针刺不同穴位对剖宫产后产妇胃肠功能的影响

Effect of acupuncture treatment on the recovery of gastrointestinal function in parturients after cesarean section

目的探索针刺治疗对剖宫产后产妇胃肠功能恢复的影响。方法选取2012年8月—2015年8月于杭州市中医院产科行剖宫产术的产妇320例,按照随机数字表法分为4组,每组80例,不行针刺治疗为常规组,针刺足三里、上巨虚为治疗A组,针刺足三里、曲池为治疗B组,针刺足三里、尺泽为治疗C组,剖宫产术后所有产妇均行产科常规护理,治疗组在此基础之上术后12 h行针灸治疗,一个疗程结束后观察疗效。观察并记录所有患者的术后首次肛门排气时间、术后首次排便时间、术后首次肠鸣音恢复正常时间、腹胀消失时间,治疗前和治疗后24、48 h腹痛情况、术后胃肠反应情况以及治疗疗效。结果治疗前4组产妇的腹痛情况评分差异无统计学意义(P>0.05),治疗后治疗A组的术后各项指标均显著优于治疗B组、治疗C组、常规组(P<0.05);治疗后治疗A组的显效率显著高于治疗B组、治疗C组、常规组(P<0.05),治疗B组、治疗C组显效率显著高于常规组(P<0.05);4组产妇治疗后24、48 h腹痛情况评分均显著低于治疗前(P<0.05),4组产妇治疗后48 h腹痛情况评分显著低于治疗后24 h腹痛情况评分(P<0.05)。结论剖宫产后针刺足三里配伍上巨虚、曲池、尺泽均可促进剖宫产后产妇胃肠功能的恢复,缩短肠鸣音恢复的时间,减少腹胀、腹痛、胃肠反应的发生,针刺足三里和上巨虚的效果最佳。

Objective To explore the effect of acupuncture treatment on the recovery of gastrointestinal function in partu- rients after cesarean section. Methods From August, 2012 to August, 2015 year in August in Hangzhou Traditional Chinese Medical Hospital obstetric cesarean section in 320 cases, were randomly divided into 4 groups with 80 cases in each group. Routine acupuncture treatment, treatment group A acupuncture Zusanli and Shangjuxu, treatment B group acupuncture Zusanli and Quchi, treatment C group acupuncture Zusanli and Chize. cesarean section after all women un- derwent routine obstetric care, the treatment group based on 12 h after operation for acupuncture treatment, to observe the curative effect after one treatment. All patients were observed and recorded the first postoperative anal exhaust time, post- operative defecation time, postoperative recovery time of bowel sounds for the first time, the disappearance time, before and after treatment for 24 h, 48 h, abdominal pain, gastrointestinal reaction and postoperative curative effect. Results All the indexes after treatment in group A after operation were significantly better than the treatment group, B treatment group, C normal group （ P 〈0. 05 ） ; after treatment, the effective rate of A group was significantly higher than the treatment group, B treatment group, C normal group （P 〈 0.05）. Conclusion The cesarean section, Quchi, Zusanli and Shangjuxu chize can promote the parturient women after cesarean section gastrointestinal function recovery, shorten the recovery time of bowel sounds, reduce abdominal distension, abdominal pain, gastrointestinal reaction, the best effect of acupuncture at Zusanli and Shangjuxu.