针刺治疗术后腹胀的优化方案研究

A study on treating postoperative abdominal distension by acupuncture

目的:观察不同针刺治疗方案对术后腹胀的疗效,为规范临床取穴组方、提高针刺治疗腹胀的疗效奠定科学基础。方法:将80例经腹广泛全子宫切除联合盆腔淋巴结清扫术(RH+PL)后腹胀患者按照4因素2水平的正交表L8(27)随机分组,以首次针刺后48h患者腹胀减轻程度为指标,观察电针、四肢穴、留针时间以及针刺频次等4个因素对疗效的影响,比较每个因素2水平的疗效,观察因素间的交互作用,初步选出最佳治疗方案。结果:电针、四肢穴和针刺频次三个因素是影响针刺疗效的显著因素。结论:针刺治疗术后腹胀的最佳方案是腹部穴位配合四肢穴,电针留针20min,每日2次。

Objective： To observe efficacy of different acupuncture on postoperative abdominal distension, and establish a scientific foundation for standardizing the clinical acupoints and improving the therapeutic effect of acupuncture on abdominal distension. Methods： 80 cases of abdominal distension after extensive abdominal hysterectomy and pelvic lymphadenectomy （RH＋ PL） were randomly grouped according to the orthogonal table L8（27）. The degree of abdominal distension reduction in 48 hours after frst acupuncture was the index; the efects of four factors such as electro-acupuncture, four limbs acupoints, needle retaining time and acupuncture frequency were observed. The efects of each factor were compared between two levels. The interactions of the factors were studied, to select the optimization scheme. Results： The electro-acupuncture, four limbs acupoints and the frequency of acupuncture were the significant factors in efficacy of acupuncture. Conclusion： The best acupuncture on treating postoperative abdominal distention is abdominal acupoint and four limbs acupoints, and electro-acupuncture for 20 minutes, twice daily.