穴位按摩联合艾灸降低腹腔镜胆囊切除术后腹胀的效果观察.docVIP

精品论文 参考文献 穴位按摩联合艾灸降低腹腔镜胆囊切除术后腹胀的效果观察 湖南省衡阳市衡东县中医医院 421400 【摘 要】目的：观察及探讨穴位按摩联合艾灸降低腹腔镜胆囊切除术后腹胀的效果。方法：选取本院2013年11月至2016年8月间收治行腹腔镜胆囊切除术110例患者为实验对象，随机分为55例对比组和55例联合组，对比组行常规护理，联合组在此基础上行穴位按摩联合艾灸治疗，比较两组患者恶心呕吐及腹胀发生率、排气时间、排便时间及肩痛程度。结果：联合组恶心呕吐及腹胀发生率分别为14.55%、10.91%，明显低于对比组30.91%、27.27%，差异具有统计学意义（Plt;0.05）；联合组排气时间、排便时间早于对比组，肩痛VAS评分低于对比组，差异具有统计学意义（Plt;0.01）。结论：患者腹腔镜胆囊切除术后在常规护理基础上行穴位按摩及艾灸治疗，能够促进恢复胃肠道功能，减少胃肠道并发症发生率，对治疗及预后具有积极作用。 【关键词】穴位按摩；艾灸；腹腔镜胆囊切除术；腹胀；恶心呕吐 【Abstract 】 objective：to observe and explore joint moxibustion acupuncture point massage to reduce the effect of abdominal distension after laparoscopic cholecystectomy. Selection methods：our hospital in November 2013 to August 2016 were line of 110 cases with laparoscopic cholecystectomy as experimental object，55 cases were randomly divided into control group and 55 cases of joint group，control group routine nursing，joint group on the basis of upward point massage combined moxibustion treatment，compared two groups of patients incidence of nausea and vomiting and abdominal distension，exhaust time，defecation time and degree of shoulder pain. Results：incidence of nausea and vomiting and abdominal distension joint group were 14.55%，10.91%，significantly lower than the control group were 30.91%，27.27%，the difference is statistically significant（P lt; 0.05）；Joint group exhaust time，defecation time earlier than contrast group，shoulder pain VAS score is lower than the control group，the difference statistically significant（P lt; 0.01）. Conclusion：after laparoscopic cholecystectomy in patients with routine nursing based uplink acupoint massage and moxibustion treatment，can promote the recovery of gastrointestinal function，reduce the incidence of gastrointestinal complications，has a positive role to the treatment and prognosis. 【Key words 】 acupuncture point massage；Moxibustion；Laparoscopic cholecystectomy. Abdominal distension. Nausea and vomiting 胆囊病变若过于严重，则需进行胆囊切除，对于此类患者来说，腹腔镜胆囊切除术具有安全性高、痛苦小、创伤小等优点[1]。但腹腔镜胆囊切除术需行全麻，全麻