静脉血栓等风险,同时也造成了患者及社会的经济负担。本研究旨在观察穴位埋线治疗腹部手术后胃肠功能障碍的临床疗效,用更安全、更有效的方法缓解患者不适症状,为临床治疗术后胃肠功能障碍提供新的诊疗思路和严谨的科研资料,使针灸治疗该病的方法及用穴更加科学和规范。方法:本课题遵循循证医学、临床流行病学/DME的原则,把2016年2月至2017年2月在广州中医药大学第一附属医院二外科病房收治的开腹手术后,符合纳入条件的患者(共64名)随机分为埋线组(共31名)和普通针刺组(共33名);穴位埋线组在术后给予双侧足三里、双侧上巨虚、双侧大肠俞穴位埋线,分别比较两组术后肠鸣音恢复时间、首次排气、首次排便、恢复全流饮食时间、术后住院天数。数据处理采用t检验、方差分析及秩和检验方法对疗效结果进行统计学验、方差分析及秩和检验方法对疗效结果进行统计学分析,用组间比较用方差分析两组间疗效差异。以客观评价穴位埋线的疗效和安全性。结果:术后予穴位埋线的患者在肠鸣音恢复时间、首次排气时间等观察指标与普通针刺组的比较差异不具有统计学意义。但在术后首次排便时间、恢复全流饮食时间、住院天数等观察指标中时间短于普通针刺组,且具有统计学意义(P0.05)。在疗效比较上埋线组总有效率96.77%,普通针刺组总有效率90.9%,具有统计学意义。结论:术后予穴位埋线可促进术后胃肠功能障碍的恢复,且其治疗疗效优于普通针刺组。
[Abstract]:Objective: postoperative gastrointestinal dysfunction is a common complication after abdominal surgery, such as nausea and vomiting, abdominal distention and abdominal pain, defecation difficulty. It not only affects the postoperative recovery, but also prolongs the hospital stay, increases the risk of nosocomial infection and deep venous thrombosis, and causes the economic burden of patients and society. The purpose of this study was to observe the clinical efficacy of catgut embedding at acupoints in the treatment of gastrointestinal dysfunction after abdominal surgery, and to use a safer and more effective method to relieve the discomfort symptoms of the patients. For clinical treatment of postoperative gastrointestinal dysfunction to provide new ideas and rigorous scientific research data, acupuncture treatment of the disease and the use of points more scientific and standardized. Methods: following the principle of Evidence-based Medicine, Clinical Epidemiology / DME, we treated the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine with open surgery from February 2016 to February 2017. 64 patients (64 patients) were randomly divided into two groups: group B (n = 31) and group A (n = 33). The recovery time of bowel sound, the first exhaust, the first defecation, the recovery time of whole stream diet, and the days of postoperative hospitalization were compared between the two groups. T test, ANOVA and rank sum test were used to analyze the results of data processing. Objective to evaluate the efficacy and safety of catgut implantation at acupoints. Results: there was no significant difference in the recovery time and the first exhaust time between the patients with acupoint embedding thread and the normal acupuncture group. However, the time of first defecation, the time of recovery of whole flow diet and the days of hospitalization were shorter than that of the normal acupuncture group, and had statistical significance (P0.05). The total effective rate was 96.77 in the embedding group and 90.9 in the common acupuncture group, which was statistically significant. Conclusion: postoperative catgut implantation can promote the recovery of gastrointestinal dysfunction after operation, and the therapeutic effect is better than that of the common acupuncture group.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.2
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本文编号：2220742