Risk factors of gastroparesis syndrome after abdominal nongastroduodenal operation and its prevention

Objective:To investigate risk factors of gastroparesis syndrome(PGS) after abdominal nongastroduodenal operation and its prevention.Methods:Clinical data of 22 patients with PGS after abdominal non-gastroduodenal operation was analyzed retrospectively,and compared with the patients of non-PGS after abdominal non-gastroduodenal operation during the same time.The possible influencing factors of PCS were analyzed by single factor analysis and logistic regression analysis.Results:All t3 selected factors related with PGS,including age,disease category (benign and malignant),operation time,intraoperative blood loss,postoperative analgesic pump, postoperative enteral nutrition time,postoperative parenteral nutrition time,perioperative blood glucose level,perioperative nutrition status(anaemia or lower proleinemia),pylorus obstruction before surgery,intra-abdominal infection after surgery,and spiritual factor were related with PGS.The statistical analysis showed that the difference was statistical significant(P【0.05),and gender had no correlation with PCS(P】0.05);non-conditional multivariate analysis showed that malignant tumor,perioperative nutrition status,pylorus obstruction,operation time,blood loss, intra-abdominal infection after surgery,and mental factor were significant related with PGS as dependent variable and related risk factors in single factor analysis as independent variables (P 【0.05).Conclusions:PGS is a result of multiple factors,and among these factors,malignant tumor,poor nutrition status,pylorus obstruction before surgery,longer operation—time,more blood loss,intra-abdominal infection after surgery,and mental factor are major risk factors of PGS.

Clinical analysis of abdominal aorta block in operation of gynecologic tumor

Objective:To evaluate the clinical effects of the abdominal aorta block in controlling haemorrhage during operations of the gynecologic tumor. Methods: From July 1965 to January 2005. we collected patients (n = 49) of gynecologic tumor complicated with haemorrhage during operations, who were divided into 3 groups: preventive blocking group (PG, n=12), treatment blocking group (TG, n = 20) used abdominal aorta block technique with sterilized cotton band and silica gel tube, and control group (CG, n = 17) which were used the regular haemostatic methods, such as ligature, suture and ribbon gauze packing. During operations, the vital signs including the amount of bleeding and transfusion were measured. Results: Compared with the CG, the amount of bleeding and transfusion in the PG and TG decreased significantly (P<0. 01). After using the technique, 32 cases of haemorrhage were controlled completely. All patients finished operation smoothly in the end and the vital signs were stable. The vision field of operation was clear and the operating time was shortened dramatically (3. 0 h vs 5. 7 h and 3. 8 h vs 5. 7 h, P< 0. 01). No complications caused by the block occurred in the post-operation. Conclusion: Lower abdominal aorta block is safe and effective in controlling haemorrhage during operations of the gynecologic tumor.

Effects of general anesthesia on coagulation function, stress response and other correlation factors in patients undergoing abdominal operation

Objective:To study the effects of general anesthesia on coagulation function, stress response and other correlation factors in patients undergoing abdominal operation.Methods: To select 94 cases of patients undergoing abdominal operation in our hospital from February 2016 to April 2018, divided into the control group and observation group, 47 cases in each group. On the basis of the same pre-processing, the patients in the control group were given epidural anesthesia, and the patients in the observation group received general anesthesia, to detect and compare the coagulation function, stress response and other correlation factors.Results:At T1, the levels of coagulation function (D-Dimer, APTT, PT, PLT), stress response (COR, ACTH, CRP, ET-1) and other correlation factors (IL-23, IL-32, M-CSF, PRL, PCT, NO, TNF-α) between the two groups had no statistical difference (P>0.05). At T2 and T3, the levels of coagulation function(D-Dimer), stress response (COR, ACTH, CRP, ET-1) and other correlation factors (IL-23, IL-32, M-CSF, PRL, PCT, NO, TNF-α) between the two groups had statistical difference (P<0.05).Conclusion:Application of general anesthesia in abdominal endoscopic operation, there was no significant change in coagulation function compared with epidural anesthesia, it could maintain stable coagulation function, but it had a better stabilizing effect on stress response index and other correlation factor such as IL-23, IL-32, M-CSF, PRL, PCT, NO and TNF-α, it was worthy of further clinical study.

Prediction of Abdominal Visceral Obesity From Body Mass Index,Waist Circumference and Waist-hip Ratio in Chinese Adults:Receiver Operating Characteristic Curves Analysis

Objective To evaluate the sensitivity and specificity of body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) measurements in diagnosing abdominal visceral obesity. Methods BMI, WC, and WHR were assessed in 690 Chinese adults (305 men and 385 women) and compared with magnetic resonance imaging (MRI) measurements of abdominal visceral adipose tissue (VA). Receiver operating characteristic (ROC) curves were generated and used to determine the threshold point for each anthropometric parameter. Results 1) MRI showed that 61.7% of overweight/obese individuals (BMI≥25 kg/m2) and 14.2% of normal weight (BMI<25 kg/m2) individuals had abdominal visceral obesity (VA≥100 cm2). 2) VA was positively correlated with each anthropometric variable, of which WC showed the highest correlation (r=0.73-0.77, P<0.001). 3) The best cut-off points for assessing abdominal visceral obesity were as followed: BMI of 26 kg/m2, WC of 90 cm, and WHR of 0.93, with WC being the most sensitive and specific factor. 4) Among subjects with BMI≥28 kg/m2 or WC≥95 cm, 95% of men and 90% of women appeared to have abdominal visceral obesity. Conclusion Measurements of BMI, WC, and WHR can be used in the prediction of abdominal visceral obesity, of which WC was the one with better accuracy.

Laparoscopic versus Abdominal Myomectomy: Surgical and Post-Operative Outcomes in CHRACERH-Yaounde

Introduction: Fibroid benign tumour of the uterus can be operated either by laparotomy or laparoscopy. Laparoscopy is not well vulgarised in our settings. Objective: The main objective was to compare the surgical and post-operative outcomes of laparoscopic versus abdominal myomectomy. Methods: We performed a comparative analytical cross sectional study from 1st January 2016 to 31st March 2018 consisted of two groups: group 1 of women who underwent laparoscopic myomectomy (LM) and group 2 of women who underwent abdominal myomectomy (AM). The data collected was entered in Epi Info 7.2 version and exported to IBM SPSS Statistics version 22 for analysis. We used alpha error margin of 5% and confidence interval of 95%. Results: We enrolled 50 cases of myomectomy consisted of 33 (66.0%) files for AM and 17 (34.0%) files for LM. The clinical presentation of fibroid was similar in both groups. The main operation time (H) was (1.27 ± 0.13) for laparoscopy which is much less than (2.05 ± 0.07) for laparotomy group (p = 0.006). In AM group we had 04 post-operatory complications against zero complications in LM group but the difference was not statistically significant (p = 0.387). In the second look laparoscopy, the types of adhesions were not statistically significant (p = 0.471). Conclusion: Laparoscopic offers advantages compared to abdominal myomectomy.

Strengthening Post-Operative Pain Assessment in Patients with Major Abdominal Surgery, University Teaching Hospitals, Zambia

Systematic, routine pain assessment using standardized clinical guidelines is the foundation of effective pain management for patients who are unable to self-report pain. In Zambia, there are no context appropriate standardised clinical guidelines for post-operative pain observations. This study sought to develop such a clinical guideline in form of an assessment tool. The study adopted an exploratory sequential mixed method through a three-phased approach and an adapted Clinical Decision Making Survey instrument was used. Snowball sampling was employed and in phases II and III, purposive sampling was used. The study was conducted at the University Teaching Hospitals where 120 participants were enrolled in the study. Phases II and III provided preliminary internal validation processes of the developed tool, where discussions, orientation and trial implementation of the tool were done. In phase II of the study, 47 participants comprising of nurses participated while in phase III, there were 11 nurses and 32 participants. The results yielded the first ever standardised post-operative pain assessment tool for patients with major abdominal surgery in Zambia. The tool is made up of six dimensions of the identified nonverbal indicators of post-operative pain in patients with major abdominal surgery namely: facial expressions, mobility, activity intolerance, behavioural disturbance, communication ability and vital signs. The present study showed that the developed post-operative pain assessment tool for Zambia is acceptable for use among patients who have had major abdominal surgery and can facilitate improved post-operative pain management for most patients.

Effects of Glutamine Supplementation on Patients Undergoing Abdominal Surgery

Objective To evaluate the effects of supplementation of glutamine （GLN） on maintaining glu- tathione （GSH） level, immune system function, liver function, and clinical outcome of patients receiving abdominal operation. Methods Forty patients undergoing elective abdominal surgical treatment were randomly divided into 2 groups： study group （n=20） and control group （n=20）. All patients received total parenteral nutrition （TPN） for up to 7 days during perioperative period. The study group received TPN supplemented with GLN dipeptide while the control group received TPN without GLN dipeptide. Patients in both groups received equivalent nitrogen and caloric intake. Blood sample was taken on preoperative day, and the 1st, 3rd, 6th postoperative day to measure GSH level, immune indexes, and liver function indexes. Results The decrease of GSH level in plasma and red blood cell （RBC） in study group was less than that in control group during postoperative period. Ratio of GSH/glutathione disulfide （GSSG） in plasma in study grouP was higher than that in control group on the 3rd postoperative day （52.53±11.46 vs. 31.43±7.27, P = 0.001）. Albumin level in study group was higher than that in control group on the 3rd postoperative day （37.7±3.8 g/L vs. 33.8±4.2 g/L, P = 0.02）. There was no significant difference in the levels of immunoglobin （IgG, IgM, IgA） or T lymphocyte subgroup （CD4, CD8, CD4/CD8） in both groups during postoperative period. There was one case with infectious complication in control group, while none in study group. A trend of shortened hospital stay was observed in study group compared with control group （22.3±2.1 d vs. 24.9±1.7 d,P= 0.32）. Conclusions Supplementation of GLN-enriched TPN has beneficial effects on maintaining GSH levels in plasma and RBC, sustaining GSH/GSSG ratio and albumin level, and keeping antioxidant abilities during postoperative period in patients with abdominal operation, with the trends of decreasing incidence of infectious complication and shortening hospital stay.

Penetrating Abdominal Injuries: Pattern and Outcome of Management in Khartoum

Background: The pattern and presentation of penetrating abdominal trauma vary according to places and the structure of the present health system. As well controversies in management exist ranging from mandatory exploration to selective non-operative management. Objectives: To determine the pattern of penetrating abdominal trauma, current management practiced and outcome in Khartoum. Patients and Methods: The study was prospective, descriptive and hospital-based. It was carried out at the main three hospitals in Khartoum State. It was conducted over a period of one year from 2012 Mar to 2013 Mar. All patients who presented penetrating injury to their abdomen were included. Results: The study included 85 patients with a mean age of 28 years (SD ± 10). The male to female ratio was 11:1. Most of the patients (89.4%) were in the first four decades of their life. Twenty-three patients (27.1%) presented shock. Stab wound is the commonest mode of trauma seen in 83.5% of our patients. The majority of our patients were managed by exploratory laparotomy (81.2%), however 16 (18.8%) underwent conservative measures. Of the operated group, solid organ injuries were found in 22.9%, yet hollow viscous injuries were reported in 86.9% of the patients. Registrars operated on 78.26% of the patients. The rate of negative laparotomy of this study was 8.7%. Complications and mortality were encountered in 25.9% and 4.7% respectively. The mean hospital stay was 8.47 days (SD ± 10.6). Conclusion: This study demonstrates no difference in the pattern of intra-abdominal injuries. The rate of operative treatment is acceptable, but more laparotomies can be avoided if the haemodynamic stable patients without features of peritonitis were given a period of observation. The overall outcome was satisfactory.

Effect of self-made exhaust plaster on patients with gastrointestinal dysfunction after gynecological operation

Objective:To explore the effect of self-made exhaust patch(SMEP)on gastrointestinal dysfunction after gynecological operation.Methods:A total of 200 patients with gynecological operation in the gynecological ward of Shandong Changle People's Hospital were randomly divided into the control group(n=100)and the treatment group(n=100).The recovery time of bowel sounds,the time of first anal exhaust,the duration of abdominal distention,the duration of abdominal pain,the incidence of abdominal distention and abdominal pain and linical efficacy of SMEP were observed.Results:Compared with the control group,the recovery time of gastrointestinal function and the first anal exhaust time in the treatment group were shorter;the duration of abdominal distention and abdominal pain in the treatment group were shorter than those in the control group(P<0.05);Cure rate of abdominal distention in the treatment is 62.5%and cure rate of abdominal pain in the treatment is 60%within 72 hours after operation,which is higher than that in the control group(44.%,45.9%).Conclusion:The results showed that the self-made exhaust patch can improve the clinical symptoms of patients after gynecological abdominal surgery,and the self-made exhaust patch had a significant effect on gastrointestinal dysfunction after gynecological surgery,which was worthy of clinical promotion.

Application Value of Moxibustion Combined with Acupoint Application in Patients with Abdominal Distension after Gynecological Surgery

Objective:To explore the application value of moxibustion and acupoint application in the treatment of postoperative abdominal distention in patients undergoing gynecological surgery.Methods:Seventy-two patients who underwent gynecological surgery in our hospital from May 2020 to May 2021 were randomly divided into two groups.Group A was treated with moxibustion and acupoint application,and group B was treated with routine treatment.The incidence of postoperative abdominal distention,therapeutic effect of abdominal distention,defecation time,exhaust time,recovery time of bowel sounds and the changes of patients’quality of life were analyzed.Results:The incidence of abdominal distension in group A was 22.22%,which was lower than 41.47%in group B(P<0.05).The therapeutic effect of abdominal distension in group A was 87.50%,which was higher than 66.67%in group B(P<0.05).The recovery time of first defecation,first exhaust and bowel sound in group A was shorter than that in group B(P<0.05).All postoperative quality of life scores of group A were higher than that of group B(P<0.05).Conclusion:On the basis of routine postoperative intervention,moxibustion and acupoint application can reduce the risk of postoperative abdominal distention,reduce the degree of abdominal distention,promote the recovery of intestinal function,shorten the first postoperative exhaust and defecation time,and then improve the quality of life of patients.

Effect of Simotang (四磨汤) Oral Liquid on Anal Exhaust in Patients after Abdominal Gynecological Operation

Objective： To study the effect of Simotang （四磨汤） oral liquid and glycerin enema on the patients＇ bowel sound （BS） restoration and anal exhaust after abdominal gynecological operation. Method： Ninety patients with benign tumor who had undergone gynecological operation were randomly divided into the Simotang group, treated after operation with Simotang oral liquid; the enema group, treated with glycerin enema, and the control group, non-treated. The restoration time of BS and anal exhaust were observed. Resuits： Compared with the control group, the restoration time of BS and anus exhaust were both significantly shorter in the Simotang group and the enema group, showing statistical significance （P〈0.05）; but the difference between the two treated groups was insignificant （ P〉0.05）. Conclusion： Simotang oral liquid and glycerine enema both could benefit the restoration of anal exhaust and BS after abdominal operation.

Shoulder pain after abdominal laparoscopic operation： a multicenter study

Sboulder pain is the most common complication of laparoscopic operations.1 The incidence and severityof shoulder pain has been well documented.2 This complication was commonly regarded as the result of CO2 pneumoperitoneum, which induced extension and stimulation to the diaphragmatic muscle. The incidence and severity of shoulder pain was correlated to the pressure and duration of CO2 pneumoperitoneum.3,4 However, we noticed that in non-pneumoperitoneum laparoscopic operations, patients experienced a higher incidence and more severe post-operative shoulder pain. This was a challenge to the theory that pneumoperitoneum induces shoulder pain. Therefore a more detailed study was required to provide more objective data to explain this phenomenon.

腹腔镜下D2根治术联合CME对局部进展期胃癌术后腹腔游离癌细胞检出率及预后的影响

目的:探讨腹腔镜下D2根治术联合完整系膜切除术(complete mesocolic excision,CME)对局部进展期胃癌腹腔游离癌细胞及预后的影响。方法:回顾性分析2021年06月至2022年06月于医院住院治疗的128例局部进展期胃癌患者临床资料,将64例实施腹腔镜下D2根治术的患者纳入对照组,64例实施腹腔镜下D2根治术联合CME的患者纳入研究组。记录两组手术、住院及并发症情况,采用生活质量综合评定问卷-74(GQOLI-74)评定生活质量。分别于腹腔镜探查后和肿瘤切除后收集腹腔冲洗液,应用细胞学检查检测腹腔游离癌细胞。术后随访1年,记录总生存期(OS)及无进展生存期(PFS)情况。结果:研究组淋巴结清扫总数及阳性淋巴结数量显著大于对照组(P<0.05)。与术前比较,研究组术后腹腔游离癌细胞阳性率显著降低(P<0.05)。与术前比较,两组术后GQOLI-74评分均显著增加,且研究组高于对照组(P<0.05)。两组腹腔感染/积液、胃排空障碍、肠梗阻、吻合口瘘、胰瘘、淋巴漏发生率及不良反应总发生率比较,差异均无统计学意义(P>0.05)。研究组术后1年PFS率和OS率均显著高于对照组(P<0.05)。结论:腹腔镜下D2根治术联合CME有利于彻底清除局部进展期胃癌淋巴结,减少术后复发,促进术后康复,且不增加腹腔游离癌细胞脱落和手术并发症风险,具有临床推广价值。

烟囱支架技术治疗近肾腹主动脉瘤的疗效

目的探讨烟囱支架技术治疗近肾腹主动脉瘤(AAA)的近期疗效。方法收集2011年1月至2017年12月于深圳市第二人民医院(深圳大学第一附属医院)及上海长海医院(海军医科大学第一附属医院)接受烟囱支架技术治疗的20例近肾AAA患者的临床资料,术后3个月、6个月及1年通过腹主动脉超声及主动脉计算机断层扫描血管成像(CTA)观察瘤腔内有无活动性血流信号,并测量瘤体大小。结果20例近肾AAA患者烟囱支架技术成功率为100%,术中造影支架内血流通畅,手术前后肌酐水平比较,差异无统计学意义(P﹥0.05)。4例患者术中出现Ⅰ型内漏,2例患者出现Ⅱ型内漏,1例患者出现Ⅲ型内漏。随访(13.6±6.2)个月,6例患者随访时内漏消失,其他患者无新发内漏出现,肾动脉支架通畅率100%;随访期间1例患者于家中死亡,可能与内漏导致腹主动脉瘤破裂有关。结论烟囱支架技术治疗近肾腹主动脉瘤疗效安全可靠,性价比较高,较适用于高龄、急诊及经济状况一般患者。

老年腹部手术患者BIS监测下异丙酚闭环与开环靶控输注模式的麻醉效果比较

目的探讨脑电双频指数(BIS)监测下异丙酚闭环与开环靶控输注在老年腹部手术患者中的麻醉效果。方法将76例老年腹部手术患者按照随机数字表法分为对照组38例[采用异丙酚开环靶控输注(OLTCI)]和研究组38例[采用异丙酚闭环靶控输注(CLTCI)]。比较两组患者的麻醉效果、麻醉药物使用情况、不同时间阶段血流动力学指标以及手术相关指标。结果在麻醉诱导阶段和麻醉维持阶段,研究组患者麻醉满意时间占比高于对照组,麻醉过深时间占比低于对照组,且麻醉维持阶段的麻醉过浅时间占比低于对照组(P<0.05或0.01)。研究组患者异丙酚诱导总量少于对照组,每小时泵调整次数多于对照组(P<0.01)。两组患者意识消失、插管即刻、插管后1 min时的心率(HR)均慢于麻醉诱导前,但研究组患者意识消失、插管即刻、插管后1 min时的HR均快于对照组(P<0.05或0.01)。研究组患者诱导阶段各时期的平均动脉压(MAP)水平无明显变化(P>0.05)。对照组患者意识消失、插管即刻、插管后1 min时的MAP水平均低于麻醉诱导前,且插管即刻、插管后1 min时的MAP水平低于研究组(P<0.05或0.01)。两组患者手术时间、麻醉时间、拔管时间、苏醒时间以及恶心、呕吐发生率等手术相关指标比较,差异无统计学意义(P>0.05)。结论对老年腹部手术患者行BIS监测下异丙酚CLTCI时,可按照BIS的数值及时调整异丙酚用量,避免了血流动力学指标的大幅度波动,可减少麻醉药物的用量,值得临床大力推广。

手术室麻醉苏醒期护理对腹部手术患者全身麻醉苏醒期躁动的影响

目的探讨手术室麻醉苏醒期护理对腹部手术患者全身麻醉苏醒期躁动(EA)的影响。方法选取2020年1月至2022年10月期间在信阳市中心医院收治的88例腹部手术患者,随机分为对照组和观察组,各44例。对照组予以常规护理,观察组采用手术室麻醉苏醒期护理。比较两组患者苏醒相关指标,EA评分及发生率、苏醒期血压、心率情况以及不良反应发生率。结果观察组麻醉恢复室(PACU)滞留时间、拔管时间、完全苏醒时间短于对照组,差异有统计学意义(P<0.05)。观察组EA发生率(6.82%)低于对照组(27.27%),差异有统计学意义。观察组患者苏醒期心率、血压均较优于对照组,差异有统计学意义(P<0.05)。观察组不良反发生率(4.45%)低于对照组(18.18%),差异有统计学意义(P<0.05)。结论手术室麻醉苏醒期护理可降低腹部手术患者全身麻醉EA发生,保持患者心率、血压稳定,降低术后不良事件发生。

纳布啡联合罗哌卡因腹横筋膜阻滞多模式镇痛对全麻腹腔镜手术患儿苏醒期躁动的影响

目的:探讨纳布啡联合罗哌卡因腹横筋膜阻滞多模式镇痛对全麻腹腔镜手术患儿苏醒期躁动的影响。方法:选取2022年6月—2023年8月在吉安市妇幼保健院接受全麻腹腔镜手术患儿80例作为研究对象,用随机数字表法将其分对照组和观察组,各40例。对照组在气管插管后,超声引导下行双侧假腹横筋膜阻滞(注射0.5 mL/kg氯化钠,术毕前15 min静注0.2 mg/kg纳布啡);观察组在气管插管后,超声引导下行双侧腹横筋膜阻滞(注射0.5mL/kg罗哌卡因,术毕前15min时静注0.2mg/kg纳布啡)。对比两组体征指标、躁动评分、镇静评分、镇痛评分、拔管时间和苏醒时间、不良反应。结果:观察组T2、T3时平均动脉压(MAP)、心率(HR)均低于对照组,差异均有统计学意义(P<0.05);观察组拔管时间、苏醒时间均早于对照组,Ramsay镇静评分高于对照组,差异均有统计学意义(P<0.05);观察组躁动发生率(2.50%)低于对照组(22.50%),差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:纳布啡联合罗哌卡因腹横筋膜阻滞多模式镇痛能在稳定血流动力学的基础上,降低苏醒期躁动发生率,有良好的镇痛、镇静效果,且不影响拔管时间和苏醒时间。

腹主动脉旁副神经节瘤2例

2023年5月海军军医大学附属长海医院泌尿外科收治2例腹主动脉旁副神经节瘤患者,病例1为初诊患者,行腹膜后肿瘤切除术;病例2为复诊患者,行腹膜后肿瘤切除、右肾动脉重建联合左肾静脉切除人工血管重建术。术后均未见复发。分析腹主动脉旁副神经节瘤的诊疗特点,手术是副神经节瘤患者的主要治疗方法,对毗邻血管的充分了解及处理是腹主动脉旁副神经节瘤手术安全的保障。

术前不同容量罗哌卡因腹横肌平面阻滞对腹腔镜卵巢癌根治术患者术后镇痛的效果

目的探讨腹腔镜卵巢癌根治术患者术后镇痛中采用不同容量罗哌卡因腹横肌平面阻滞的效果。方法回顾性选取2021年12月—2022年12月枣庄市峄城区人民医院收治的180例腹腔镜卵巢癌根治术患者的临床资料。根据治疗方法的不同分为对照组与观察组,各90例。分别使用剂量为12、20 mL的0.375%罗哌卡因进行麻醉,对比两组患者的各项指标及视觉模拟(Visual Analogue Scale,VAS)评分、舒适(Bruggrmann Comfort Scale,BCS)评分。结果观察组术后VAS评分低于对照组,BCS评分高于对照组,有效按压次数、舒芬太尼用量均少于对照组,差异有统计学意义(P均<0.05)。结论罗哌卡因腹横肌平面阻滞可有效降低其疼痛指数,其中使用剂量为20 mL、浓度为0.375%的罗哌卡因进行镇痛效果更佳。

理气通腑方贴敷配合电针促进腹部术后胃肠功能恢复的作用研究

目的探究理气通腑方贴敷神阙穴与电针足三里穴联合应用对腹部手术后患者胃肠功能恢复的具体作用,并观察其对胃肠道相关并发症及护理满意度的影响。方法选取福州市中医院2022年10月至2023年10月期间收治的60例腹部手术患者,随机均分为两组:观察组(n=30)和对照组(n=30)。两组术后均予以莫沙必利治疗,对照组接受常规护理,观察组则增加理气通腑方贴敷神阙穴以及电针足三里穴干预。对比两组患者的中医证候积分、胃肠功能恢复指标、胃肠道相关并发症,并通过自制调查问卷评估护理满意度。结果观察组护理后的中医证候积分较对照组降低(P<0.05);相较于对照组观察组术后首次排气、肠鸣音恢复、首次排便时间均缩短(均P<0.05);在胃肠道相关并发症发生率低于对照组(P<0.05);观察组护理总体满意度较对照组提升(P<0.05)。结论针对腹部术后患者,予以理气通腑方贴敷神阙穴配合电针足三里穴干预,不仅能有效改善患者临床症状并加速其胃肠功能的恢复,还能降低胃肠道相关并发症的发生率,提高患者的护理满意度。