足三里注射治疗腹腔镜术后腹胀的临床观察

Effect of Zusanli point injection of Metoclopramide on patients with abdominal distension after laparoscopy

目的观察足三里注射胃复安治疗腹腔镜术后腹胀的疗效。方法选取2012年1月至2013年4月在我科择期行腹腔镜手术患者1 158例,其中术后出现腹胀者146例,按手术方式分层抽样,采用随机数字表法分为治疗组(n=73)与对照组(n=73)。对照组采用常规治疗方法,治疗组在常规治疗基础上辅以胃复安穴位注射,比较两组患者手术时间、术中出血量、出现腹胀时间、术后第1次肛门排气时间和腹胀持续时间。结果两组患者手术时间、术中出血量、出现腹胀时间比较差异无统计学意义(P>0.05)。治疗组第1次肛门排气时间较对照组提前29 h(P<0.05);治疗组24 h和48 h治愈率分别为61.7%、90.5%,与对照组比较差异有统计学意义(P<0.05)。结论足三里注射胃复安能有效治疗腹腔镜术后腹胀。

Objective To observe the effect of Zusanli point injection of Metoclopramide on patients with abdominal distension after laparoscopy. Methods One hundred and forty-six patients with abdominal distension out of 1 158 after laparoscopy in our deparmaent from Jan. 2012 to April. 2013 were divided into two groups （n=73 each group）, randomly based on stratified sampling. Except conventional therapy, Zusanli point injection of Metoclopramide was applied to the treatment group. We compared the operating time, blood loss, the onset time of abdominal distension, time to first flatus and the duration of abdominal distension between the groups. Results There was no difference in operating time, blood loss and the onset time of abdominal distension between the groups （P〉0.05）. Time to ftrst flatus in treatment group was 29 hours ahead of that in control group （P〈0.05）. The 24 h, 48 h cure rate of abdominal disten- sion were 61.7%, 90.5%, and the the difference was significant between the two groups （P〈0.05）. Conclusion Zusanli point injection of Metoclopramide is effective for patients with abdominal distension after laparoscopy.