CAJ | 학술논문

目的：研究腹腔镜术后腹胀实施足三里注射的临床效果。方法：选择2012年2月～2013年3月我院接诊的100例腹腔镜术后腹胀的患者进行研究。随机均分为观察组和对照组。对照组给予患者常规的治疗方法。观察组在对照组常规治疗的基础上对患者采用针刺足三里、内关、合谷进行治疗。分析比较两组患者的平均手术时间、出现腹胀的时间、手术中的出血量、第1次肛门排气的时间和恢复腹胀的时间。结果：术后，观察组与对照组的第1次肛门排气的时间相比有统计学意义（P﹤0.0001）。观察组在第三天的治愈率为94.00%，对照组为86.00%，相比具有统计学意义（x2=4.7619，P=0.0291）。在第三天后两组比较无统计学意义（P﹥0.05）。结论：腹腔镜术后腹胀实施足三里注射，值得临床推广。
목적：연구복강경술후복창실시족삼리주사적림상효과。방법：선택2012년2월～2013년3월아원접진적100례복강경술후복창적환자진행연구。수궤균분위관찰조화대조조。대조조급여환자상규적치료방법。관찰조재대조조상규치료적기출상대환자채용침자족삼리、내관、합곡진행치료。분석비교량조환자적평균수술시간、출현복창적시간、수술중적출혈량、제1차항문배기적시간화회복복창적시간。결과：술후，관찰조여대조조적제1차항문배기적시간상비유통계학의의（P﹤0.0001）。관찰조재제삼천적치유솔위94.00%，대조조위86.00%，상비구유통계학의의（x2=4.7619，P=0.0291）。재제삼천후량조비교무통계학의의（P﹥0.05）。결론：복강경술후복창실시족삼리주사，치득림상추엄。
Objective:To study the clinical effect of Zusanli injection on postoperative laparoscopic abdominal distention. Methods:100 cases with postoperative laparoscopic abdominal distention in our hospital from February, 2012 to March, 2013 were selected and randomly divided into an observation group and a control group. Patients in the control group were treated with conventional therapy, while patients in the observation group were given acupuncture at Zusanli, Neiguan, Hegu beside the therapy for the control group. The average operation time, abdominal distension in the operation time, bleeding volume, the first anal exhausting time and recovery time of abdominal distension of the two groups were analyzed and compared. Results: After operation, the comparison of the first anal exhausting time had statistical significance(P<0.0001). The curative rate of the observation group after three days of operation was 94.00%. Compared with the control group(86.00%),it had statistical significance(x2=4.7619,P=0.0291). After the 3rd day, there was no statistical significance between the two groups (P>0.05). Conclusion: Treatment of postoperative laparoscopic abdominal distention by needling Zusanli is worthy of promotion.