中脘穴点按对泌尿外科腹腔镜术后胃肠功能紊乱的治疗效果

Effect of Zhongwan acupoint pressing therapy on gastrointestinal dysfunction after laparoscopic surgery for urologic diseases

目的探讨中脘穴点按对泌尿外科腹腔镜术后胃肠功能紊乱的治疗效果。方法选取该院泌尿外科2018年6月-2018年12月腹腔镜术后24 h仍未排气排便的患者96例作为研究对象,按照入组日期分为试验组和对照组,其中试验组46例,对照组50例。试验组给予中脘穴点按,并于首次按摩后1 h加强按摩一疗程;对照组采用运动、热敷等常规治疗,并对常规治疗24 h仍未排气者按照试验组方案给予中脘穴点按。观察两组患者术后排气开始时间、排便开始时间和腹痛评分。结果试验组中39例(84.78%)患者于首次治疗90 min内排气,开始治疗后24 h内总有效率95.65%。对照组经常规治疗后仍有42例患者未排气,转入试验组接受中脘穴点按治疗,其中33例(78.57%)在首次中脘穴按摩后90 min内排气,开始穴位按摩治疗24 h内总有效率95.23%。试验组患者开始治疗后24 h的腹痛评分明显低于对照组(t=8.76,P=0.000),开始排气和排便时间均明显早于对照组(t=14.28,P=0.000;t=12.75,P=0.000)。结论中脘穴点按能有效缓解泌尿外科腹腔镜术后腹胀及排气障碍,促进患者术后早期康复、改善生活质量。

Objective To evaluate the effect of Zhongwan acupoint pressing therapy on gastrointestinal dysfunction after laparoscopic surgery for urologic diseases.Methods 96 patients without flatus and defecate in 24 hours after urologic surgery were recruited in the study and were randomized divided into study group and control group from July to December 2018.Study group included 46 subjects and were treated with Zhongwan acupoint pressing therapy,50 subjects in the control group were treated with traditional treatment,those in control group who still without flatus and defecate in 24 hours with traditional treatment would be treated with Zhongwan acupoint pressing therapy as the study group.The time of the flatus and defecate,as well as the score of the abdominal distention were evaluated in the both groups.Results 84.78%of subjects in study group had flatus or defecate within 90 minutes with pressing therapy,and 95.65%subjects had effect within 24 hours treatment.42 of 50 subjects in control group still had not flatus or defecate within 24 hours of treatment,and they changed to receive Zhongwan acupoint pressing therapy.After they had pressing therapy,78.57%(33/42)had flatus or defecate with 90 minutes of treatment,and 95.23%of them had effects within 24 hours of pressing treatment.The score of abdominal pain was lower significantly in study group than it in control group(t=8.76,P=0.000).The time of post-operative flatus and defecte were earlier in study group than in control group(t=14.28,P=0.000;t=12.75,P=0.000).Conclusion Zhongwan acupoint pressing therapy could relieve the dysfunction of flatus or defecate and increase intestinal peristalsis after laparoscopic surgery for urologic diseases.