大黄粉穴位贴敷促进骨盆骨折患者术后胃肠功能恢复的临床研究

A clinical study on promoting postoperative recovery of gastrointestinal function in patients with pelvic fracture by acupoint application with Dahuang Fen

目的:探讨大黄粉穴位贴敷促进骨盆骨折患者术后胃肠功能恢复的临床效果。方法:将2017年1月-2018年12月在我院骨科中心治疗的60例骨盆骨折患者按随机数字表法分为治疗组和对照组各30例,对照组术后给予常规护理措施治疗,治疗组在对照组的基础上采用大黄粉穴位贴敷治疗,连续治疗1周,记录两组患者肠鸣音恢复时间、排气时间、排便时间以及胃肠功能障碍评分。结果:治疗组肠鸣音恢复时间、排气时间及排便时间均显著少于对照组,差异有统计学意义(P﹤0.01);治疗前,两组患者胃肠功能障碍评分比较差异无统计学意义(P> 0.05);治疗后两组患者胃肠功能评分均较治疗前降低,且治疗组更明显,差异有统计学意义(P <0.05);治疗前,两组患者血清中胃泌素和胃动素水平比较,差异无统计学意义(P> 0.05);治疗后两组患者血清中胃泌素和胃动素水平均呈上升趋势,且治疗组更明显,差异有统计学意义(P <0.05)。结论:大黄粉穴位贴敷能促进骨盆骨折患者术后胃肠功能恢复,临床疗效满意。

Objective:To investigate the clinical efficacy of acupoint application with Dahuang Fen(大黄粉)on postoperative recovery of gastrointestinal function in patients with pelvic fracture.Methods:60 patients were divided into the treatment group and control group.30 cases in the control group were given routine nursing.The treatment group was given acupoint application with Dahuang Fen.Results:The recovery time of bowel sounds,exhaust time and defecation time in the treatment group were significantly shorter than the control group,with statistically significant differences(P﹤0.01).After treatment,the scores of gastrointestinal function in both groups were lower than before treatment,and those were better in the treatment group(P﹤0.05).Levels of gastrin and motilin in two groups were higher than before treatment,and those in the treatment group were better than the control group(P﹤0.05).Conclusion:Acupoint application with Dahuang Fen on postoperative recovery of gastrointestinal function in patients with pelvic fracture was effective.