子午流注择时穴位贴敷对妇科腹腔镜术后患者胃肠功能的影响

目的 探讨子午流注择时穴位贴敷疗法对妇科腹腔镜术后患者胃肠功能的影响。方法 选取2017年8月—2018年12月某三级甲等综合医院妇科行腹腔镜手术的108例患者为研究对象,采用随机数字表法分为A、B、C 3组,每组各36例。3组在常规护理的基础上,A组给予子午流注择时生大黄神阙穴贴敷疗法,B组给予其他时间生大黄神阙穴贴敷疗法,C组给予子午流注择时安慰剂神阙穴贴敷疗法。观察3组胃肠道功能恢复情况（术后首次排气及排便时间、肠鸣音状况）和不良反应发生情况。结果 干预后,3组胃肠道功能恢复情况相比,差异均有统计学意义（P<0.05）。A组术后首次排气及排便时间、肠鸣音恢复时间均早于B组和C组（P<0.05）。B组首次排气及排便时间均早于C组（P<0.05）;肠鸣音与C组相比,差异无统计学意义（P>0.05）。术后第1天腹胀、恶心呕吐,术后第2、3天腹痛等不良反应情况比较,A组最少,B组次之,差异均有统计学意义（P<0.05）。结论 子午流注择时穴位贴敷疗法能缩短妇科腹腔镜术后患者首次排气及排便、肠鸣音恢复时间,有效降低腹腔镜术后患者恶心、呕吐及腹痛、腹胀的发生率。

Effects of acupoint application therapy based on midnight-noon ebb-flow for gastrointestinal function in patients undergoing gynecological laparoscopy

Objective To investigate effects of midnight-noon ebb-flow combined with acupoint application on gastrointestinal function of patients after gynecological laparoscopy.Methods 108 patients after laparoscopy in Guangzhou from August 2017 to December 2018 were selected as research subjects who were randomly allocated into group A（midnight-noon ebb-flow combined with acupoint application therapy）,group B（rhubarb Shenque acupoint application therapy without time control） and group C （midnight-noon ebb-flow combined with placebo）. In addition to the above intervention,all patients received routine nursing care during the study. The gastrointestinal function,including the time of first defecation,the time of first passage of flatus（“gas-out time”） and the recovery time of bowel sound,as well as adverse events,were measured daily.Results The recovery of gastrointestinal function among 3 groups were statistically significant after treatment（P<0.05）. The time of first defecation,the time of first passage of flatus and the recovery time of bowel sound in Group A were less than those in the other 2 groups（P<0.05）. The time of first defecation and first passage of flatus in Group B was less than that in Group C（P<0.05）. But there was no significant difference in recovery time of bowel sounds between Group B and Group C. Meanwhile,Group A ranked with the least adverse events（abdominal distension,nausea,vomiting,abdominal pain and etc.）,followed by Group B.Conclusion Acupoint application therapy based on midnight-noon ebb-flow can effectively promote the recovery of gastrointestinal function and reduce the adverse events related to gynecological laparoscopy.