电针联合中药热熨对腹腔镜胆囊切除术后胃肠功能恢复的影响

腹腔镜胆囊切除由于术前灌肠、术中气腹及术后麻醉镇痛等原因,会抑制胃肠功能,使胃肠功能在术中及术后早期处于麻痹状态,患者术后不可避免地出现胃肠功能紊乱,恢复延迟,甚至出现术后肠黏连、肠梗阻等并发症,严重影响患者的心理及术后康复,延长住院时间、增加医疗费用1-2]。本研究尝试将电针联合中药热熨运用于腹腔镜胆囊切除术后胃肠功能恢复,效果良好,现报道如下。

Effects of Electroacupuncture Combined with Hot Iron on Recovery of Gastrointestinal Function after Laparoscopic Cholecystectomy

Objective To observe the effect of electroacupuncture combined with traditional Chinese medicine hot iron on the recovery of gastrointestinal function after laparoscopic cholecystectomy. Methods Sixty-two patients underwent laparoscopic cholecystectomy were randomly divided into control group and treatment group, with 31 cases in each group. The control group received routine postoperative care, and the treatment group was given electroacupuncture combined with traditional Chinese medicine hot iron treatment on the basis of routine care. The patients" first exhaust time, first defecation time, postoperative hospital stay, postoperative 4 h, 12 h, 24 h, 48 h abdominal pain , abdominal distension score and nausea and vomiting score were observed. Results The first exhaust time, the first defecation time and the postoperative hospital stay were significantly shorter in the treatment group than in the control group. The difference between the two groups was statistically significant (P<0.05); 4 h, 12 h, 24 h, 48 h after surgery, The scores of abdominal pain, abdominal distension and nausea and vomiting at 4 h, 12 h and 24 h were lower than those in the control group (P<0.05). No adverse reactions occurred in either group. Conclusion Electroacupuncture combined with traditional Chinese medicine hot iron can effectively shorten the recovery time of gastrointestinal motility in laparoscopic cholecystectomy, effectively improve patients" symptoms, reduce patient"s pain, accelerate patient recovery, and have high safety.