子午流注理论结合中药热熨对子宫肌瘤剔除术患者术后胃肠功能的影响

Effect of Midnight-Noon and Ebb-Flow Doctrine Theory combined with Hot Ironing of Traditional Chinese Medicine on Gastrointestinal Function,Stress Response, and Recurrence Rate after Hysteromyomectomy

目的:探讨子午流注理论结合中药热熨对子宫肌瘤剔除术患者术后胃肠功能、应激反应及复发率的影响。方法:选取子宫肌瘤剔除术的145例子宫肌瘤患者,按随机数字表法将其分为常规组、对照组及观察组3组,分别为47、49、49例。常规组仅实施单纯常规基础护理,对照组在常规基础护理上实施非子午流注辨时热熨治疗,观察组患者在对照组基础上根据子午流注辨时热熨,观察各组患者术后胃肠功能、应激反应、胃肠激素、不良反应及复发率。结果:对照组与观察组术后肠鸣音恢复正常时间、首次排气时间、首次排便时间、术后住院总天数均较常规组低,且观察组较对照组低(P<0.05);对照组与观察组治疗后血胃泌素(GAS)、胃动素(MTL)均较常规组高,而血管活性肠肽(VIP)较常规组低(P<0.05),且观察组MTL、GAS均较对照组高,而VIP较对照组低(P<0.05);3组患者总不良反应发生率比较,差异具有统计学意义(P<0.05),且观察组较常规组低(P<0.05)。结论:子午流注理论结合中药热熨有利于改善子宫肌瘤剔除术患者胃肠激素分泌水平,促进术后胃肠功能恢复,减轻应激反应,用药安全,降低复发率。

Objective: To explore the effects of Midnight-Noon and Ebb -Flow Doctrine Theory combined with hot ironing of traditional Chinese medicine on gastrointestinal function, stress response, and recurrence rate after hysteromyomectomy. Methods: 145 cases of hysteromyoma patients who underwent hysteromyomectomy in our hospital from July 2016 to July 2018 were divided into blank group (n=47), control group (n=49), and observation group (n=49) according to random number table method ? The blank group only received routine basic nursing, the control group received heat ironing treatment without Midnight-Noon and Ebb-Flow Doctrine Theory on the basis of routine basic nursing, the observation group received heat ironing treatment according Midnight -Noon and Ebb-Flow Doctrine Theory on the basis of the control group, the gastrointestinal function, stress response, gas-trointestinal hormones, adverse reactions, and recurrence rate were observed? Results: The time when postopera-tive bowel sounds returned to normal, the first exhaust time, the first defecation time, and the total days of hos-pitalization after operation in the control group and the observation group were lower than those of the blank group, and those in the observation group were lower than those in the control group (P<0.05);after treatment, the levels of serum gastrin (GAS) and motilin (MTL) in the control group and the observation group were higher than those in the blank group, while the levels sof vasoactive intestinal peptide (VIP) were lower than those in the blank group (P<0.05), and the levels of MTL and GAS in the observation group were higher than those in the control group, while the levels of VIP were lower than those in the control group (P<0.05);there was signif-icant difference in the incidence of total adverse reactions among the three groups, and the observation group was lower than the blank group (P<0.05). Conclusion: Midnight-Noon and Ebb-Flow Doctrine Theory combined with hot ironing of traditional Chinese medicine is beneficial to improve gastrointestinal hormone secretion in patients undergoing hysteromyomectomy, can promote the recovery of gastrointestinal function after operation, and alleviate stress reaction, which is safe in medication, and can reduce recurrence rate.