热敏灸干预对腹腔镜肝癌切除术后胃肠功能恢复的影响

Effect of Heat-Sensitive Moxibustion on Recovery of Gastrointestinal Function After Laparoscopic Hepatectomy

目的:观察热敏灸干预对腹腔镜肝癌切除术后患者胃肠功能恢复的影响。方法:选取行腹腔镜肝癌切除术的原发性肝癌患者74例,按随机数字表法分为试验组和对照组各37例。对照组采用围手术期常规护理,试验组在对照组的基础上加用热敏灸干预。比较2组术后首次肛门排气和排便时间、术后肝胆肿瘤治疗功能评定量表(FACT-Hep)评分、术后不良反应发生情况、术后胃肠功能康复疗效和住院时间。结果:试验组总有效率为94.60%,对照组为83.78%,试验组总有效率高于对照组,但差异无统计学意义(P>0.05)。试验组术后首次肛门排气时间、排便时间均短于对照组,差异均有统计学意义(P<0.05)。术后,试验组平均FACT-Hep量表评分为(129.65±3.36)分,对照组为(113.68±4.65)分,2组比较,差异有统计学意义(P<0.05)。试验组发生腹痛、腹胀、恶心呕吐发生率分别为13.51%、18.92%、8.11%,对照组分别为35.14%、48.65%、27.03%,2组比较,差异均有统计学意义(P<0.05)。经秩和检验,试验组平均住院时间短于对照组,差异有统计学意义(P<0.05)。结论:热敏灸疗法能促进腹腔镜肝癌切除患者术后肛门排气排便,提高术后生活质量,促进术后胃肠功能恢复,缩短住院时间,且不良反应发生率相对较低。

Objective:To observe the effect of heat-sensitive moxibustion on recovery of gastrointestinal function after laparoscopic hepatectomy.Methods:A total of 74 patients with primary liver cancer who underwent laparoscopic hepatectomy were selected and randomly divided into the trial group and the control group,with 37 cases in each group,using a random number table method.The control group received routine perioperative care,and the trial group received heat-sensitive moxibustion intervention in addition to the treatment of the control group.The first postoperative anal exhaust and defecation time,scores of Functional Assessment of Cancer Therapy-Hepatobiliary(FACT-Hep)questionnaire after surgery,incidence of postoperative adverse reactions,postoperative gastrointestinal rehabilitation effects,and hospitalization time were compared between the two groups.Results:The total effective rate was 94.60%in the trial group,and 83.78%in the control group,the difference being significant(P<0.05).The first postoperative anal exhaust time and defecation time in the trial group were shorter than those in the control group,differences being significant(P<0.05).After surgery,the average FACT-Hep score in the trial group was(129.65±3.36)points,and(113.68±4.65)points in the control group,the difference being significant(P<0.05).The incidence of abdominal pain,bloating,and nausea and vomiting in the trial group was 13.51%,18.92%,and 8.11%,respectively,and 35.14%,48.65%,and 27.03%in the control group respectively,the difference being significant(P<0.05).The average hospitalization time in the trial group was shorter than that in the control group,the difference being significant(P<0.05).Conclusion:Heat-sensitive moxibustion therapy can promote postoperative anal ventilation and defecation in patients with laparoscopic hepatectomy,improve postoperative quality of life,promote postoperative gastrointestinal function recovery,shorten hospitalization time,and have a relatively low incidence of adverse reactions.