耳穴加足三里揿针对腹腔镜下宫颈癌根治术患者胃肠道的影响.docxVIP

耳穴加足三里揿针对腹腔镜下宫颈癌根治术患者胃肠道的影响 　　[摘要]目的探討耳穴加足三里揿针对宫颈癌患者腹腔镜术后胃肠道功能恢复的影响。方法选取2016年10月～2018年6月在滨州市中心医院妇科收治的92例腹腔镜下手术的宫颈癌患者，根据随机数字表法将患者分为对照组和观察组，每组46例。对照组给予常规护理方法，观察组在常规护理的基础上给予耳穴加足三里揿针。比较两组患者的肠鸣音恢复时间、肛门首次排气时间、首次排便时间，胃肠道不良反应以及术后胃动素含量。结果观察组患者的肠鸣音恢复时间、肛门首次排气时间及首次排便时间均明显短于对照组，差异有统计学意义（p0.01）；观察组患者的腹胀、恶心呕吐等胃肠道不良反应的发生率低于对照组，差异有统计学意义（p0.05）；手术当日、术后第1～3天，观察组患者的胃动素含量高于对照组，差异均有统计学意义（p0.05）。结论耳穴加足三里揿针可有效加快宫颈癌妇女腹腔镜术后的胃肠恢复时间，降低胃肠道不良反应的发生率，提升胃动素含量，促进术后康复，值得临床推广。 　　[关键词]揿针；耳穴；足三里；宫颈癌根治术；腹腔镜；胃肠道 　　[中图分类号]r737.33[文献标识码]a[文章编号]1674-4721（2019）5（c）-0206-04 　　influenceofauricularacupointcombinedwithzusanlipressingneedleongastrointestinalfunctioninpatientsundergoinglaparoscopicradicalresectionofcervicalcancer 　　zhaosu-zhen 　　departmentofgynaecology，centralhospitalofbinzhoucityinshandongprovince，binzhou251700，china 　　[abstract]objectivetoinvestigatetheinfluenceofauricularacupointcombinedwithzusanlipressingneedleongastrointestinalfunctionafterlaparoscopicsurgeryinpatientswithcervicalcancer.methodsatotalof92patientswithcervicalcancerwhounderwentlaparoscopicsurgeryinthedepartmentofgynaecologyofbinzhoucentralhospitalfromoctober2016tojune2018wereselectedanddividedintothecontrolgroup（46cases）andtheobservationgroup（46cases）accordingtotherandomnumbertablemethod.thecontrolgroupwastreatedwithroutinenursing，whilethepatientsintheobservationgroupweregivenauricularacupointscombinedwithzusanlipressingneedleonthebasisofroutinenursing.therecoverytimeofbowelsounds，thefirstanalexhausttime，thefirstdefecationtime，gastrointestinaladversereactionsandpostoperativemotilincontentwerecomparedbetweenthetwogroups.resultstherecoverytimeofbowelsounds，thefirsttimeofanalexhaustandthefirsttimeofdefecationintheobservationgroupweresignificantlyshorterthanthoseinthecontrolgroup，withsignificantdifference（p0.01）.theincidencesofgastrointestinaladversereactionssuchasabdominaldistention，nauseaandemesisintheobservationgroupweresignificantlylowerthanthoseinthecontrolgroup，withsignificantdifference（p0.05）.theco