穴位按压联合中药足三里外敷对结直肠手术患者胃动素和胃泌素的影响

目的分析穴位按压联合中药足三里外敷对结直肠手术患者胃动素、胃泌素的影响,为结直肠手术患者的临床治疗提供参考。方法选取2016年6月—2018年3月在浙江中医药大学附属第三医院行结直肠手术的90例患者为研究对象,将2016年6月—2017年4月就诊患者设为对照组(40例),将2017年5月—2018年3月就诊患者设为观察组(50例)。对照组采取常规治疗,观察组在对照组基础上采取穴位按压联合中药足三里外敷治疗,比较2组患者术后肠鸣音恢复时间、肠鸣音正常时间、首次排气时间、首次排便时间;比较2组患者手术前后胃液量、胃动素、胃泌素水平以及术后切口感染、切口裂开、肠吻合口瘘等并发症发生率。结果观察组肠鸣音恢复时间、肠鸣音正常时间、首次排气时间、首次排便时间均明显早于对照组(均P<0.05);手术前2组胃液量、胃动素、胃泌素水平比较差异均无统计学意义(均P>0.05),手术后2组胃液量均明显低于手术前(均P<0.05),且观察组明显低于对照组(P<0.05),胃动素、胃泌素水平均明显高于手术前(均P<0.05),且观察组明显高于对照组(均P<0.05);观察组术后总并发症发生率明显低于对照组(P<0.05)。结论穴位按压联合中药足三里外敷可有效改善结直肠手术患者术后肠胃功能,降低胃液量,提高胃动素、胃泌素水平,且具有一定安全性。

Analysis of effects of acupressure combined with Chinese traditional medicine for Tsusanli external application on motilin and gastrin in patients undergoing colorectal surgery

Objective To analyze the effects of acupressure combined with Chinese traditional medicine for Tsusanli external application on motilin and gastrin in patients undergoing colorectal surgery, and to provide reference for the clinical treatment of patients undergoing colorectal surgery. Methods A total of 90 patients who underwent colorectal surgery in our hospital from June 2016 to March 2018 were selected, and the patients who received colorectal surgery from June 2016 to April 2017 were set as the control group (n=40), the patients who received colorectal surgery from May 2017 to March 2018 were set as the observation group (n=50). The control group was treated with routine treatment, while the observation group was treated with acupressure combined with Chinese traditional medicine for Tsusanli external, the recovery time of bowel sounds, the normal time of bowel sounds, the first exhaust time and the first defecation time after surgery were compared between the two groups; The gastric juice volume, the levels of motilin and gastrin before and after surgery and the incidence of postoperative incision infection, incision dehiscence, intestinal anastomotic fistula were compared between the two groups. Results The recovery time of bowel sounds, the normal time of bowel sounds, the first exhaust time and the first defecation time of the observation group were significantly earlier than those of the control group (all P<0.05); Before surgery there were no significant differences in gastric juice volume, the levels of motilin and gastrin between the two groups (all P>0.05), after surgery, the gastric juice volume of the two groups was significantly lower than that before surgery (all P<0.05), and the observation group was significantly lower than the control group (all P<0.05), the levels of motilin and gastrin of the observation group were significantly higher than those before surgery (P<0.05), and the observation group was significantly higher than the control group (all P<0.05); Overall complication rate of the observation group was significantly lower than that of the control group (P<0.05). Conclusion Acupressure combined with Chinese traditional medicine for Tsusanli external application can effectively improve the gastrointestinal function of patients after colorectal surgery, and it can reduce gastric juice volume, and improve the levels of postoperative motilin and gastrin, which has a certain safety.