维生素C足三里穴位注射治疗肺部手术后腹胀的疗效观察

目的 观察维生素C足三里穴位注射治疗肺部手术后腹胀的临床疗效,分析维生素C的临床应用价值.方法 选取2011年1月～2012年12月在我院住院治疗的肺部疾病手术后出现腹胀的患者140例作为研究对象.随机分为实验组和对照组各70例,实验组患者给予维生素C足三里穴位注射治疗,对照组给予肌肉注射胃复安治疗.对比两组的临床有效率、肠鸣音恢复时间、排便时间、腹胀缓解时间以及肛门排气时间等.结果 实验组患者的临床总有效率为94.3％,对照组的临床总有效率为70.0％;两组比较差异有统计学意义（P＜0.05）.实验组的肠鸣音恢复时间（45.09±4.78）h、排便时间（51.52±4.89）h及腹胀缓解时间（82.74±3.56）h与对照组肠鸣音恢复时间（81.74±4.45）h、排便时间（97.39±7.00）h及腹胀缓解时间（103.70±8.23）h相比,差异均有统计学意义（P＜0.05）.实验组患者的肛门排气时间＜3h、排气时间＞5h、排气时间＞10h的比例与对照组相比,差异均有统计学意义（P＜0.05）.结论 维生素C足三里穴位注射治疗肺部手术后腹胀症状的临床效果显著,腹胀感缓解较快,可以缩短排便时间、肠鸣音恢复时间以及肛门排气时间.

Clinical efficacy of injecting vitamin C at Zusanli point in treatment of abdomen distension after pulmonary surgery

Objective To observe the clinical efficacy of injecting vitamin C at Zusanli point in treatment of abdomen distension after pulmonary surgery, analyze the application value of Vitamin C, and make a simple analysis to the nursing method. Methods A total of 140 cases of patients with abdomen distension after pulmonary surgery treated in our hospital from January 2011 to December 2012 were selected as the research objects. They were divided into experi- ment group and control group. The clinical effective rates, borborygmus recovery time, defecating time, abdominal dis- tension relief time and anus evacuation time of the two groups were compared. Results The total effective rate of pa- tients in the experiment group was 94.3%, while that of the control group was 70.0%; the comparative difference of the two groups was of statistical significance （P 〈 0.05）. The difference of the borborygmus recovery time （45.09±4.78） h, defecating time （51.52±4.89） h, abdominal distension relief time （82.74±3.56） h of the experiment group and the borbo- rygmus recovery time （81.74±4.45） h, defecating time （97.39±7.00） h, abdominal distension relief time （103.70±8.23） h of the control group was of statistical significance （P 〈 0.05）. Conclusion The clinical effect of injecting Vitamin C at Zusanlin point on treatment of abdomen distension after pulmonary surgery is obvious; the abdominal distension relief is very fast, and the defecating time, borborygmus recovery time and anus evacuation time could be reduced.