耳穴埋豆联合艾灸促进腹腔镜胆囊切除术后肠功能恢复的临床研究.docxVIP

耳穴埋豆联合艾灸促进腹腔镜胆囊切除术后肠功能恢复的临床研究 金咏梅1,邸英莲1,黄黎静2 (上海市第七人民医院，上海200137) 【摘要】目的观察耳穴埋豆联合艾灸对腹腔镜胆囊切除手术后肠功能恢复 的影响。方法将90例病例同期入院行腹腔镜手术的患者，根据所在病区随机 分为对照组和观察组。对照组给予常规的护理干预，观察组在此基础上予以耳穴 埋豆联合艾灸治疗。观察两组患者肠蠕动恢复时间、首次肛门排气恢复时间和腹 胀情况。结果观察组患者肠蠕动恢复时间、肛门排气恢复时间均早于对照组和 常规组(P 0.05),腹胀发生率明显低于前两组(P 0.05)o结论 耳穴埋豆 联合艾灸能有效促进腹腔镜胆囊切除手术患者肠功能的恢复。 【关键词】腹腔镜手术；肠功能；耳穴埋豆；艾灸【中图分类号】R573【文 献标号】A【文章编号】2096-0867 (2015) 02-0072-02The effect in recovery of gastrointestinal tract function after gastrointestinal operation by using Cowherb seed seed at auricularacupoint in old peopleJIN Yong-Mei, DI Ying?Lian, HUANG?Li-Jing(Department of General Surgery, Shanghai 7th Peoplersquo;s Hospital, Shanghai 200137, China )Objective： To investigation the effect of the Cowherb seed seed at auricular acupoint in recovery of gastrointestinal tractfunction after gastroin testi nal operati on .Method： We divide the patie nts ready to gastrointestinal operation in our hospital into convention group, control group andobservati on group accordi ng to d iff ere nt departme nt. Patie nts in each group was treated by convention n ursi ng, n ursi ng with thee on cept of rapid rehabilitati on surgery and Cowherb seed seed at auricular acupoint together with concept of rapid rehabilitationsurgery respectively. The recovery time of intestinal peristalsis, anal exhaust recovery time and abdominal distension were used todecide the recovery of gastrointestinal tract function.Results： The recovery time of intestinal peristalsis and anal exhaust recovery time of patients in observation group were shorterthan control group （no t sig nifica nt, P 0.05）a nd con venti on group（P 0.05）. The abdominal distension in observation group weresignificantly shorter than another two group （P 0.05）.C on elusion： Cowherb seed seed at auricular acupoint together with the concept of rapid rehabilitation surgery promoted recoveryof gastrointestinal tract function after gastrointestinal operation in old people effectively. 腹腔镜胆囊切除术后常常由于手术创伤、麻醉方式、术后活动减少，以及二 氧化碳