气交灸联合腹部穴位按摩对腰椎融合术后胃肠功能恢复的影响
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R248.2

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广东省中医药局科研项目(20222056,20222057,20231142);广州中医药大学中医学学科中医基础理论研究“揭榜挂帅”项目(第 二批);广东省中医院中医药科学技术研究专项(YN2020QN14);广东省自然科学基金项目(2025A1515011739,2024A1515010981)


Effect of Qijiao Moxibustion Combined with Abdominal Point Massage on Gastrointes⁃ tinal Function Recovery After Lumbar Fusion Surgery
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    摘要:

    目的:观察气交灸联合腹部穴位按摩对腰椎融合术后胃肠功能恢复的影响。方法:纳入2023年 1—5月于广东省中医院脊柱专科行腰椎融合术治疗的腰椎退行性疾病患者60例,术后按随机数字表法分为对 照组(30例) 和观察组(30例)。2组均实施常规护理,对照组在常规护理基础上加用腹部穴位按摩治疗,观 察组在对照组基础上联合气交灸治疗,2组均治疗7天。比较2组术后恶心、呕吐、腹胀、腹痛发生率,术后 首次肛门排气、首次排便、肠鸣音恢复时间,以及并发症发生率。结果:与对照组比较,观察组术后恶心、腹 胀发生率均较低,差异均有统计学意义(P<0.05)。2组术后呕吐、腹痛发生率比较,差异均无统计学意义 (P>0.05)。观察组术后首次肛门排气时间及肠鸣音恢复时间均短于对照组,差异均有统计学意义(P<0.05)。 2组术后首次排便时间比较,差异无统计学意义(P>0.05)。术后6 h、24 h,观察组肠鸣音活跃度优于对照 组,差异均有统计学意义(P<0.05)。术后48 h、72 h,2组肠鸣音活跃度比较,差异均无统计学意义(P> 0.05)。术后并发症发生率观察组为3.33% (1/30),对照组为6.67% (2/30),2组比较,差异无统计学意义 (P>0.05)。结论:气交灸联合腹部穴位按摩可以有效改善腰椎融合术后患者的胃肠功能,缩短胃肠功能恢复 时间。

    Abstract:

    Abstract:Objective:To observe the effect of Qijiao moxibustion combined with abdominal point massage on the recovery of gastrointestinal function after lumbar fusion surgery.Methods:A total of 60 cases of patients with lumbar degenerative disease who underwent lumbar fusion surgery at Department of Spine, Guangdong Provincial Hospital of Chinese Medicine from January to May 2023 were included in the study.Postoperatively,they were divided into the control group(30 cases)and the observation group(30 cases)based on the random number table method.Both groups received routine care; the control group was additionally treated with abdominal point massage, and the observation group was additionally treated with Qijiao moxibustion based on the treatment of the control group. Both groups were treated for seven days.The incidence of postoperative nausea,vomiting,abdominal distension,and abdominal pain, as well as the time to first anal exhaust, first defecation, and recovery of bowel sounds, and the incidence of complications were compared between the two groups.Results:Compared to the control group,the observation group had a lower incidence of postoperative nausea and abdominal distension,with significant differences(P<0.05).There were no significant differences in the incidence of postoperative vomiting and abdominal pain between the two groups (P>0.05).The observation group had shorter times to first anal exhaust and recovery of bowel sounds compared to the control group,with significant differences(P<0.05).There was no significant difference in the time to first defecation between the two groups(P>0.05).At 6 and 24 hours postoperatively,the observation group had more active bowel sounds compared to the control group, with significant differences(P<0.05). At 48 and 72 hours postoperatively, there were no significant differences in bowel sound activity between the two groups(P>0.05). The incidence of postoperative complications was 3.33%(1/30)in the observation group and 6.67%(2/30)in the control group,with no significant difference between the two groups(P>0.05).Conclusion:Qijiao moxibustion combined with abdominal point massage can effectively improve gastrointestinal dysfunction in patients after lumbar fusion surgery,shortening the recovery time of gastrointestinal function.

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胡佩,胡天宏,石岩,林钰滢,周子衡,毛跃霞,陈少华.气交灸联合腹部穴位按摩对腰椎融合术后胃肠功能恢复的影响[J].新中医,2025,57(18):164-168

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  • 在线发布日期: 2025-09-25
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