雷火灸配合中药穴位贴敷对子宫肌瘤患者术后胃肠功能及腹胀腹痛的影响

Effect of thunder-fire moxibustion combined with traditional Chinese medicine acupoint application on gastrointestinal function and abdominal distension and pain in postoperative patients with uterine fibroids

目的研究雷火灸配合中药穴位贴敷对子宫肌瘤患者术后胃肠功能及腹胀腹痛的影响。方法60例子宫肌瘤患者为研究对象,采用随机数字表法分为观察组及对照组,每组30例。两组患者均行腹腔镜下子宫肌瘤剔除术,对照组术后采用中药穴位贴敷治疗,观察组术后采用雷火灸配合中药穴位贴敷治疗。比较两组患者的胃肠功能恢复情况(术后肠鸣音恢复时间、首次排气时间、首次排便时间),术后腹胀程度、腹痛程度及睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]。结果观察组患者术后肠鸣音恢复时间、首次排气时间、首次排便时间分别为(15.69±1.47)、(17.64±1.58)、(36.54±2.25)h,较对照组的(17.12±1.63)、(19.03±1.72)、(38.27±2.43)h短(P<0.05)。术后3 d,观察组患者腹胀程度较对照组低(Z=2.354,P=0.019<0.05)。术后3 d,观察组患者腹痛程度较对照组低(Z=2.602,P=0.009<0.05)。术后3 d,观察组患者PSQI评分(9.72±0.97)分较对照组的(10.38±1.05)分低(t=2.529,P=0.014<0.05)。结论采用雷火灸配合中药穴位贴敷可加快子宫肌瘤患者术后胃肠功能的恢复,同时有效改善患者腹胀腹痛严重程度及睡眠质量,促进其恢复。

Objective To study the effect of thunder-fire moxibustion combined with traditional Chinese medicine acupoint application on gastrointestinal function and abdominal distension and pain in postoperative patients with uterine fibroids.Methods 60 patients with uterine fibroids as study subjects were divided into an observation group and a control group according to random numerical table,with 30 cases in each group.Both groups underwent laparoscopic myomectomy.The control group was treated with Chinese medicine acupoint application after surgery,and the observation group was treated with thunder-fire moxibustion combined with traditional Chinese medicine acupoint application after surgery.The gastrointestinal function recovery(postoperative bowel sound recovery time,first exhaust time,first defecation time),severity of postoperative abdominal distension,severity of abdominal pain and sleep quality[Pittsburgh Sleep Quality Index(PSQI)score]were compared between the two groups.Results The postoperative bowel sound recovery time,first exhaust time and first defecation time were(15.69±1.47),(17.64±1.58),and(36.54±2.25)h in the observation group,which were shorter than(17.12±1.63),(19.03±1.72),and(38.27±2.43)h in the control group(P<0.05).At 3 d postoperatively,the severity of abdominal pain of abdominal distension in the observation group was lower than that in the control group(Z=2.354,P=0.019<0.05).At 3 d postoperatively,the severity of abdominal pain of abdominal pain in the observation group was lower than that in the control group(Z=2.602,P=0.009<0.05).At 3 d postoperatively,the PSQI score of(9.72±0.97)points in the observation group was lower than(10.38±1.05)points in the control group(t=2.529,P=0.014<0.05).Conclusion The use of thunder-fire moxibustion with traditional Chinese medicine acupoint application can accelerate the recovery of gastrointestinal function in postoperative patients with uterine fibroids,while effectively improving the severity of abdominal distension and abdominal pain as well as the sleep quality of patients to promote their recovery.