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The study on intervention time of acupoint application to for gastrointestinal function of the patients after laparoscopic cholecystectomy

 

WANG Jianru1, YANG Xuan2, HU Fang3
  

  1.  
    (1.Tianjin Hospital of ITCWM Nankai Hospital, Tianjin 300100; 2. Tianjin Medical University Cancer Institute and Hospital; 3.Tianjin Medical University General Hospital)
  • Received:2018-04-04 Revised:2019-10-29 Online:2019-04-28 Published:2019-05-17

中药穴位贴敷对腹腔镜胆囊切除术后患者胃肠功能恢复介入时机的研究

 

王建茹杨玄2 胡芳3
  

  1.  
    (1.天津市南开医院,天津 300100;2.天津医科大学肿瘤医院;3.天津医科大学总医院)

Abstract:  

Objective: To explore the best time for the recovery of gastrointestinal function in patients after laparoscopic cholecystectomy. Methods: 120 patients undergoing laparoscopic cholecystectomy were randomly divided into 3 groups, namely control group, intervention group 1 and intervention group 2. Based on the routine nursing, the acupoint application was applied on patients at 0.5h and 6h after surgery in the two intervention groups. The waveforms were monitored by electrogastrograph at 1 day before surgery and 24h after surgery.The anal exhaust time, defecation time, abdominal distension and electrogastrogram were compared among 3 groups. Results: The first exhaust time, defecation time in intervention group 1 were earlier than those of intervention group 2 whose index was also better than control group (P<0.05). The comparative result of the main frequency wave, slow wave improvement was similar in 3 groups (P<0.05). Conclusion: The application of TCM sticking at early period of postoperation can promote gastrointestinal function recovery and improve gastric motility in patients undergoing abdominal operation.

Key words:  , Acupoint application;Gastrointestinal function;Intervention time

摘要:  

目的:探讨中药穴位贴敷对于腹腔镜胆囊切除术后患者胃肠功能恢复的最佳干预时机。方法:选择120例拟行腹腔镜胆囊切除术患者,采用随机数字表法随机分为3组,分别为空白对照组、干预1组和干预2组,3组患者均给予围手术期常规护理,干预1组和2组分别在术后0.5 h、术后6 h给予中药穴位贴敷,并采用胃电图仪对术前1 d、术后24 h进行波形监测,分析比较三组患者术后首次排气、排便时间、腹胀程度和胃电图变化。结果:患者术后首次排气、排便时间组间比较,干预1组早于干预2组,干预2组早于对照组,差异具有统计学意义(P<0.05);术后胃电图主频率波和胃电图慢波改善情况,干预1组优于干预2组,干预2组优于对照组(P<0.05)。结论:术后0.5 h内给予中药穴位贴敷能更早的促进腹部手术患者胃肠功能恢复,改善胃动力情况。

关键词: 中药, 穴位贴敷, 胃肠功能, 介入时机, 腹腔镜, 胆囊切除术