壮医药线点灸联合生大黄脐疗对胆囊结石术后胃肠功能恢复的影响
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R657.4+2

基金项目:

浙江省中医药科技计划项目(2020ZB304)


Effect of Thread-Point Moxibustion Therapy in Zhuang Medicine Combined with Rhu⁃ barb Navel Therapy on Gastrointestinal Function After Surgery of Cholecystollthiasis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察壮医药线点灸联合生大黄脐疗对胆囊结石术后胃肠功能恢复的治疗效果。方法:纳入 胆囊结石患者116例,均行腹腔镜胆囊切除术治疗,术后按不同的治疗方法分为对照组56例与治疗组60例。 对照组术后常规抗菌素静脉滴注预防感染,并给予常规护理及生大黄脐疗进行干预;治疗组在对照组基础上联 合壮医药线点灸治疗。比较2组治疗前后胃肠动力学指标、心理状态[汉密尔顿焦虑量表(HAMA) 和抑郁量 表(HAMD)] 和生活质量[消化病生存质量指数(GLQI)] 变化,评价2组术后并发症发生情况。结果:治 疗后,2组胃窦运动指数、胃窦收缩频率较治疗前增加(P<0.05),胃半排空时间较治疗前缩短(P<0.05); 且治疗组胃窦运动指数、胃窦收缩频率大于对照组(P<0.05),胃半排空时间短于对照组(P<0.05)。治疗 后, 2 组HAMA、HAMD 评分较治疗前降低(P<0.05), GLQI 评分较治疗前升高(P<0.05); 且治疗组 HAMA、HAMD评分低于对照组(P<0.05),GLQI评分高于对照组(P<0.05)。治疗组术后并发症发生率为 8.33%,对照组为25.00%,2组比较,差异有统计学意义(P<0.05)。结论:壮医药线点灸联合生大黄脐疗治 疗可改善胆囊结石腹腔镜胆囊切除术后患者心理状态,减少术后并发症,有效促进胃肠功能恢复。

    Abstract:

    Abstract:Objective:To observe the curative effect of the combined use of thread-point moxibustion therapy in Zhuang medicine and rhubarb navel therapy on the recovery of gastrointestinal function after surgery of cholecystollthiasis. Methods:A total of 116 patients with cholecystolithiasis were included and treated with laparoscopic cholecystectomy. After surgery , they were divided into the control group (56 cases) and the treatment group (60 cases) according to different treatment methods. The control group was given routine intravenous infusion of antibiotics to prevent postoperative infection,and routine nursing and rhubarb navel therapy for intervention. The treatment group was additionally treated with thread-point moxibustion therapy in Zhuang medicine based on the treatment of the control group. The changes of gastrointestinal motility indexes, psychological state [Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD)] and quality of life [Gastrointestinal Quality of Life Index (GLQI)] were compared before and after treatment between the two groups, and the incidence of postoperative complications in the two groups was evaluated. Results: After treatment, the mobility indexes and contraction frequency of gastric antrum were up-regulated when compared with those before treatment (P<0.05), and the half gastric emptying time was shortened when compared with that before treatment (P<0.05); the mobility indexes and contraction frequency of gastric antrum in the treatment group were higher than those in the control group (P<0.05),and the half gastric emptying time was shorter than that in the control group (P<0.05). After treatment, the scores of HAMA and HAMD in the two groups were reduced when compared with those before treatment (P<0.05), and the GLQI was elevated when compared with that before treatment (P<0.05); the scores of HAMA and HAMD in the treatment group were lower than those in the control group (P<0.05), and the GLQI was higher than that in the control group (P<0.05). The incidence of postoperative complications was 8.33% in the treatment group and 25.00% in the control group,the difference being significant (P<0.05). Conclusion:The combined use of thread-point moxibustion therapy in Zhuang medicine and rhubarb navel therapy can improve the psychological state of patients with cholecystollthiasis after laparoscopic cholecystectomy, reduce the postoperative complications and effectively promote the recovery of gastrointestinal function.

    参考文献
    相似文献
    引证文献
引用本文

曹梦菲,潘伟芬,张瑞倩,张坤.壮医药线点灸联合生大黄脐疗对胆囊结石术后胃肠功能恢复的影响[J].新中医,2024,56(24):156-160

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2024-12-27
  • 出版日期:
文章二维码