摘要
目的探讨中药热奄联合针灸对急性阑尾炎术后患者胃肠功能恢复的影响。方法选取2021年1月—2023年12月胶州市中医医院收治的80例腹腔镜阑尾切除术后患者为研究对象,根据不同的治疗方法分为对照组和观察组,各40例。对照组实施常规抗炎补液对症治疗,观察组在对照组的基础上实施中医热奄包与艾灸治疗。比较两组胃肠功能恢复情况、疼痛评分、胃肠激素指标、中医证候积分。结果观察组肠鸣音恢复时间为(13.47±4.05)h,首次排气时间为(24.51±5.27)h,首次排便时间为(26.24±5.73)h,均短于对照组的(18.93±5.37)h、(30.67±6.28)h、(33.16±6.62)h,差异有统计学意义(t=5.134、4.752、4.999,P均<0.05)。治疗1 h、3 h、6 h后,观察组视觉模拟评分法评分均低于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组胃泌素、胃动素、抑胃肽水平均高于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组恶心呕吐、发热、纳差、腹痛积分均低于对照组,差异有统计学意义(P均<0.05)。结论急性阑尾炎患者术后采取中药热奄包与艾灸治疗,具有镇痛、调节胃肠激素水平的作用,对患者中医证候的缓解、胃肠功能的恢复促进效果显著。
Objective To explore the effect of traditional Chinese medicine hot election combined with acupuncture on the recovery of gastrointestinal function in patients with acute appendicitis after operation.Meth⁃ods A total of 80 patients after laparoscopic appendectomy admitted to Jiaozhou Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected as the research objects.According to different treatment methods,they were divided into control group and observation group,with 40 cases in each group.The control group was treated with routine anti-inflammatory and rehydration symptomatic treatment,and the observation group was treated with traditional Chinese medicine hot election and moxibustion on the basis of the control group.The recovery of gastrointestinal function,pain score,gastrointestinal hormone indexes,traditional Chinese medicine syndrome score between the two groups.Results The recovery time of bowel sounds in the observation group was(13.47±4.05)h,the first exhaust time was(24.51±5.27)h,and the first defecation time was(26.24±5.73)h,which were shorter than those in the control group(18.93±5.37)h,(30.67±6.28)h,(33.16±6.62)h,the differences were statistically significant(t=5.134,4.752,4.999,all P<0.05).After 1 h,3 h and 6 h of treatment,the Visual Analog Scale scores of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).After treatment,the levels of gastrin,motilin and gastric inhibitory polypeptide in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the scores of of nausea and vomiting,fever,anorexia and abdominal pain in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion After operation,patients with acute appendicitis were treated with traditional Chinese medicine hot pack and moxibustion,which had the effects of
作者
张佳凤
韩恭超
孙晓辉
ZHANG Jiafeng;HAN Gongchao;SUN Xiaohui(Department of General Surgery,Jiaozhou Hospital of Traditional Chinese Medicine,Qingdao 266300,Shandong,China;Department of Urology,Jiaozhou Hospital of Traditional Chinese Medicine,Qingdao 266300,Shandong,China;General Clinic,Du Village Health Center in Jiaoxi Street,Qingdao 266300,Shandong,China)
出处
《世界复合医学（中英文）》
2024年第9期62-65,73,共5页
World Journal of Complex Medicine
关键词
阑尾炎
中药热奄包
艾灸
胃肠功能
胃肠激素
Appendicitis
Chinese medicine hot election
Moxibustion
Gastrointestinal function
Gastrointestinal hormones
