子午流注择时雷火灸对子宫肌瘤术后患者胃肠功能及腹胀腹痛的影响

Effects of midnight-noon and ebb-flow doctrine and timed thunder-fire moxibustion on gastrointestinal function and abdominal distension and pain in patients with uterine fibroids after surgery

目的探讨子午流注择时雷火灸对腹腔镜子宫肌瘤剔除术后患者胃肠功能恢复及腹胀腹痛的影响。方法选取2021年10月—2022年7月在医院妇科行腹腔镜子宫肌瘤剔除术后患者90例作为研究对象,按照组间基本资料具有可比性的原则分为观察组和对照组,每组45例。两组患者均采用常规护理,对照组在常规护理基础上选用中脘、神阙、足三里、三阴交行雷火灸治疗,观察组在常规护理基础上行子午流注择时雷火灸治疗,共治疗3 d。观察两组患者术后肠鸣音恢复时间、首次排气时间、首次排便时间、腹胀程度得分、腹痛程度得分和护理满意程度间的差异性。结果观察组术后肠鸣音恢复时间、首次排气时间、首次排便时间均早于对照组,差异有统计学意义(P<0.05)。术后第3天,观察组腹胀程度得分低于对照组,差异具有统计学意义(P<0.05);观察组腹痛程度得分低于对照组,差异具有统计学意义(P<0.05)。观察组护理满意程度高于对照组,差异具有统计学意义(P<0.05)。结论子午流注择时雷火灸可缩短腹腔镜子宫肌瘤剔除术后患者肠鸣音恢复时间、排气和排便时间,促进胃肠功能恢复,减轻腹胀腹痛,提高护理满意程度。

Objective To explore the effect of midnight-noon and ebb-flow doctrine and timed thunder-fire moxibustion on the recovery of gastrointestinal function and abdominal distension and pain in patients after laparoscopic myomectomy.Methods A total of 90 patients who underwent laparoscopic myomectomy in the department of gynecology of the hospital from October 2021 to July 2022 as the study subjects.According to the principle of comparability of basic data between groups,they were divided into an observation group and a control group,with 45 patients in each group.Both groups of patients were treated with routine nursing care.The control group was treated with thunder-fire moxibustion at the Zhongwan,Shenque,Zusanli,and Sanyinjiao on the basis of routine nursing care.The observation group was treated with thunder-fire moxibustion at the time of midnightnoon and ebb-flow doctrine on the basis of routine nursing care for a total of 3 days.To observe the diff erences between the two groups in the recovery time of bowel sounds,the first exhaust time,the first defecation time,the score of abdominal distension,the score of abdominal pain,and the degree of nursing satisfaction.Results The recovery time of bowel sounds,the first exhaust time,and the first defecation time in the observation group were earlier than those in the control group,and the diff erences were statistically significant(P<0.05).On the 3rd day after operation,the score of abdominal distension in the observation group was lower than that in the control group,the diff erence was statistically significant(P<0.05).The score of abdominal pain degree in the observation was lower than that in the control group,and the diff erence was statistically significant(P<0.05).The degree of nursing satisfaction in the observation was higher than that in the control group,and the diff erence was statistically significant(P<0.05).Conclusion Midnight-noon and ebb-flow doctrine and timed thunder-fire moxibustion can shorten the recovery time of bowel sounds,exhaust gas,and defecation in patients after laparoscopic myomectomy,promote the recovery of gastrointestinal function,reduce abdominal distension and pain,and improve nursing satisfaction.