CAJ | 학술논문

　　目的观察改良型“312”经络锻炼法(简称改良型“312”)对腹腔镜全胃切除术后患者肠功能的恢复情况，寻求一种简、便、廉、验的术后康复锻炼方法。方法2011-11-2012-05在福建医科大学附属协和医院胃外科病房收集符合纳入标准的60例腹腔镜胃癌术后患者为研究对象，随机分为观察组和对照组。观察组30例，在术后常规护理的基础上，进行改良型“312”干预，至肛门排气。对照组30例，仅接受术后常规护理。结果观察组肠鸣音恢复时间、首次肛门排气和排便时间少于对照组(P＜0.05)。观察组术后血清胃动素(MTL)水平和差值高于对照组，观察组术后第4天中医临床证候评分低于对照组(P＜0.01)；观察组疗效的有效率高于对照组(P＜0.05)。结论改良型“312”能够有效缩短胃癌腹腔镜术后患者肠鸣音恢复时间、首次肛门排气时间和排便时间，促进MTL分泌，改善术后肠功能障碍症状，是一种安全有效的术后康复锻炼方法。
　　목적관찰개량형“312”경락단련법(간칭개량형“312”)대복강경전위절제술후환자장공능적회복정황，심구일충간、편、렴、험적술후강복단련방법。방법2011-11-2012-05재복건의과대학부속협화의원위외과병방수집부합납입표준적60례복강경위암술후환자위연구대상，수궤분위관찰조화대조조。관찰조30례，재술후상규호리적기출상，진행개량형“312”간예，지항문배기。대조조30례，부접수술후상규호리。결과관찰조장명음회복시간、수차항문배기화배편시간소우대조조(P＜0.05)。관찰조술후혈청위동소(MTL)수평화차치고우대조조，관찰조술후제4천중의림상증후평분저우대조조(P＜0.01)；관찰조료효적유효솔고우대조조(P＜0.05)。결론개량형“312”능구유효축단위암복강경술후환자장명음회복시간、수차항문배기시간화배편시간，촉진MTL분비，개선술후장공능장애증상，시일충안전유효적술후강복단련방법。
Objective To observe the intestine functional recovery status through modified 312 meridian and collateral exercise on laparoscopic total gastrectom y sufferers so as to seek a postoperative rehabilitation method of sim plicity,convenience,cheapness,and experienced.Methods 60 cases of laparoscopic gastric cancer sufferers adm itted to Fujian Medical University Affiliated Union Hospital from November,2011 to May,2012 were taken as subjects and randomly divided into the observation group and the control group.30 cases in the observation group were given modified 312 intervention on the basis of routine nursing till passage of gas by anus.While the other 30 cases in the control group were given only routine nursing.Results The time of borborygm us recovery,first passage of gas by anus,and first defecation in the observation group was shorter than that in the control group (P<0 .05 ).The postoperative serum MTL level and D-value in the observation group was higher than that in the control group ,TCM clinical syndrome score on the 4th day after surgery in the observation group was lower than that in the control group (P<0 .01 ).The curative effect rate in the observation group was higher than that in the control group (P<0 .05 ).Conclusion Modified 312 meridian and collateral exercise can effectively shorten the time of borborygm us recovery,first passage of gas by anus,and first defecation of laparoscopic gastric cancer sufferers,prom ote MTL secretion,im prove postoperative intestinal dysfunction,which is a safe and effective method for postoperative rehabilitation exercise.