穴位注射联合艾灸在腹部术后患者中的应用效果(1)
[摘要]目的 探讨穴位注射联合艾灸在腹部术后患者中的应用效果。方法 选取2015年1月～2016年12月我院行腹部手术的患者90例，采用随机数字表法将其分为观察组46例和对照组44例。对照组采用腹部手术后常规护理措施。观察组除腹部手术后常规护理措施，还加用穴位注射联合艾灸的中医护理方式进行治疗。比较两组的疗效、肠蠕动恢复时间及肛门首次排气时间。 结果 观察组的治疗总有效率高于对照组，差异有统计学意义(P<0.05)；观察组患者的肠蠕动恢复时间及肛门首次排气时间均短于对照组，差异均有统计学意义(P<0.05)。结论 穴位注射联合艾灸治疗可有效促进腹部术后肠蠕动的尽早恢复。
[关键词]穴位注射；艾灸；腹部手术；肠蠕动
[中图分类号] R248 [文献标识码] A [文章编号] 1674-4721(2018)4(b)-0195-03
Effects of acupoint injection and moxibustion intreatment for postoperative intestinal peristalsis recovery
YE Xiao-mei1 LI Min-wen2 PANG Qiong2
1.Operating Room，Yunfu Hospital of Traditional Chinese Medicine in Guangdong Province，Yunfu 527300，China；2.NO.2 word，Department of Surgical，Yunfu Hospital of Traditional Chinese Medicine in Guangdong Province，Yunfu 527300，China
[Abstract]Objective To explore the effects of acupoint injection and moxibustion intreatment for postoperative intestinal peristalsis recovery.Methods A total of 90 patients underwent abdominal surgery in our hospital from January 2015 to December 2016 were randomly divided into observation group(n=46) and control group(n=44).The control group received routine nursing measures after abdominal operation.The observation group was treated by acupoint injection combined with moxibustion in addition to routine nursing measures after abdominal operation.The curative effect，recovery time of intestinal peristalsis and first anal exhaust time were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group，and the difference was statistically significant (P<0.05).The recovery time of intestinal peristalsis and the first anal exhaust time in the observation group were shorter than those in the control group，and the differences were statistically significant (P<0.05).Conclusions The acupoint injection and moxibustion intreatment can effectively promote postoperative intestinal peristalsis recovery.
[Key words]Acupoint injection；Moxibustion；Abdominal surgery；Intestinal peristalsis
腹部手術后患者由于腹部手术创伤、原有腹部疾病、麻醉等因素，处于胃肠功能抑制状态，可出现不同程度的肠道功能恢复延迟。术后胃肠功能失调，肠道功能恢复延迟，肛门迟迟不能自主排气，可能导致腹胀、膈肌上抬，甚至出现呼吸困难、下腔静脉血液回流受阻、腹壁切口愈合不良等情况。因此胃肠功能恢复越快越有利于患者术后并发症的减少及机体功能的恢复。目前，促进腹部术后胃肠功能恢复的西医治疗方法主要有促进胃肠蠕动药物、胃肠起搏器、早期肠内营养、早期锻炼等方式。不少学者发现，中医药在促进患者术后胃肠功能恢复上有着明显的优势及特色，采用中药内服[1]、中药灌肠[2]、药熨[3]、针灸[4]及穴位治疗[5]等中医干预方法应用于围术期均取得了不错的效果。有学者发现使用穴位注射联合艾灸的中医治疗方法可缩短术后肠鸣音恢复及肛门排气的时间，以促进术后胃肠功能恢复[6]。本研究旨在探讨穴位注射维D-2果糖酸钙及维生素B12混合药液，并联合艾灸治疗，在腹部术后患者中的应用效果。
1 资料与方法, 百拇医药(叶小梅 李敏文 庞琼)
[关键词]穴位注射；艾灸；腹部手术；肠蠕动
[中图分类号] R248 [文献标识码] A [文章编号] 1674-4721(2018)4(b)-0195-03
Effects of acupoint injection and moxibustion intreatment for postoperative intestinal peristalsis recovery
YE Xiao-mei1 LI Min-wen2 PANG Qiong2
1.Operating Room，Yunfu Hospital of Traditional Chinese Medicine in Guangdong Province，Yunfu 527300，China；2.NO.2 word，Department of Surgical，Yunfu Hospital of Traditional Chinese Medicine in Guangdong Province，Yunfu 527300，China
[Abstract]Objective To explore the effects of acupoint injection and moxibustion intreatment for postoperative intestinal peristalsis recovery.Methods A total of 90 patients underwent abdominal surgery in our hospital from January 2015 to December 2016 were randomly divided into observation group(n=46) and control group(n=44).The control group received routine nursing measures after abdominal operation.The observation group was treated by acupoint injection combined with moxibustion in addition to routine nursing measures after abdominal operation.The curative effect，recovery time of intestinal peristalsis and first anal exhaust time were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group，and the difference was statistically significant (P<0.05).The recovery time of intestinal peristalsis and the first anal exhaust time in the observation group were shorter than those in the control group，and the differences were statistically significant (P<0.05).Conclusions The acupoint injection and moxibustion intreatment can effectively promote postoperative intestinal peristalsis recovery.
[Key words]Acupoint injection；Moxibustion；Abdominal surgery；Intestinal peristalsis
腹部手術后患者由于腹部手术创伤、原有腹部疾病、麻醉等因素，处于胃肠功能抑制状态，可出现不同程度的肠道功能恢复延迟。术后胃肠功能失调，肠道功能恢复延迟，肛门迟迟不能自主排气，可能导致腹胀、膈肌上抬，甚至出现呼吸困难、下腔静脉血液回流受阻、腹壁切口愈合不良等情况。因此胃肠功能恢复越快越有利于患者术后并发症的减少及机体功能的恢复。目前，促进腹部术后胃肠功能恢复的西医治疗方法主要有促进胃肠蠕动药物、胃肠起搏器、早期肠内营养、早期锻炼等方式。不少学者发现，中医药在促进患者术后胃肠功能恢复上有着明显的优势及特色，采用中药内服[1]、中药灌肠[2]、药熨[3]、针灸[4]及穴位治疗[5]等中医干预方法应用于围术期均取得了不错的效果。有学者发现使用穴位注射联合艾灸的中医治疗方法可缩短术后肠鸣音恢复及肛门排气的时间，以促进术后胃肠功能恢复[6]。本研究旨在探讨穴位注射维D-2果糖酸钙及维生素B12混合药液，并联合艾灸治疗，在腹部术后患者中的应用效果。
1 资料与方法, 百拇医药(叶小梅 李敏文 庞琼)