针灸推拿医学（英文版）2025，Vol.23Issue(1)：36-42,7.DOI:10.1007/s11726-025-1476-2
足三里穴位注射联合腹部穴位贴敷治疗腹腔镜术后胃肠功能紊乱临床观察
Clinical observation of point injection at Zusanli(ST36)plus abdominal point application for gastrointestinal dysfunction after laparoscopic surgery
摘要
Abstract
Objective:To observe the effect of point injection at Zusanli(ST36)plus abdominal point application on gastrointestinal dysfunction after laparoscopic surgery. Methods:A total of 204 patients with gastrointestinal dysfunction after laparoscopic surgery were recruited and divided into four groups using the random number table method,with 51 cases in each group.The control group received conventional postoperative intervention.In addition to the treatment in the control group,the point injection group was given point injection at Zusanli(ST36),the application group was offered abdominal point application,and the integrated group received point injection at Zusanli(ST36)and abdominal point application.The treatment lasted 3 consecutive days in all four groups.The recovery time of gastrointestinal function indicators and the incidence rate of postoperative nausea and vomiting(PONV)were observed and recorded.Before and after treatment,the visual analog scale(VAS)was used to assess abdominal pain intensity,the venous blood type 1 helper T cells/type 2 helper T cells(Th1/Th2)was determined,the serum levels of interleukin(IL)-6 and interferon(IFN)-γ were detected using the enzyme-linked immunosorbent assay,and the plasma levels of motilin and gastrin were measured using radioimmunoassay. Results:Compared to the control group,the first exhaust time,the first defecation time,and the time of restoring fluid diet came earlier in the other three groups(P<0.05)and were earlier in the integrated group than in the point injection and application groups(P<0.05).The point injection,application,and integrated groups had a lower PONV incidence rate than the control group,and the integrated group was lower than the point injection and application groups(P<0.05).The intra-group comparisons showed that the VAS score and the levels of IL-6 and INF-γ decreased after treatment in all four groups(P<0.05);the point injection,application,and integrated groups were lower than the control group(P<0.05),and the integrated group was lower than the point injection and application groups(P<0.05).The intra-group comparisons also demonstrated that the levels of Th1/Th2,motilin,and gastrin increased after the intervention in the four groups(P<0.05);the point injection,application,and integrated groups were higher than the control group(P<0.05),and the integrated group was higher than the point injection and application groups(P<0.05). Conclusion:Point injection at Zusanli(ST36)plus abdominal point application can encourage postoperative exhaust,defecation,and the recovery of diet fluid,alleviate postoperative abdominal pain,reduce PONV,balance Th1/Th2,and regulate the secretion of motilin and gastrin in patients with gastrointestinal dysfunction after laparoscopic surgery.关键词
水针/穴位贴敷/穴,足三里/腹腔镜/术后并发症/胃肠功能紊乱/Th1-Th2平衡/随机对照试验Key words
Hydro-acupuncture/Acupoint Sticking Therapy/Point,Zusanli(ST36)/Laparoscopy/Postoperative Complications/Gastrointestinal Dysfunction/Th1-Th2 Balance/Randomized Controlled Trial分类
医药卫生引用本文复制引用
唐焕峰,袁大为,王华,苏汝学,秦利民,刘井瑞,吕炳涛,洪珏..足三里穴位注射联合腹部穴位贴敷治疗腹腔镜术后胃肠功能紊乱临床观察[J].针灸推拿医学（英文版）,2025,23(1):36-42,7.基金项目
This study was supported by the Science and Technology Research and Development Plan of Qinhuangdao(秦皇岛市科学技术研究与发展计划项目,No.202101A071). （秦皇岛市科学技术研究与发展计划项目,No.202101A071）
