摘要
目的：初步评价电针干预防治术后胃肠功能紊乱的疗效。方法：将行腹腔镜手术的60例妇科良性肿瘤患者随机分为治疗组（电针干预组）和对照组（常规麻醉组）,每组30例。对照组施以常规全身麻醉,治疗组在此基础上,于术前30 min电针刺激双侧内关和足三里穴。观察患者术后6、24、48、72 h时间段的恶心、呕吐发生率,严重程度评分和首次肛门排气时间,并比较患者术后电解质情况。结果：治疗组术后恶心、呕吐的严重程度评分、发生率均低于对照组,两组比较差异无统计学意义（P〉0.05）;治疗组平均首次肛门排气时间短于对照组,两组比较差异有统计学意义（P〈0.05）;治疗组电解质紊乱发生率低于对照组,两组血钾、血钙比较差异有统计学意义（P〈0.01）。结论：电针干预能够有效促进妇科良性肿瘤患者术后胃肠功能的恢复,明显缩短术后首次肛门排气时间,预防术后电解质紊乱。
Objective：To preliminary assess the efficacy of electroacupuncturefor prevention and treatment of gastrointestinal dysfunction after operation. Methods：Sixty cases of gynecologic benign tumor were randomized into the treatment group（EA）and the control group（routine anesthesia）,30 cases in each one. The control group received routine general anesthesia. In the treatment group,on the basis of the scheme as the control group,the electroacupuncture was used at Neiguan（PC 6）and Zusanli（ST 36）30 min before operation. Observed patients postoperative 6,24,48 and 72 h scores of nausea and vomiting levels,the incidence of nausea and vomiting and the time of initial anal exhaust,and compare the postoperative electrolyte status of patients. Results：The incidence and severity of postoperative nausea and vomiting in the treatment group was lower than that in the control group,and there was no significant difference between the two groups（P〉0.05）;the average postoperative initial anal exhaust time in the treatment group was shorter than that in the control group,and the difference between the two groups was statistically significant（P〈0.05）. The incidence of electrolyte imbalance in the treatment group was lower than that in the control group. There was significant difference between the two groups（P〈0.01）. Conclusion：Electroacupuncture intervention can effectively promote the recovery of gastrointestinal function in women with gynecologic tumor,mainly to shorten the postoperative initial anal exhaust time,prevent postoperative electrolyte imbalance.
作者
王晓秋
吴文忠
郑曼
李莎
WANG Xiaoqiu;WU Wenzhong;ZHENG Man;LI Sha(Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210029, Jiangsu, China)
出处
《辽宁中医药大学学报》
CAS
2018年第6期179-182,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
“十二五”国家科技支撑计划项目(2015BAI04B11)
关键词
电针
腹腔镜手术
胃肠功能
随机对照预试验
electroacupuncture
laparoscopy
gastrointestinal function
randomized controlled pilot trial
