CAJ | 학술논문

目的：观察电针配合脐灸治疗妇科腹部术后胃肠功能紊乱的临床疗效。方法112例符合纳入标准的妇科手术患者随机分为A组37例、B组38例和C组37例。A组采用电针治疗,B组采用脐灸治疗,C组采用电针配合脐灸治疗。治疗1个疗程后,观察两组治疗前后症状积分、肠鸣音恢复时间、肛门排气时间及胃动素(MTL)、胃泌素(GAS)、血管活性肠肽(VIP)含量变化,比较两组临床疗效。结果3组治疗后临床症状积分与同组治疗前比较,差异均具有统计学意义(P＜0.05)。C组治疗后临床症状积分与A组和B组比较,差异均具有统计学意义(P＜0.05)。C组肠鸣音恢复时间及肛门排气时间与A组和B组比较,差异均具有统计学意义(P＜0.05)。3组治疗后MTL、GAS和VIP含量与同组治疗前比较,差异均具有统计学意义(P＜0.05)。C组治疗后MTL、GAS和VIP含量与A组和B组比较,差异均具有统计学意义(P＜0.05)。A组总有效率为86.5%,B组为81.6%,C组为97.3%。C组总有效率与A组和B组比较,差异均具有统计学意义(P＜0.05)。结论电针配合脐灸是一种治疗妇科腹部术后胃肠功能紊乱的有效方法。
목적：관찰전침배합제구치료부과복부술후위장공능문란적림상료효。방법112례부합납입표준적부과수술환자수궤분위A조37례、B조38례화C조37례。A조채용전침치료,B조채용제구치료,C조채용전침배합제구치료。치료1개료정후,관찰량조치료전후증상적분、장명음회복시간、항문배기시간급위동소(MTL)、위비소(GAS)、혈관활성장태(VIP)함량변화,비교량조림상료효。결과3조치료후림상증상적분여동조치료전비교,차이균구유통계학의의(P＜0.05)。C조치료후림상증상적분여A조화B조비교,차이균구유통계학의의(P＜0.05)。C조장명음회복시간급항문배기시간여A조화B조비교,차이균구유통계학의의(P＜0.05)。3조치료후MTL、GAS화VIP함량여동조치료전비교,차이균구유통계학의의(P＜0.05)。C조치료후MTL、GAS화VIP함량여A조화B조비교,차이균구유통계학의의(P＜0.05)。A조총유효솔위86.5%,B조위81.6%,C조위97.3%。C조총유효솔여A조화B조비교,차이균구유통계학의의(P＜0.05)。결론전침배합제구시일충치료부과복부술후위장공능문란적유효방법。
Objective To observe the clinical efficacy of electroacupuncture plus umbilical moxibustion in treating gastrointestinal dysfunction after gynecological abdominal operation.Method Totally 112 eligible patients undergone gynecological operation were randomized into group A of 37 cases, group B of 38 cases, and group C of 37 cases. Group A was intervened by electroacupuncture, group B was by umbilical moxibustion, while group C was by electroacupuncture plus umbilical moxibustion. After a treatment course, the symptom scores, restored time of bowel sounds, anal exhaust time, motilin (MTL), gastrin (GAS), and vasoactive intestinal peptide (VIP) contents were observed and compared, and the clinical efficacies were compared between the two groups.Result The symptom scores of the three groups were significantly changed after the intervention (P<0.05). After the treatment, the symptom score of group C was significantly different from that of group A and B (P<0.05). The restored time of bowel sounds and anal exhaust time in group C were significantly different from that of group A and B (P<0.05). The MTL, GAS, and VIP contents of the three groups were significantly changed after the intervention (P<0.05). The MTL, GAS, and VIP contents of group C were markedly different from that of group A and B (P<0.05). The total effective rate was 86.5% in group A, versus 81.6% in group B and 97.3% in group C. The total effective rate of group C was significantly different from that of group A and B (P<0.05).Conclusion Electroacupuncture plus umbilical moxibustion is effective in treating gastrointestinal dysfunction after gynecological abdominal operation.