穴位注射结合胃镜治疗腹部术后麻痹性肠梗阻临床观察

Clinical observation on treatment effect with acupoint injection combined with gastroscopy on postoperative paralytic ileus

关键词:  穴位注射  胃镜  腹部术后麻痹性肠梗阻

Key words:  acupoint injection  gastroscopy  postoperative paralytic ileus

摘要:

[目的]观察穴位注射结合胃镜治疗腹部术后麻痹性肠梗阻的临床疗效。[方法]将56例患者分为治疗组30例,采用双侧足三里穴位注射新斯的明,结合胃镜下抽气、充氧气治疗;对照组26例,采用西医治疗,观察治疗3 d后的临床疗效,包括腹痛、呕吐、腹胀消失时间,肠鸣音出现时间及复常时间、肛门排气、排大便时间。[结果]两组疗效比较,治疗组在消除腹痛、呕吐、腹胀时间方面与对照组比较差异有统计学意义(P<0.01);治疗组在消除肠麻痹指征方面优于对照组(P<0.01)。[结论]穴位注射结合胃镜治疗腹部术后麻痹性肠梗阻疗效肯定、疗程短。

Abstract:

[Objective] To observe the clinic effect of acupoint injection combined with gastroscopy on postoperative paralytic ileus.[Methods] The 56 cases were divided into treatment group(30 cases treating with bilateral Zusanli injection of neostigmine combining with aspiration of air and oxygen filling under gastroscope)and control group(26 cases treating with Western medicine).The clinical therapeutic effect,including the disappearing time of bellyache,vomit,bulge,appearing time of rugitus sound,the normalization time,exsufflation and defecation time was observed 3 days after treatment.[Results] Compared the treatment group with the control group,significant difference was found in the disappearing time of bellyache,vomit,bulge(P<0.01).The effect of treatment group in removing the intestinal paralysis was superior than that in control group(P<0.01).[Conclusion] The curative effect of acupoint injection combined with gastroscopic therapy in treating postoperative paralytic obstruction of intestine is certain with shorter treatment course.