本文關(guān)鍵詞：電針足三里對外科腹部術(shù)后胃腸動力恢復影響的臨床研究　出處：《廣州中醫(yī)藥大學》2013年碩士論文　論文類型：學位論文

  更多相關(guān)文章： 胃腸動力 電針 足三里 腹部手術(shù)術(shù)后

【摘要】：研究目的 本研究應用流行病學方法,以隨機對照為原則進行前瞻性研究,探討并科學系統(tǒng)地評價電針足三里促進術(shù)后胃腸動力恢復的影響及安全性,并形成技術(shù)操作規(guī)范,便于臨床推廣。 研究方法 選取廣東省中醫(yī)院外五科住院行中等腹部手術(shù)治療患者96例,遵循隨機對照的科研設計分為對照組(常規(guī)治療組)48例及試驗組(電針足三里組)48例,術(shù)后分別給予基礎治療及基礎治療加電針雙側(cè)足三里,觀察兩組病例術(shù)后胃腸動力恢復的情況。 研究結(jié)果 1、電針足三里對術(shù)后胃腸動力恢復具有一定的療效,在腸鳴音恢復、排氣、排便時間、術(shù)后—出院時間上均短于空白對照組,但未顯示統(tǒng)計學意義。 2、分層結(jié)果顯示：1)在非單純闌尾及膽囊手術(shù)組、胃腸道手術(shù)組、開放手術(shù)組中,兩組間在術(shù)后首次排氣時間和腸鳴音正常時間的情況比較上,具有統(tǒng)計學意義(PO.05)。在首次排便、飲食時間比較上,無統(tǒng)計學意義(P0.05)；2)而在非胃腸道手術(shù)組、腹腔鏡手術(shù)組兩組對比上,腸鳴音恢復,排氣,排便,飲食時間上差異無統(tǒng)計學意義。 3、兩組術(shù)后第一天VIP水平均較術(shù)前顯著升高,與空白組相比,電針足三里組術(shù)后第三天VIP水平顯著低于空白對照組,具有顯著統(tǒng)計學意義(P0.05)。兩組術(shù)后第一天MLT水平較術(shù)前顯著降低,電針足三里組術(shù)后第三天胃動素水平顯著低于空白對照組,具有顯著統(tǒng)計學意義(P0.05)。 4、不同觀察時點胃腸功能恢復情況分析顯示：1)腹脹情況：在觀察時點2、4上具有統(tǒng)計學差異(P0.05)；其余時點比較差異無統(tǒng)計學意義；2)腹痛情況：在觀察時點2、3上具有統(tǒng)計學意義(P0.05)；其余時點比較差異無統(tǒng)計學意義；3)惡心嘔吐情況：各時點比較差異無統(tǒng)計學意義；4)饑餓感情況：時點比較差異無統(tǒng)計學意義。 5、安全性情況分析顯示：兩組間在不良事件發(fā)生,退出情況,合并用藥上比較均差異無統(tǒng)計學意義。 結(jié)論 電針足三里對外科腹部術(shù)后胃腸動力恢復優(yōu)于常規(guī)治療,同時改善腹部術(shù)后臨床癥狀,特別是對于傳統(tǒng),開放,胃腸道手術(shù)更具療效,縮短住院時間,患者無不良反應,安全性高,可在臨床廣泛推廣。
[Abstract]:research objective
In this study, we applied epidemiological method and randomized controlled trial to conduct a prospective study. We explored and systematically evaluated the effect and safety of electroacupuncture at Zusanli on postoperative gastrointestinal motility recovery, and formed technical operation rules to facilitate clinical promotion.
research method
Guangdong Province Traditional Chinese Medical Hospital hospital for five selected secondary abdominal surgery in patients with 96 cases, follow the scientific research design randomized divided into control group (conventional treatment group) 48 cases and the experimental group (electroacupuncture group) 48 cases, after operation were given basic treatment and basic treatment plus Electroacupuncture bilateral Zusanli, recovery of gastrointestinal motility was observed in the two groups cases after the operation.
Research results
1, electroacupuncture has a certain effect on the recovery of gastrointestinal motility after operation, bowel sound recovery, exhaust, defecation time, postoperative discharge time and were shorter than control group, but showed no statistical significance.
2, the results showed that: 1) in stratified non simple appendectomy and cholecystectomy group, gastrointestinal surgery group and open surgery group, the comparison between the two groups in the time of flatus and bowel sounds of normal time, with statistical significance (PO.05). In the first defecation, diet time, no significant the significance (P0.05); 2) in the non gastrointestinal surgery, laparoscopic surgery group, two group comparison, borborygmus, exhaust, defecation, diet had no significant differences on time.
3, the two groups after the first day of VIP were significantly higher than those before the operation, compared with the control group, third days VIP electroacupuncture group after operation was significantly lower than the control group, there was a statistically significant (P0.05). The first day the level of MLT was significantly lower than preoperative in two group after third days, the levels of motilin in electroacupuncture Zusanli group after operation was significantly lower than the control group, there was a statistically significant (P0.05).
4 different observation point, the recovery of gastrointestinal function analysis showed: 1) abdominal distension: in the observation point 2,4 has statistically significant difference (P0.05); the other time points had no significant difference; 2) abdominal pain in the observation point has statistical significance on 2,3 (P0.05); the other time points had no significant difference; 3) nausea and vomiting: at each time point had no significant difference; 4) hunger: the time difference was not statistically significant.
5, the analysis of the safety situation showed that there was no statistical difference between the two groups in the occurrence of adverse events, the withdrawal of the situation, and the combination of the drugs.
conclusion
Electroacupuncture at Zusanli is better than conventional treatment in the recovery of gastrointestinal motility after surgical abdominal operation, and at the same time, it improves the clinical symptoms after abdominal operation. Especially for traditional open surgery, gastrointestinal surgery is more effective, shorter hospitalization time, no adverse reactions and high safety, and it can be widely promoted in clinical practice.

【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R246

【參考文獻】

相關(guān)期刊論文 前10條

1 徐珊;胃腸動力障礙性疾病的中醫(yī)藥治療[J];浙江中醫(yī)學院學報;2003年01期

2 胡俊生;王新燕;;中西醫(yī)結(jié)合方法促進術(shù)后腸道功能恢復[J];北京中醫(yī)藥;2008年01期

3 梅春林;;硝黃貼敷臍促進術(shù)后胃腸功能恢復60例療效觀察[J];長春中醫(yī)藥大學學報;2008年03期

4 劉安重,陳孝平,盧綺萍,蔡遜,孟春城,邵俊偉;LC術(shù)后胃腸功能恢復的影響因素及臨床意義[J];腹部外科;2000年06期

5 吳東平;電針足三里對腹部術(shù)后肛門排氣的影響[J];黑龍江中醫(yī)藥;2004年01期

6 廖琴,王明安,歐陽文,段開明,侯麗花;不同麻醉方法對腹腔鏡膽囊切除術(shù)圍術(shù)期胃腸動力的影響[J];湖南醫(yī)科大學學報;2003年01期

7 張立儉;黃振俊;白慧穎;胡森;石現(xiàn);;電針足三里干預大鼠腹腔粘連的實驗研究[J];中醫(yī)學報;2011年12期

8 呼斌,任文杰,劉國禮;西沙必利對老年人腹腔鏡膽囊切除術(shù)后胃腸功能恢復的療效觀察[J];河南醫(yī)藥信息;2000年12期

9 易石堅;李蘭蘭;首平平;代平;趙亞麗;;四磨湯在腹腔鏡膽囊切除術(shù)后的臨床應用[J];南華大學學報(醫(yī)學版);2007年06期

10 楊臻;侯宗立;龔東明;王偉明;黃奏琴;;電針治療腹部術(shù)后功能性胃排空障礙臨床評價[J];河北中醫(yī)藥學報;2010年03期

，

本文編號：1406247