穴位贴敷联合经皮穴位电刺激对腹腔镜术后胃肠蠕动功能的

目的:探讨穴位贴敷联合经皮穴位电刺激对腹腔镜术后胃肠蠕动功能的影响。方法:选取拟择期实施腹腔镜手术的116例患者为研究对象，根据简单随机数表法将所有研究对象分为观察组（58例）和对照组（58例）。两组患者均行腹腔镜手术，观察组给予穴位贴敷联合经皮穴位电刺激治疗，对照组仅给予经皮穴位电刺激治疗。比较两组患者的治疗效果、胃肠蠕动功能相关指标、术前术后胃动素水平、术后3 d内恶心呕吐及腹胀发生率。结果:观察组有效率显著高于对照组（96.55% vs 79.31%, P<0.05）。观察组胃肠蠕动恢复时间、首次排气时间及首次排便时间均短于对照组（P<0.05）。两组患者术前胃动素水平比较，差异无统计学意义（P>0.05）；观察组胃动素水平术后第1、2天显著低于术前（P<0.05），第3天与术前比较差异无统计学意义（P>0.05）；对照组术后第1、2、3天胃动素水平显著低于术前（P<0.05）；观察组术后第1、2、3天胃动素水平均高于对照组（P<0.05）。观察组术后3 d内恶心呕吐、腹胀发生率均低于对照组（P<0.05）。结论:穴位贴敷联合经皮穴位电刺激能够有效改善腹腔镜术后胃肠蠕动功能，提升胃动力，促使胃肠蠕动功能尽快恢复，减少术后恶心呕吐及腹胀发生，有较好的临床推广应用价值。

Effects of acupoint application combined with transcutaneous acupoint electrical stimulation on gastrointestinal peristalsis after laparoscopic surgery

Objective To investigate the gastrointestinal peristalsis after acupoint application combined with transcutaneous acupoint electrical stimulation following laparoscopic surgery.Methods Atotal of 116 patients who were scheduled for laparoscopic surgery were selected as the research objects.According to random number table method,the research subjects were divided into observation group(58 cases)and control group(58 cases).Both groups of patients underwent laparoscopic surgery.The patients in observation group were given acupoint application combined with transcutaneous acupoint electrical stimulation,while those in control group were treated by transcutaneous acupoint electrical stimulation only.The treatment effect,motilin level before and after surgery,gastrointestinal peristalsis related indexes,and the incidences of nausea and vomiting and abdominal distension within 3 days after surgery were compared between two groups.Results The effective rate of observation group was 96.55%,which was significantly higher than 79.31%of control group(P<0.05).The recovery time of gastrointestinal peristalsis,time to first exhaust and time to first defecation in observation group were shorter than those in control group(P<0.05).There was no significant difference in presurgical motilin level between two groups(P>0.05).However,at 1,2,and 3 days after surgery,the motilin level in observation group was higher than those in control group(P<0.05).Compared with that before surgery,the motilin level in observation group was significantly decreased at 1 and 2 days after surgery(P<0.05),and then returned to the level before surgery at 3 days after surgery,without significant difference(P>0.05).The motilin level in control group at 1,2 and 3 days after surgery were significantly lower than that before surgery(P<0.05).The incidences of nausea,vomiting,and abdominal distension within 3 days after surgery in observation group were lower than those in control group(P<0.05).Conclusion Acupoint application combined with transcutaneous acupoint electrical stimulation can effectively improve the gastrointestinal peristalsis after laparoscopic surgery,enhance gastric motility,promote the functional recovery of gastrointestinal peristalsis as soon as possible,and reduce the incidences of nausea,vomiting and abdominal distension after surgery,worthy for clinical application.