中西医结合干预对70例心脏黏液瘤患者术后胃肠功能恢复的影响

Effects of integrated Chinese and Western medicine intervention on the recovery of gastrointestinal function after surgery in 70 patients with cardiac myxoma

目的探讨常规治疗护理联合艾灸对心脏黏液瘤患者术后胃肠功能恢复的疗效。方法纳入2019年3月到2021年12月西安交通大学第一附属医院心外科在体外循环下行心脏黏液瘤切除手术的70例患者,随机分成研究组和对照组,各35例。两组均给予常规治疗护理干预,研究组加用艾灸双侧足三里穴、天枢穴和神阙穴。对比两组患者术后肠鸣音恢复、首次肛门排气、首次排便、腹胀恶心呕吐发生率及术后住院时间,并进行效果评价。结果研究组术后肠鸣音恢复时间、首次排便时间、腹胀恶心呕吐发生率和术后住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组术后第3天急性胃肠功能损伤评分(AGIUS评分)明显低于对照组(P<0.05),总有效率高于对照组(91.43%vs 71.40%,χ^(2)=4.629,P=0.031)。结论对体外循环下行心脏黏液瘤切除手术的患者,在常规治疗护理干预的基础上加用中医艾灸足三里、天枢和神阙穴,能够有效促进其术后胃肠功能的恢复,且操作简单易行。

Objective To investigate the efficacy of conventional treatment and nursing intervention combined with moxibustion on the recovery of gastrointestinal function in patients with cardiac myxoma.Methods A total of 70 patients undergoing cardiac myxoma resection in cardiopulmonary bypass from the Department of Cardiovascular Surgery of the First Affiliated Hospital of Xi an Jiaotong University from March 2019 to December 2021 were randomly divided into study group and control group,with 35 cases in each group.The routine treatment and nursing intervention were given in both groups,while moxibustion at bilateral Zusanli,Tianshu,and Shenque acupoints were additionally treated in study group.The recovery of bowel sounds,the first anal exhaust,the first defecation,the incidence of abdominal distention,nausea and vomiting,and postoperative hospital stay were compared between the two groups,and the effects were evaluated.Results The recovery time of bowel sounds,the first defecation time,the incidence of abdominal distention,nausea and vomiting,and postoperative hospital stay in the study group were significantly shorter than those in the control group(P<0.05).The Acute Gastrointestinal Injury Score(AGIUS)in the study group was significantly lower than that in the control group on the third day after surgery(P<0.05),and the total effective rate was significantly higher than that in the control group(91.43%vs 71.40%,χ^(2)=4.629,P=0.031).Conclusion For patients undergoing cardiac myxoma resection in cardiopulmonary bypass,moxibustion at Zusanli,Tianshu,and Shenque acupoints can effectively promote the recovery of postoperative gastrointestinal function in addition to routine treatment and nursing interventions,and the operation is simple and feasible.