排气汤与耳穴压豆疗法联合体穴揿针在剖腹产术后腹胀中的应用效果分析
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R719.8;R248.3

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Effect Analysis of Paiqi Tang and Auricular Point Bean- pressing Therapy Combined with Body Point Thumbtack Needling for Abdominal Distension after Cesarean Section
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    摘要:

    目的:观察中药排气汤与耳穴压豆疗法联合体穴揿针在剖腹产术后腹胀中的应用效果。方法:将116例剖宫产术后腹胀产妇按照随机数字表法分为对照组56例与观察组60例,对照组产妇术后给予中药排气汤治疗,观察组产妇在对照组基础上给予体穴揿针联合与耳穴压豆疗法治疗。比较2组产妇胃肠道功能、简明健康调查量表(SF-36) 评分、腹胀程度、临床疗效、中医证候积分及白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α) 指标影响。结果:观察组腹胀临床总有效率为93.33%,对照组为80.35%,2组比较,差异有统计学意义(P<0.05)。观察组产妇肠鸣音恢复时间、肛门排气时间、排便时间、开始进食时间短于对照组(P<0.05)。治疗前,2组患者SF-36各项评分比较,差异无统学意义(P>0.05)。治疗后2组生理功能(PF)、生理职能(RP)、总体健康(GH)、精力(VT)、社会功能(SF)、情感职能(RE) 和精神健康(MH) 评分较治疗前升高,其中观察组患者PF、RP、GH、VT、SF、RE、MH评分显著高于对照组(P<0.05)。治疗前,2组产妇腹胀程度比较,差异无统计学意义(Z=0.495,P>0.05)。治疗后,观察组产妇无腹胀率高于对照组(χ2=4.247,P<0.05),2组产妇腹胀程度比较,差异有统计学意义(Z=12.574,P<0.05)。治疗前,2组各项中医证候积分比较,差异无统计学意义(P>0.05)。治疗后,2组产妇中医证候积分较治疗前降低,观察组产妇腹胀、肠鸣、嗳气、纳差评分低于对照组(P<0.05)。治疗前,2组产妇炎性因子水平比较,差异无统计学意义(P>0.05)。治疗后,2组IL-6、TNF-α较治疗前降低,观察组IL-6、TNF-α水平低于对照组(P<0.05)。结论:剖腹产术后在中药排气汤与耳穴压豆疗法联合体穴揿针能显著改善产妇肠胃功能,缓解腹胀,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of Paiqi tang and auricular point bean-pressing therapy combined with body point thumbtack needling for abdominal distension after cesarean section. Methods: Divided 116 cases of parturients with abdominal distension after cesarean section into the control group and the observation group according to random number table,56 cases in the control group and 60 cases in the observation group. After operation,the control group received Paiqi tang,while the observation group additionally received body point thumbtack needling combined with auricular point beanpressing therapy. Compared the gastrointestinal function,scores of Short Form Health Survey(SF-36),degree of abdominal distension, clinical effect, Chinese medicine syndrome scores and indexes of interleukin- 6(IL- 6) and tumor necrosis factor-α(TNF-α). Results:The total effective rate of abdominal distension was 93.33% in the observation group and 80.35% in the control group, difference being significant(P<0.05). The recovery time of gurgling sound, the time of anal exsufflation,the time of defecation and the time of starting feeding in the observation group were shorter than those in the control group(P<0.05). Before treatment,there was no significant difference being found in when comparing each score in SF- 36 in both groups(P>0.05). After treatment, the scores of physical functioning(PF), physical role(RP), general health (GH),vitality(VT),social functioning(SF),role of emotion(RE) and mental health(MH) in both groups were higher than those before treatment,and each score above in the observation group was significantly higher than that in the control group(P< 0.05). Before treatment,there was no significant difference being found when comparing the degree of abdominal distension in both groups(Z=0.495,P>0.05). After treatment,the rate of parturients without abdominal distension in the observation group was higher than that in the control group(χ 2=4.247, P<0.05). There was significant difference being found when comparing the degree of abdominal distension in both groups(Z=12.574, P<0.05). Before treatment, there was no significant difference being found when comparing each Chinese medicine syndrome score in both groups(P>0.05). After treatment,Chinese medicine syndrome scores in both groups were lower than those before treatment,and the scores of abdominal distension,gurgling sound,belching and dyspepsia were lower than those in the control group(P>0.05). Before treatment,there was no significant difference being found when comparing the levels of inflammatory factors in both groups (P>0.05). After treatment,the levels of IL- 6 and TNF-α in both groups were lower than those before treatment,and the levels of IL- 6 and TNF- α in the observation group were lower than those in the control group(P<0.05). Conclusion:After cesarean section,the application of Chinese medicine Paiqi tang and auricular point bean- pressing therapy combined with body point thumbtack needling can evidently improve gastrointestinal function, alleviate abdominal distension and promote the quality of life.

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王生球,陈灿,肖牡,杨晨.排气汤与耳穴压豆疗法联合体穴揿针在剖腹产术后腹胀中的应用效果分析[J].新中医,2020,52(8):159-163

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  • 在线发布日期: 2020-04-25
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