足三里贴膏促进腹部术后胃肠动力的临床观察

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1、足三里贴膏促进腹部术后胃肠动力的临床观察作者：葛建立张红英刘满君贾利辉【摘要】冃的探讨足三里贴膏对腹部术后胃肠动力的影响。方法30例胃溃疡患者，行胃大部切除术；50例胆结石患者，行胆囊切除术;60例单纯性阑尾炎患者，行阑尾切除术。胃人部切除术患者随机分组为空口对照组、敷贴组（足三里贴膏组）；胆囊切除术和阑尾切除术患者均随机分为空白组、敷贴组（足三里贴膏组）、西药组（吗丁咻组）。空白对照组术后常规治疗；敷贴组和西药组术后除常规治疗外，敷贴组用足三里贴膏敷贴于足三里，西药组吗丁咻口服。3种手术患者各自进

2、行治疗组和空白组的比较。临床观察患者术后肠鸣音恢复时间，首次肛门排气及排便吋间。结果3种手术患者术后胃肠功能恢复情况,敷贴组和西药组与空白对照组比较差异均有统计学意义（P<0.05）,敷贴组和西药组比较差异无统计学意义（P>；o.05）。结论足三里贴膏促进术后胃肠动力疗效确切，可以明显改善患者的临床症状，促进术后胃肠功能恢复。【关键词】足三里贴膏腹部术后穴位敷贴胃肠活动腹部手术后并发症胃肠疾病AbstractObjectiveToevaluatetheeffectofstrappingof

3、Zusanliimprovinggastrointestinalmotilityofpostoperationofabdomen.Methods30caseswithgastrohelcomareceivedsubtotalgastrectomyweredividedintocontrolgroupandapplicationgroup(group)・50caseswithgalIstonereceivedcholecystectomyand60caseswithappendicitisreceiv

4、edappendectomywererandomlydividedintocontrolgroup,applicationgroup(strappingofZusanligroup)andwesternmedicinegroup(Domperidonegroup).Controlgroupreceivedroutinetherapypostoperation.ApplicationgroupreceivedcombinationofstrappingofZusanliandrouLinetherap

5、y.WesternmedicinegroupreceivedcombinationofDomperidoneandroutinetherapy.Patientsinthreetypesofoperationwereindependentlycomparedbetweencontrolgroupandtreatmentgroup・Coincidnecetimeofborborygmus,timeofpassageofgasbyanusanddefecationweremeasuredpostopera

6、tion.ResulIsTherewasobviousdifferencebetweenapplicationgroup,westernmedicinegroupandcontrolgrouponfunctionalrecoveryofstomachintestine(P<0.05)・Therewasnodifferencebetweenapp1icationgroupandwesternmedicinegrouponfunctionalrecoveryofstomachintestine(P

7、>0.05)・ConclusionStrappingofZusanlihasobviouseffectongastrointestinalmotilityofpostoperation.Anditeanimproveclinicalsymptomsandfunctionalrecoveryofstomachintestine.KeywordsStrappingofZusanli;Postoperationofabdomen;Pointapplication;Gastrointestinalmo

8、tility;Postoperativecomplication;Gastrointestinaldiseases腹部术后，患者常出现恶心、呕吐、腹胀等症状，这是胃肠道运动功能暂时性受到抑制而产生的胃肠动力障碍，其持续时间的长短，直接决定着术后患者的饮食营养和康复快慢，并对术后肠粘连等并发症的发生具有重要影响。近年来，随着胃肠动力学的不断发展，岀现了诸如西沙必利、吗丁咻等胃肠动力药，但这些口服制剂大多受到术后禁食的制约而不能广泛应用；中药灌肠和穴位针刺等传统疗法，亦因