中药穴位贴敷促进腹部术后胃肠功能恢复临床研究

Clinical Study of Acupoint Application of Chinese Herbs for the Recovery of Gastrointestinal Function after Abdominal Operation

目的:观察中药穴位贴敷促进腹部术后胃肠功能恢复的效果及对血清中胃泌素(GAS)和生长激素(GH)水平的影响。方法:将104例腹部手术患者按随机数字表法分为对照组和治疗组各52例。2组患者均予术后常规治疗,对照组术后予常规护理措施治疗,治疗组在对照组基础上采取中药穴位贴敷治疗。2组连续治疗1周。比较2组术后肛门排气、排便时间及肠鸣音恢复时间,分析2组临床疗效和满意度,检测2组血清中GAS和GH水平。结果:治疗组总有效率为94.23%,显著高于对照组78.85%,差异有统计学意义(P <0.05)。治疗组排气、排便时间及肠鸣音恢复时间均显著少于对照组,差异均有统计学意义(P <0.01)。治疗组总满意度为84.62%,显著高于对照组63.46%,差异有统计学意义(P <0.05)。术后1周,2组血清GAS和GH水平较术后1天显著升高(P <0.01);治疗组术后1周血清GAS和GH水平显著高于对照组(P <0.01)。结论:在术后常规治疗和护理基础上,中药穴位贴敷可促进腹部术后胃肠功能恢复,提高临床疗效,上调患者体内GAS和GH水平。

Objective: To observe the clinical effect of acupoint application of Chinese herbs for the recovery of gastrointestinal function after abdominal operation and its effect on serum gastrin(GAS) and growth hormone(GH) levels.Methods: Divided 104 patients who had abdominal surgery into the control group and the treatment group according to random number table,52 cases in each group. Patients in both groups were treated with postoperative routine treatment. The control group was treated with routine nursing measures, and the treatment group was additionally given acupoint application of Chinese herbs. The treatment for both groups lasted for 1 week. Compared the anal exsufflation,defecation time and recovery time of intestinal sound in the two groups,analyzed the clinical effect and satisfaction in the two groups, and detected the levels of GAS and GH in serum in the two groups. Results: The total effective rate was 94.23% in the treatment group,being significantly higher than that of 78.85% in the control group,difference being significant(P < 0.05). The anal exsufflation time,defecation time and recovery time of intestinal sound in the treatment group were obviously lower than that in the control group, differences being significant(P < 0.01). The total satisfaction rate was 84.62% in the treatment group,being evidently higher than that of 63.46% in the control group, difference being significant(P < 0.05). At one week after operation, the levels of serum GAS and GH in the two groups were significantly higher than those in the first day after operation(P < 0.01);the levels of serum GAS and GH in the treatment group were significantly higher than those in the control group(P< 0.01). Conclusion: Based on postoperative routine treatment and nursing, the application of acupoint application of Chinese herbs can promote the recovery of gastrointestinal function after abdominal operation, improve clinical effect, and up-regulate the levels of GAS and GH in patients.