中药灌肠加足三里穴位注射促进围手术期术后肠功能恢复临床观察
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R574.4

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Clinical Observation of Herbal Enema and Point Injection at Zusanli Promoting Postoperative Intestinal Function Recovery in Perioperative Phase
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    摘要:

    目的:观察中药灌肠加足三里穴位注射促进围手术期术后肠功能恢复的临床效果。方法:将纳入观察的292例腹部手术患者随机分为A组、B组、C组、D组各73例,A组术后给予常规治疗,B组在A组治疗方案的基础上给予大承气汤保留灌肠,C组在A组治疗方案的基础上给予足三里穴位注射治疗,D组在A组治疗方案的基础上给予大承气汤保留灌肠联合足三里穴位注射治疗。记录4组肠鸣音恢复时间、肛门排气时间、排便时间、进食时间及住院时间,观察术前、术后24 h、术后48 h血清胃动素、胃泌素水平。结果:B组与C组肠鸣音恢复时间、肛门排气时间、排便时间、进食时间及住院时间均低于A组,差异均有统计学意义(P<0.05);B组与C组肠鸣音恢复时间、肛门排气时间、排便时间、进食时间、住院时间分别比较,差异均无统计学意义(P>0.05);D组肠鸣音恢复时间、肛门排气时间、排便时间、进食时间及住院时间分别与A组、B组、C组相比较,均降低,差异均有统计学意义(P<0.05)。A组术后24 h、48 h胃动素、胃泌素分别与术前比较均降低,差异均有统计学意义(P<0.05);B、C、D组术后24 h、48 h胃动素、胃泌素分别与术前相比较均有升高,差异均有统计学意义(P<0.05);且B、C组术后24 h、48 h胃动素、胃泌素分别与同期A组相比较均有升高,差异均有统计学意义(P<0.05);D组术后24 h、48 h胃动素、胃泌素分别与同期A、B、C组相比较均有升高,差异均有统计学意义(P<0.05)。结论:中药灌肠联合足三里穴位注射可改善胃肠激素分泌,且优于单纯使用中药灌肠或足三里穴位注射治疗,联合治疗利于术后肠功能恢复。

    Abstract:

    Objective:To observe the clinicaleffect of herbalenema and point injection at Zusanlion promoting postoperative intestinal function recovery in perioperative phase.Methods:Divided 292 cases of abdominal operation patients enrolled in the observation into group A,group B,group C and group D randomly,73 cases in each group.All four groups receivedthe postoperative routine therapy, while group B additionally received retention enema with Dachengqi tang, group C point injection at Zusanli,and group D retention enema with Dachengqi tang combined with point injection at Zusanli.Recorded the time of borborygmus recovery, anal exsufflation, defecation, eating, and admission, and observed levels of serum gastrin and motilin respectively in 24 h and 48 h before and after the operation.Results:The time of borborygmus recovery,anal exsufflation, defecation, eating and admission in group B and C was all lower than that in group A, differences being significant(P< 0.05).Group B and group C were compared in the time of borborygmus recovery,anal exsufflation, defecation,eating and admission,there being no significance in differences(P > 0.05).The time of borborygmus recovery,anal exsufflation,defecation,eating and admission in group D were alllower than that in group A,B and C,differences being significant(P<0.05).Levels of serum gastrin and motilin in 24 h and 48 h after the operation in group A were lower than those before the operation,differences being significant(P<0.05).Levels of serum gastrin and motilin in 24 h and 48 h after the operation in group B,C and D were higher than those before the operation,differences being significant(P < 0.05),and levels of serum gastrin and motilin in 24 h and 48 h after the operation in group B and C were higher than those in group A synchronously,differences being significant(P<0.05).Levels of serum gastrin and motilin in 24 h and 48 h after the operation in group D were higher than those in group A,B and C synchronously,differences being significant(P< 0.05).Conclusion:Superior to the pure therapy of herbal enema or of point injection at Zusanli,the therapy of herbal enema combined with point injection at Zusanli can improve gastrointestinal hormone secretion and promote the recovery of postoperative intestinal function.

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马朝晖,马海福.中药灌肠加足三里穴位注射促进围手术期术后肠功能恢复临床观察[J].新中医,2017,49(12):135-138

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  • 在线发布日期: 2017-12-02
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