基于“肚腹三里留”理论应用子午流注针法促进腹腔镜胆囊切除术后胃肠功能恢复的疗效评价

Application of ‘ST36 for Abdominal and Stomach Problem’ by Midnight-Midday Ebb Flow Acupuncture in Recovery of Gastrointestinal Function after Laparoscopic Cholecystectomy

目的:评价子午流注针法对腹腔镜胆囊切除术后患者胃肠功能恢复的疗效,同时论证“肚腹三里留”理论的指导作用。方法:本研究以“肚腹三里留”理论为指导,在腹腔镜胆囊切除术后患者以足三里为主穴应用子午流注针法进行择时针刺,通过比较分析两组患者术后首次排气、排便时间和肠鸣音恢复正常时间,血清炎性因子的变化,术后腹胀腹痛程度及恶心呕吐的发生情况,比较两组胃肠功能恢复情况,进一步论证“肚腹三里留”理论的指导作用及子午流注针法的临床疗效。结果:治疗组与对照组比较,患者首次排气时间、首次排便时间和肠鸣音恢复正常时间明显缩短,血清白介素-6、C反应蛋白水平明显降低,两组间比较差异均具有统计学意义(P<0.05)。结论:腹腔镜胆囊切除术后患者应用子午流注针法以足三里为主穴进行择时针刺能够促进患者胃肠功能恢复,进一步验证了“肚腹三里留”理论在腹腔镜胆囊切除术后仍具有指导意义。

Objective:To evaluate the efficacy of the midnight-midday ebb flow acupuncture in promoting gastrointestinal function recovery in patients after laparoscopic cholecystectomy,and to demonstrate the guiding role of ‘Zusanli(ST36) for abdomen and stomach problems'.Methods:Guided by ‘ST36 for abdomen and stomach problems',the midnight-midday ebb flow acupuncture was applied to ST36,which was taken as the main acupoint for timed acupuncture in patients after laparoscopic cholecystectomy.The time of first flatus,time of first bowel movement,time for restoration of bowel sounds,changes in serum inflammatory factors,degree of postoperative abdominal distention and pain,and occurrence of nausea and vomiting were compared between the two groups to evaluate gastrointestinal function recovery of the two groups,thus to further demonstrate the guiding role of ‘ST36 for abdomen and stomach problems' and the clinical efficacy of the midnight-midday ebb flow acupuncture.Results:The time of first flatus,first bowel movement and restoration of bowel sounds was significantly shortened,and serum levels of IL-6 and CRP were decreased in the treatment group than those in the control group(P<0.05).Conclusion:Application of the midnight-midday ebb flow acupuncture with ST36 as the main acupoint for timed acupuncture in patients after laparoscopic cholecystectomy can promote gastrointestinal function recovery,further validating the guiding significance of ‘ST36 for abdomen and stomach problems' after laparoscopic cholecystectomy.