摘要
目的:探讨足三里穴位注射VitB1并腹部小茴香热敷对腹部术后胃肠功能的影响.方法:将46例胃癌根治术、32例胃十二指肠溃疡行胃大部切除术、39例结肠癌根治术患者,分别随机分为治疗组和对照组.对照组,予以术后常规处理.治疗组,在对照组治疗基础上,采用足三里穴位注射VitB1和腹部小茴香热敷.术后第1天开始,观察患者术后肠鸣音恢复时间,首次肛门排气、排便时间;测定胃液引流量;测定术前及术后第1天、术后第5天血清胃动素(motilin,MTL)浓度.结果:患者术后胃肠功能恢复情况:治疗组与对照组相比,肠鸣音出现时间(t=11.325,P<0.01)、首次肛门排气时间(t=21.277,P<0.01)和排便时间(t=20.632,P<0.01)均明显提早,差异有统计学意义.胃液引流量:术后第5天均减少,治疗组引流量明显减少,与对照组比较差异有统计学意义(t=15.833,P<0.01).血清MTL浓度:术前及术后第1天两组患者之间MTL比较均无统计学意义(P>0.05);术后第5天治疗组MTL水平上升,与对照组比较,差异有统计学意义(t=4.2636,P<0.01).结论:足三里穴位注射VitB1伴腹部小茴香热敷能增强腹部术后胃肠动力,加快胃肠功能恢复,并促进机体释放MTL.
AIM：To investigate the effect of injection of vitamin B1 into Zusanli point and abdominal hot fomentation with common fennel on gastrointestinal function in patients after abdominal surgery.
METHODS：A total of 146 patients,including 46 undergoing total gastrectomy for stomach cancer,32 undergoing subtotal gastrectomy for gastroduodenal ulcer,and 39 undergoing radical resection for colon cancer,were included in the study.These patients were randomly divided into treatment group and control group.The control group was given routine treatment,while the treatment group underwent injection of vitamin B1 into Zusanli point and abdominal hot fomentation with common fennel on the basis of routine treatment.The time to first bowel sounds,time to first flatus,time to defecation,and volume of drained gastric juice were observed from day 1 after surgery.The concentration of serum motilin（MTL） was determined before surgery,and on days 1 and 5 after surgery.
RESULTS：The time to first bowel sounds（t = 11.325,P〈0.01）,time to first flatus（t = 21.277,P〈0.01）,and time to defecation（t = 20.632,P〈0.01） were significantly improved in the treatment group compared with the control group.On day 5,the volume of drained gastric juice was significantly lower in the treatment group than in the control group（t = 15.833,P〈0.01）.No statistical differences were noted in MTL concentrations before surgery and on day 1 after surgery between the control group and treatment group（both P〉0.05）.However,serum MTL concentration on day 5 was significantly higher in the treatment group than in the control group（t = 4.2636,P〈0.01）.
CONCLUSION：Injection of vitamin B1 into Zusanli point and abdominal hot fomentation with common fennel can strengthen gastrointestinal motility,accelerate the recovery of gastrointestinal functions,and stimulate MTL release in patients after abdominal surgery.
出处
《世界华人消化杂志》
CAS
北大核心
2010年第20期2146-2149,共4页
World Chinese Journal of Digestology
关键词
穴位注射
腹部热敷
腹部术后
胃肠功能
胃动素
Acupuncture point injection
Hot fomentation
Abdominal surgery
Gastrointestinal function
Motilin
