收稿日期: 2023-10-10
网络出版日期: 2024-03-06
基金资助
国家自然科学基金面上项目(82274554);广东省中医院中医药科学技术研究专项(YN2019HL07);广东省普通高校创新团队项目(2021KCXTD020)
Effect of acupoint sticking therapy along meridians on gastrointestinal function recovery in patients after lumbar internal fixation surgery
Received date: 2023-10-10
Online published: 2024-03-06
目的 观察循经取穴贴敷疗法对腰椎内固定术后患者胃肠功能恢复的疗效。 方法 选取2020年1月至2022年3月在广州中医药大学第二附属医院收治的125例腰椎内固定术后患者,按随机数字表法分为对照组和观察组:对照组62例为常规腰椎内固定术后护理,观察组63例在常规护理的基础上加用循经取穴贴敷疗法,观察两组患者术后恶心呕吐NVAS评分、腹胀腹痛、肠鸣音与首次排气、排便时间。 结果 两组患者术后均发生不同程度的胃肠功能障碍。其中观察组恶心人数、恶心NVAS评分、呕吐分级、腹胀发生率、肠鸣音恢复正常时间和首次排气、排便时间,均较对照组降低(均P < 0.05);但腹痛、腹围对比无统计学差异(均P > 0.05)。2组均未发生不良反应。 结论 循经取穴贴敷疗法可加快腰椎内固定术后患者胃肠功能恢复,促进术后快速康复,提高生活质量。
赖培茜 , 胡佩 , 王洪伸 , 郑延华 , 蓝梅妍 , 陈少华 . 循经取穴贴敷疗法对腰椎内固定术后患者胃肠功能的影响[J]. 实用医学杂志, 2024 , 40(2) : 267 -271 . DOI: 10.3969/j.issn.1006-5725.2024.02.024
Objective To observe the effect of acupoint sticking therapy along meridians on gastrointestinal function recovery in patients after lumbar internal fixation surgery. Methods From January 2020 to March 2022, 125 patients with lumbar degenerative diseases were admitted to our hospital's Department of Orthopaedics and divided into two groups: control (n = 62) and acupoint sticking therapy (n = 63). The control group received standard postoperative care for lumbar internal fixation, while the experimental group received routine care based on acupoint sticking therapy along meridians. The NVAS scores for postoperative nausea and vomiting, abdominal distension and pain, bowel sound, initial exhaust, and defecation time were compared between the two groups. Results Both groups experienced gastrointestinal problems to varied degrees following surgery. The experimental group had significantly lower rates of nausea, NVAS score, vomiting grade, abdominal distension, return to normal bowel sounds, and time of first exhaust and bowel movement compared to the control group (P < 0.05). However, there were no significant differences in abdominal pain and abdominal circumference (P > 0.05). There were no adverse reactions in either group. The incidence of postoperative abdominal distension, nausea and vomiting in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Acupoint sticking therapy along meridians could accelerate the recovery of gastrointestinal function of patients after lumbar internal fixation, promote rapid recovery after surgery, and improve quality of life.
| 1 | 陆巧云,梁功强,苏健 等. 标准化护理营养干预在老年腰椎术后患者胃肠功能恢复的应用[J]. 中国标准化,2023,(18):260-263+267. doi:10.3969/j.issn.1002-5944.2023.18.058 |
| 2 | CHEN M M, WU D H, CHEN F, et al.Intravenous lidocaine simultaneously infused with sufentanil to accelerate gastrointestinal function recovery in patients after thoracolumbar surgery: a prospective, randomized, double-blind controlled study[J]. European spine journal, 2022,32(1):313-320. doi:10.1007/s00586-022-07456-9 |
| 3 | 张鹏,李娜,郑继会,等. 厚朴排气合剂联合腹部推拿按摩对胸腰椎术后患者胃肠道功能及炎性因子水平的影响[J]. 中国药业,2022,31(9):111-114. doi:10.3969/j.issn.1006-4931.2022.09.027 |
| 4 | 王中山,胡冰. 腰椎融合术的临床进展[J]. 局解手术学杂志,2022,31(3):257-262. |
| 5 | 周文生,蒋雷生. 腰椎减压融合联合或者不联合内固定术的应用进展[J]. 临床骨科杂志, 2022,25(1):141-144. doi:10.3969/j.issn.1008-0287.2022.01.047 |
| 6 | 闫长红,时莉芳. 快速康复外科护理方案在腰椎后路椎间植骨融合内固定术病人中的应用[J]. 护理研究, 2021,35(8):1484-1487. doi:10.12102/j.issn.1009-6493.2021.08.032 |
| 7 | 范文,卢丛兰,陈芳,等. 多学科整合护理路径在老年踝关节骨折治疗中的应用[J]. 实用医学杂志, 2021,37(4):530-533. doi:10.3969/j.issn.1006-5725.2021.04.022 |
| 8 | 蒋云雯,胡皎,高慧秋,等. 围术期快速康复护理模式对老年股骨颈骨折术后谵妄及康复质量的影响[J]. 实用医学杂志,2021,37(3):405-409. |
| 9 | 刘志宏. 星状神经节阻滞联合穴位贴敷治疗腰椎骨折椎弓根钉内固定术术后便秘的疗效观察[D]. 福建:福建中医药大学,2020. |
| 10 | OH C H, JI G Y, YOON S H, et al. Paralytic Ileus and Prophylactic Gastrointestinal Motility Medication after Spinal Operation[J]. Yonsei medical journal, 2015,56(6):1627-1631. doi:10.3349/ymj.2015.56.6.1627 |
| 11 | 张茵,陈少华,吴玉瑞,等. 循经取穴贴敷疗法预防腰椎内固定融合术后恶心呕吐的效果观察[J]. 国际医药卫生导报, 2022, 28(12):4. doi:10.3760/cma.j.issn.1007-1245.2022.12.014 |
| 12 | 贾连顺. 现代脊柱外科学[M]. 人民军医出版社,2007. |
| 13 | 国家中医药管理局. 中医病证诊断疗效标准[M]. 南京大学出版社,1994. |
| 14 | 温广浩. 中医药加速康复外科对中老年短节段后入路腰椎融合术围术期干预的临床应用研究[D]. 广西:广西中医药大学,2022. |
| 15 | HIDEKI N, YASUO M, KICHIZO Y. Complications after Lumbar Spinal Surgery[J]. Orthop Traumato,1997, 46(3). doi:10.5035/nishiseisai.46.777 |
| 16 | 贾田田,张俊娟,李佳佳,等. 胸腰椎术后穴位疗法对胃肠功能影响的Meta分析[J]. 中医临床研究, 2021,13(30):7-12+15. doi:10.3969/j.issn.1674-7860.2021.30.003 |
| 17 | 史冬立. 全麻腰椎术后老年患者早期进食的临床研究[D]. 山东:山东大学,2018. |
| 18 | 佟冰渡,田雪,陈亚萍. 脊柱术后患者麻痹性肠梗阻的研究进展[J]. 中国护理管理, 2020,20(02):317-320. doi:10.3969/j.issn.1672-1756.2020.02.037 |
| 20 | HE D, WANG F Z, ZHANG Z, et al. Effect of low-frequency electrical acupoint stimulation on gastrointestinal motility function following radical gastrectomy in patients with gastric cancer [J].Acupuncture Res, 2020,45(1):51-6. |
| 21 | 黄金珍,何杏梅,李玖利,等. 中医贴敷护理方案对腰椎全麻术后患者胃肠道功能紊乱的防治研究[J]. 中医临床研究,2016,8(23):57-58. doi:10.3969/j.issn.1674-7860.2016.23.023 |
| 22 | 杨晓莉,吕莉. 快速康复外科护理对腰椎斜外侧入路椎体间融合术患者术后胃肠功能恢复影响[J]. 实用临床护理学电子杂志, 2019,4(49):124+133. |
| 23 | SHU L W. Acupoint Stimulation for Postoperative Ileus Following Gastrointestinal Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials[J]. Int J Complement Altern Med, 2017,9(3):. doi:10.15406/ijcam.2017.09.00302 |
| 24 | 朱静,孙静琳. 穴位贴敷联合火龙灸在腰椎间盘突出症患者中的应用效果[J]. 中国医药导报, 2022,19(15):144-147. |
| 25 | ZHI M W, DAI X J, JIANG Z W, et al. Effect of acupoint application therapy at different timing points on gastrointestinal function recovery and heart rate variability after laparoscopic resection of colorectal cancer[J]. Zhangguo Zhen jiu, 2020,40(9):947-952. |
| 26 | 赖以毅,杨林,卢彬,等. 穴位贴敷疗法对胸腰椎压缩性骨折患者腹胀便秘的临床疗效观察[J]. 中国实用医药, 2020,15(20):158-160. |
| 27 | 李聪. 穴位疗法对腰椎融合术后胃肠功能障碍恢复临床疗效观察[D]. 广东:广州中医药大学,2018. |
| 28 | 王敏,黄丽霞,黄利慧,等. 神阙穴拔罐对胸腰椎手术后胃肠功能恢复的影响[J]. 浙江中西医结合杂志, 2017,27(4):327-328. doi:10.3969/j.issn.1005-4561.2017.04.026 |
| 29 | 杨畅. 活血止痛三种外用膏剂经皮渗透性及体内药动学比较研究[D]. 北京:北京中医药大学, 2017. |
| 30 | 佟超,杨兴华. 余良卿活血止痛膏对骨关节肌肉疼痛患者治疗效果的临床研究[J]. 药品评价, 2021,18(11):667-670. |
| 31 | 袁金艳,李海婷,于海珍,等. 穴位贴敷对骨折患者术后胃肠功能影响的meta分析[J]. 中国当代医药, 2023, 30 (15): 13-17+197. doi:10.3969/j.issn.1674-4721.2023.15.005 |
/
| 〈 |
|
〉 |