CAJ | 학술논문

目的观察几丁糖联合针灸对腹部术后粘连性肠梗阻的预防效果.方法回顾2012年1月至2013年6月于我院行腹部手术患者46例,按随机数字表法将其分成实验组26例,对照组20例.手术过程中,单独应用几丁糖为对照组,应用几丁糖并给予针灸治疗为实验组,比较两组粘连性肠梗阻发生情况.结果实验组0级、Ⅰ级、Ⅱ级、Ⅲ级粘连性肠梗阻例数分别为23例、1例、0例、0例,对照组分别为18例、1例、1例、0例,实验组粘连性肠梗阻发生率为3.85％,对照组发生率为10.00％,实验组明显低于对照组,差异具有统计学意义(P＜0.05).结论与对照组相比,实验组腹部手术患者粘连性肠梗阻的预防效果更佳,说明联合应用几丁糖与针灸治疗腹部手术患者,可改善预后,提高其生存质量.
목적 관찰궤정당연합침구대복부술후점련성장경조적예방효과.방법 회고2012년1월지2013년6월우아원행복부수술환자46례,안수궤수자표법장기분성실험조26례,대조조20례.수술과정중,단독응용궤정당위대조조,응용궤정당병급여침구치료위실험조,비교량조점련성장경조발생정황.결과 실험조0급、Ⅰ급、Ⅱ급、Ⅲ급점련성장경조례수분별위23례、1례、0례、0례,대조조분별위18례、1례、1례、0례,실험조점련성장경조발생솔위3.85％,대조조발생솔위10.00％,실험조명현저우대조조,차이구유통계학의의(P＜0.05).결론 여대조조상비,실험조복부수술환자점련성장경조적예방효과경가,설명연합응용궤정당여침구치료복부수술환자,가개선예후,제고기생존질량.
Objective To observe the preventive effect of chitosan combined with acupuncture on abdominal postoperative adhesive ileus.Methods 46 patients undergoing abdominal surgery in our hospital from January 2012 to June 2013 were divided into experimental group and control group according to a random number table,26 cases in experimental group and 20 cases in control group.In the surgical procedure,control group received chitosan,while experimental group received chitosan and acupuncture.The incidence of adhesive ileus in two groups was compared.Results In experimental group,there were 23 cases of grade 0 adhesive ileus,1 case of grade Ⅰ ; in control group,there were 18 cases of grade 0 adhesive ileus,1 case of grade Ⅰ,1 case of grade Ⅱ.The incidence of adhesive ileus in experimental group was 3.85％,that in control group was 10.00％,with statistically significant difference (P ＜ 0.05).Conclusion Chitosan combined with acupuncture in the treatment of patients undergoing abdominal surgery can improve the prognosis and their quality of life.