神厥穴经皮给药护理促进腹部术后胃肠功能恢复的探讨

The effect of Transdermal Delivery System through Shenque acupuncture point on the recovery of gastrointestinal function after abdominal operation

目的探讨神厥穴经皮给药护理加特定电磁波治疗器(TDP)与常规中药内服法对腹部手术后胃肠功能恢复的影响。方法将120例腹部手术患者按照入院先后顺序,根据数字表随机分为3组,每组40例。①中药内服组:术后禁食水6h开始服用大承气汤。②经皮给药组:术后30min常规消毒脐部,敷药膏3g医用胶布固定贴于脐部。③经皮给药加TDP护理组:术后30min常规消毒脐部,敷药膏3g医用胶布固定贴于脐部,同时用TDP照射30min。观察3组患者效果。结果3组患者术后肛门排气时间、肠鸣音恢复时间、首次排便时间及中医症状经方差分析,有统计学意义(P<0.01)。结论神厥穴经皮给药护理组、神阙穴经皮给药加TDP护理优于常规中药内服护理法,神阙穴经皮给药加TDP护理效果较好。

Objective To explore the effect of Transdermal Delivery System（TDS） through Shenque acupuncture point on the recovery of gastrointestinal function after abdominal operation. Methods A total 120 abdominal postoperative patients were divided into three groups. The patients in the two experimental group received TDS and TDS plus TDP experimental group received the TDS and TDS plus Specific Electromagnetic Wave（TDP）at 30 minutes after operation respectively,while the patients in the control group took oral Traditional Chinese Medicine at 6 hours after the operation. Result There were significant differences in the anus exhausting time,recovery time of intestinal sound,defecation time and clinical symptoms among the three groups（P〈0.01）. Conclusion The application of TDS by Shenque acupuncture point and TDS plus TDP is more effective than the oral taking of Traditional Chinese Medicine. Meanwhile,the application of TDS plus TDP is more effective than TDP only.