中国医学创新2024，Vol.21Issue(9)：155-158,4.DOI:10.3969/j.issn.1674-4985.2024.09.035
揿针疗法联合ERAS在妇科腹腔镜围手术期应用研究
Study on the Application of Pressing Needle Therapy Combined with ERAS in Gynecological Laparoscopic Perioperative Period
摘要
Abstract
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.关键词
妇科/腹腔镜/围手术期/揿针疗法/加速康复外科Key words
Gynecology/Laparoscopy/Perioperative period/Pressing needle therapy/Enhanced recovery after surgery引用本文复制引用
朱奕融,段海平,方淑芬..揿针疗法联合ERAS在妇科腹腔镜围手术期应用研究[J].中国医学创新,2024,21(9):155-158,4.基金项目
江西省中医药管理局科技计划项目(2023B0752) （2023B0752）
