平滑肌电刺激对重度盆腔子宫内膜异位症术后肠功能恢复的疗效

 目的 观察平滑肌电刺激对促进重度盆腔子宫内膜异位症术后肠道功能恢复的疗效。方法 选择重度盆腔子宫内膜异位症术后患者150例,分为观察组及对照组各75例。2组患者均记录肠粘连的程度及部位,并于术后24 h开始腰腹部皮肤仿生物电刺激,观察组选择平滑肌电刺激模式,对照组使用传统横纹肌电刺激模式。对比两组患者术后规律肠鸣音出现、排气、排便、耐受普食的时间及腹胀情况。结果 观察组术后出现规律肠鸣音的时间、首次排气时间及首次耐受普食无不适的时间均早于对照组(P＜0.05),观察组腹胀持续时间短于对照组(P＜0.05)。所有患者均未出现肠梗阻、电刺激不良反应及出血等不良事件。结论 平滑肌电刺激对重度盆腔子宫内膜异位症患者术后肠道功能恢复治疗效果优于横纹肌电刺激模式。

Effect of smooth muscle electric stimulation on intestinal function recovery after severe endometriosis surgery

Objective To observe the effect of smooth muscle electric stimulation on intestinal function after severe endometriosis surgery. Methods A total of 150 postoperative patients with severe endometriosis were selected and divided into the observation group and control group, with 75 cases in each. The severity and locations of intestinal adhesion were recorded in both groups, and bioelectrical stimulation was performed 24 hours postoperatively. The observation group received smooth muscle electric stimulation, while the control group was subjected to traditional striated muscle stimulation. The time of regular bowel sounds, exhaust, defecation, tolerance to general foods and abdominal distension were compared between the two groups. Results Regular bowel sounds, the first exhaust and first tolerance to general foods without discomfort occurred earlier in the observation group than in the control group (P<0.05). The duration of abdominal distension in the observation group was shorter (P<0.05). None of the patients developed intestinal obstruction or adverse reactions. Conclusions Smooth muscle electric stimulation has a better effect than striated muscle electrical stimulation on postoperative intestinal function recovery in patients with severe pelvic endometriosis.