揿针疗法联合ERAS在妇科腹腔镜围手术期应用研究OA
Study on the Application of Pressing Needle Therapy Combined with ERAS in Gynecological Laparoscopic Perioperative Period
目的:探讨揿针疗法联合加速康复外科(ERAS)在妇科腹腔镜围手术期应用效果.方法:选取江西省妇幼保健院 2022 年 1 月—2023 年 1 月收治的腹腔镜手术患者 85 例作为研究对象.采用前瞻性随机对照分组原则,将患者分为对照组(42 例)和观察组(43 例).对照组采用ERAS干预,此基础上,观察组采用揿针疗法干预.比较两组临床相关康复指标,术后并发症发生情况,术后疼痛程度视觉模拟评分法(VAS)及术后胃肠功能障碍(POGD)评分.结果:观察组术后首次下床时间为(16.25±3.03)h、肛门排气时间为(11.88±2.56)h、拔除尿管时间为(13.67±3.15)h,均短于对照组的(19.74±3.54)、(14.05±2.87)、(19.25±3.81)h,留置引流管时间为(1.41±0.29)d、住院时间为(5.41±1.09)d,均短于对照组的(1.65±0.32)、(7.02±1.24)d(P<0.05).观察组术后恶心、呕吐、肠胀气、尿潴留等并发症发生率均低于对照组(P<0.05);观察组术后 6、12、24 h,VAS评分均低于对照组(P<0.05).术后 2、6、12、24 h,两组的VAS评分的时间效应、组间效应及交互效应,差异均有统计学意义(P<0.05).观察组术后 24 h POGD评分低于对照组(P<0.05);两组出院时POGD评分均低于术后 24 h(P<0.05);两组出院时POGD评分比较,差异无统计学意义(P>0.05).结论:揿针疗法联合ERAS可减轻妇科腹腔镜手术患者术后疼痛及胃肠功能障碍,加速术后康复,缩短住院时间,对妇科良性疾病患者围手术期康复具有重要应用价值.
Objective:To explore the application effect of pressing needle therapy combined with enhanced recovery after surgery(ERAS)in the perioperative period of gynecological laparoscopic surgery.Method:A total of 85 patients undergoing laparoscopic surgery admitted to Jiangxi Maternal and Child Health Hospital from January 2022 to January 2023 were selected as the study subjects,patients were divided into a control group(42 cases)and an observation group(43 cases)by the principle of prospective randomized controlled grouping.The control group received ERAS intervention,while the observation group received press needle therapy intervention on this basis.The clinical rehabilitation indicators,postoperative complications,visual analogue scale(VAS)of postoperative pain level,post operative gastrointestinal dysfunction(POGD)between two groups of patients were compared.Result:The first postoperative time to get out of bed[(16.25±3.03)hours],anal exhaust time[(11.88±2.56)hours]and catheter removal time[(13.67±3.15)hours]in the observation group were shorter than those in the control group[(19.74±3.54),(14.05±2.87),(19.25±3.81)h],and the indwelling catheter time[(1.41±0.29)d]and hospitalization time[(5.41±1.09)d]in the observation group were shorter than those in the control group[(1.65±0.32),(7.02±1.24)d](P<0.05).The incidences of postoperative nausea,vomiting,flatulence,urinary retention in the observation group were lower than those in the control group(P<0.05).The VAS scores of the observation group patients were lower than those of the control group at 6,12,and 24 hours after surgery(P<0.05).The time effect,intergroup effect and time intergroup interaction effect of VAS scores at 2,6,12,and 24 hours after surgery in both groups were statistically significant(P<0.05).The POGD score of the observation group was lower than that of the control group 24 hours after surgery(P<0.05).The POGD scores at discharge in both groups were lower than those 24 hours after operation(P<0.05),there was no significant difference in POGD score between the two groups at discharge(P>0.05).Conclusion:The combination of pressing needle therapy and ERAS can alleviate postoperative pain and gastrointestinal dysfunction in patients undergoing gynecological laparoscopic surgery,accelerate postoperative recovery,shorten hospitalization time,and have important application value in the postoperative recovery of patients with gynecological benign diseases.
朱奕融;段海平;方淑芬
江西省妇幼保健院妇科 江西 南昌 330000景德镇市妇幼保健院护理部 江西 景德镇 333000
妇科腹腔镜围手术期揿针疗法加速康复外科
GynecologyLaparoscopyPerioperative periodPressing needle therapyEnhanced recovery after surgery
《中国医学创新》 2024 (009)
155-158 / 4
江西省中医药管理局科技计划项目(2023B0752)
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