[1]陶玉艳,田继香.橘皮竹茹散穴位贴敷对妇科腹腔镜术后患者恶心呕吐及胃肠动力的影响[J].西部中医药,2023,36(01):109-112.[doi:10.12174/j.issn.2096-9600.2023.01.25]
　TAO Yuyan,TIAN Jixiang.Effects of Acupoint Application of Jupi Zhuru Powder on Gastrointestinal Motility Recovery, Postoperative Nausea and Vomiting in Patients after Gynecological Laparoscopy[J].Western Journal of Traditional Chinese Medicine,2023,36(01):109-112.[doi:10.12174/j.issn.2096-9600.2023.01.25]
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橘皮竹茹散穴位贴敷对妇科腹腔镜术后患者恶心呕吐及胃肠动力的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年01期
页码:
109-112
栏目:
出版日期:
2023-01-15

文章信息/Info

Title:
Effects of Acupoint Application of Jupi Zhuru Powder on Gastrointestinal Motility Recovery, Postoperative Nausea and Vomiting in Patients after Gynecological Laparoscopy
作者:
陶玉艳, 田继香
宿迁市中医院，江苏 宿迁 223800
Author(s):
TAO Yuyan, TIAN Jixiang
Suqian Hospital of Traditional Chinese Medicine, Suqian 223800, China
关键词:
恶心呕吐; 胃肠动力; 妇科腹腔镜术; 橘皮竹茹散; 穴位贴敷; 胃泌素
Keywords:
nausea and vomiting; gastrointestinal motility; gynecological laparoscopy; powder; acupoint application; gastrin
分类号:
R259
DOI:
10.12174/j.issn.2096-9600.2023.01.25
文献标志码:
B
摘要:
目的探讨橘皮竹茹散穴位贴敷辅助治疗对妇科腹腔镜术后患者恶心呕吐（postoperative nausea and vomiting，PONV）及胃肠动力的影响。 方法将妇科腹腔镜PONV患者60例按随机数字表法分为观察组与对照组各30例。对照组予腹腔镜手术治疗，观察组在此基础上联合橘皮竹茹散穴位贴敷。观察两组患者视觉模拟量表（VAS）评分、PONV发生率、自控静脉镇痛（patient controlled intravenous analgesia，PICA）按压次数、甲氧氯普胺使用率及术后肠鸣音恢复与首次排气及排便时间及血清胃泌素（serum gastrin，GAS）水平，并统计不良反应发生情况。 结果两组患者术后3天VAS评分均低于术后1天（P＜0.05），且观察组术后1天和术后3天VAS评分均低于对照组（P＜0.05）；观察组术后3天PONV发生率、PICA按压次数及甲氧氯普胺使用率均低于对照组（P＜0.05）；观察组术后肠鸣音恢复时间、首次排气与排便时间均短于对照组（P＜0.05）；两组术后1天GAS水平均升高（P＜0.05），观察组低于对照组（P＜0.05）；两组术后3天GAS水平均降低，但观察组与术前比较无明显差异（P＞0.05），对照组高于术前水平（P＜0.05）；两组术后均未出现严重不良反应（P＞0.05）。 结论橘皮竹茹散穴位贴敷辅助治疗能有效减少妇科腹腔镜患者PONV发生率，缓解PONV程度，降低GAS水平，促进术后胃肠动力恢复。
Abstract:
ObjectiveTo explore the effects of acupoint application of Jupi Zhuru powder on postoperative nausea and vomiting (PONV) and gastrointestinal motility recovery after gynecological laparoscopy. MethodsSixty patients suffering PONV after gynecological laparoscopy were allocated to the observation group and the control group according to random number table method, with 30 cases in each group. The control group was treated by gynecological laparoscopy, and the observation group accepted acupoint application of Jupi Zhuru powder. To observe VAS scores, PONV incidence, PICA pressing times, maxolon utilization rate, postoperative intestinal gurgling sound recovery time, first exhaust time, first defecation time and the levels of GAS between both groups, and to count the incidence of adverse reaction. ResultsVAS scores of both groups three days after the operation were lower than these one day after the surgery (P<0.05), VAS scores one day after the operation and three days after the operation of the observation group were lower than these of the control group (P<0.05); the observation group was lower than the control group in the incidence of PONV three days after the operation, the pressing times of PICA and maxolon utilization rate (P<0.05); the observation group was shorter than the control group in postoperative intestinal gurgling sound recovery time, first exhaust time and first defecation time (P<0.05); the levels of GAS one day after the operation raised in both groups (P<0.05), the observation group was shorter than the control group (P<0.05); the levels of GAS lowered in the observation group three days after the operation, and the comparison with before the surgery showed no obvious difference (P>0.05); the levels of GAS of the control group were higher than these before the surgery (P<0.05); no severe adverse reaction occurred after the operation in both groups (P>0.05). ConclusionAcupoint application of Jupi Zhuru powder as an adjunctive therapy could effectively reduce the incidence of PONV in patients after gynecological laparoscopy, relieve the degree of PONV, lower the levels of GAS and promote gastrointestinal motility recovery.

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备注/Memo

备注/Memo:
陶玉艳（1985—），女，硕士学位，副主任医师。研究方向：宫颈疾病及妇科微创手术。2020年度市级指导性科技计划项目（Z2020056）。
更新日期/Last Update: 2023-01-15