雷火灸治疗腰椎融合术后胃肠功能紊乱临床观察

Clinical Observation on Thunder-fire Moxibustion in the Treatment of Gastrointestinal Dysfunction after Lumbar Fusion Surgery

目的采用临床对照研究方法,研究传统中医疗法雷火灸在脊柱腰椎融合手术术后出现胃肠道功能紊乱的临床疗观察。方法选取广东省中医院脊柱专科2015年12月2016年10月75例腰椎融合术后患者,35例接受腰椎融合术术后围手术期进行常规护理干预(常规护理组),40例系统接受中医特色疗法雷火灸干预(中医护理组),并进行临床对照研究。观察患者首次通便时间、腹胀、腹痛、恶心、呕吐以及术后胃肠道功能总评分。结果与常规护理方法相比,雷火灸护理组首次通便时间,腹胀、腹痛、恶心呕吐以及术后胃肠道功能总评分明显优于对照组,且差异有统计学意义(P<0.05)。结论雷火灸护理干预可有效改善腰椎术后胃肠功能紊乱,促进腰椎术后患者快速康复,临床便于操作,且疗效显著,对腰椎术后快速康复具有重要临床价值及理论依据。

Objective To study the clinical observation of traditional Chinese medicine thunder-fire moxibustion for gastrointestinal function after spinal lumbar fusion surgery.Methods In department of spinal surgery of Guangdong Provincial Hospital of Traditional Chinese Medicine,from December 2015 to October 2016,35 patients underwent lumbar fusion for lumbar disc in the perioperative period of routine nursing intervention(conventional nursing group),and 40 patients accepted traditional Chinese medicine treatment of thunder-fire moxibustion intervention(TCM nursing group).The clinical controlled study was carried out.The patient's first lax time,abdominal distension,abdominal pain,nausea,vomiting,and postoperative gastrointestinal function scores were observed.Results Compared with the conventional nursing method,the first time of laxative,the abdominal pain,nausea and vomiting and the postoperative gastrointestinal function score were significantly better,and the difference was statistically significant(P<0.05).Conclusion Thunder-fire moxibustion nursing intervention can effectively improve gastrointestinal dysfunction after lumbar spine surgery,promote rapid recovery of patients after lumbar spine surgery,clinical operation is easy,and the curative effect is significant.It has important clinical value and theoretical basis for rapid rehabilitation of lumbar spine.