艾灸足三里、神阙穴对剖宫产术后胃肠蠕动功能恢复作用的临床研究

Clinical study of the efficacy of moxibustion at Zusanli (ST36) and Shenque (CV8) in recovering gastrointestinal motility function after cesarean section

目的研究艾灸足三里、神阙穴对剖宫产术后胃肠蠕动功能恢复的疗效。方法将80例剖宫产手术患者按照入院号随机分为对照组与治疗组,对照组40例予外科常规护理方法;治疗组40例在常规护理方法的基础上艾灸足三里、神阙穴进行术后干预。比较2组患者胃肠蠕动功能恢复的效果。结果治疗组肠鸣音恢复时间、首次肛门排气时间及首次排便时间均显著短于对照组,腹胀发生率显著低于对照组,2组比较差异有统计意义(P<0.05),表明治疗组胃肠蠕动功能恢复快,治疗组疗效优于对照组。结论对于剖宫产术后患者进行艾灸足三里、神阙穴的护理干预措施疗效显著,能有效促进剖宫产术后胃肠功能的恢复,降低腹胀发生率,且安全无痛苦,患者易于接受,值得临床推广应用。

Objective To explore the curative effect of moxibustion at Zusanli （ST36） and Shenque （ CV8 ） in recovering gastrointestinal motility function after cesarean section. Methods 80 patients of cesarean section were randomly divided into control group （40 cases） and treatment group （40 cases）. The control group was trea- ted by surgical routine nursing. The patients in treatment group were intervened with moxibustion at Zusanli （ST36） and Shenque （CV8） additionally. The recovery of gastrointestinal peristalsis function in two groups were compared. Results The first time of bowel sounds, anus exhaust and defecation was earlier in treatment group than in control group. The occurrence rate of abdominal distention in treatment group was lower than in control group. There was a significant difference （ P〈0.05 ）. Conclusion Routine nursing added with moxibustion at Zu- sanli （ST36） and Shenque （CV8） can effectively promote the recovery of gastrointestinal peristalsis function after cesarean section. It＇ s acceptable, safe and worth popularizing and applying.