厚朴联合择时耳穴压豆对妇科腹腔镜患者胃肠功能的影响

Effect of Magnolium Officinalis Combined with Ear Acupoint Bean-Pressing at Selected Time on Gastrointestinal Function in Patients Undergoing Gynecological Laparoscopy

目的探讨厚朴排气合剂联合择时耳穴压豆疗法对妇科腹腔镜术后患者胃肠道功能恢复情况及不良反应发生情况的影响。方法选取2020年3月至2020年11月某三级专科医院妇科行腹腔镜手术的126例患者为研究对象,采用随机数字表法分为A、B、C三组,每组各42例。A组给予常规护理,B组在常规护理的基础上,给予择时耳穴压豆疗法,C组在常规护理的基础上,给予厚朴联合择时耳穴压豆疗法。观察三组胃肠道功能恢复情况(术后首次排气及排便时间)和不良反应(术后恶心呕吐、腹胀)发生情况。结果干预后,3组胃肠道功能恢复情况相比,差异均有统计学意义(P<0.05)。C组术后首次排气及排便时间均早于A组和B组(P<0.01);B组首次排气及排便时间均早于A组(P<0.05)。三组胃肠功能不良反应发生情况相比,C组术后腹胀发生情况均少于A组和B组;恶心呕吐发生情况少于A组(P<0.05),恶心呕吐与B组相比,差异无统计学意义(P>0.05)。B组术后恶心呕吐、腹胀发生情况均少于A组(P<0.05)。结论厚朴联合择时耳穴压豆疗法能缩短妇科腹腔镜术后患者首次排气及排便时间,并且有效降低腹腔镜术后患者恶心呕吐、腹胀等不良反应的发生率。

Objective To investigate the effect of Magnolium Houpu combined with ear acupoint bean-pressing at selected time on gastrointestinal function in patients after gynecological laparoscopic surgery.Methods A total of 126 patients who underwent laparoscopic surgery in the Department of gynecology of a ClassⅢGrade A specialized hospital from March 2020 to November 2020 were selected as the research objects.They were divided into groups A,B and C by the random number table method,with 42 cases in each group.Group A was given routine nursing,group B was given selective auricular point bean-pressing therapy on the basis of routine nursing,and group C was given Magnolium Houpu combined with selective auricular point bean-pressing therapy on the basis of routine nursing.The recovery of gastrointestinal function(postoperative first exhaust and defecation time)and adverse reactions(postoperative nausea and vomiting,abdominal distension)were observed in the three groups.Results After the intervention,there were significant differences in the recovery of gastrointestinal function among three groups(P<0.05).The first exhaust and defecation time in group C were earlier than those in group A and group B(P<0.01).The time of first exhaust and defecation in group B was earlier than that in group A(P<0.05).The incidence of postoperative abdominal distension in group C was less than that in group A and group B.The incidence of nausea and vomiting in group A was less than that in group A(P<0.05),and there was no significant difference in nausea and vomiting between group B and group B(P>0.05).The incidence of postoperative nausea and vomiting and abdominal distension in group B was less than that in group A(P<0.05).Conclusions Houpu combined with auricular acupoint bean-pressing therapy can shorten the time of first exhaust and defecation,and effectively reduce the incidence of nausea,vomiting and abdominal distension after gynecological laparoscopic surgery.