天津中医药2026，Vol.43Issue(4)：471-476,6.DOI:10.11656/j.issn.1672-1519.2026.04.09
补中益气汤联合耳穴埋籽对妇科腹腔镜手术患者术后炎症反应及胃肠功能恢复的影响
Effects of Buzhong Yiqi Decoction combined with auricular acupuncture point seed burial on postoperative inflammatory response and gastrointestinal function recovery in gynecologic laparoscopic surgery patients
摘要
Abstract
[Objective]To investigate the effect of Buzhong Yiqi Decoction combined with auricular acupuncture point seed burial on to postoperative inflammatory response and gastrointestinal function recovery in gynecologic laparoscopic surgery patients.[Methods]Two hundred patients who underwent gynecological laparoscopic surgery from June 2022 to June 2024 were selected as the study subjects and randomly divided into the control group(50 cases),the Buzhong Yiqi Decoction group(50 cases),the auricular acupuncture point burying seeds group(50 cases)and the combined group(50 cases).Improvement of gastrointestinal function,macrophage colony-stimulating factor(GM-CSF),ultrasensitive C-reactive protein(hs-CRP),immune function,analgesic effect,psychological state and occurrence of abdominal distension were compared among the four groups.[Results]The recovery time of bowel sounds,anal defecation time,operation time,feeding recovery time,and hospitalization time of the patients in the combined group were lower than those in the auricular acupuncture point seed burial group,the Buzhong Yiqi Decoction group,and the control group(P<0.05).The GM-CSF,hs-CRP levels,Hamilton anxiety scale(HA-MA)and Hamilton depression scale(HAMD)scores of the patients in the auricular acupuncture point seed group,the Buzhong Yiqi Decoction group and the combined group were significantly lower than those of the patients in the auricular acupuncture point seed group and the Buzhong Yiqi Decoction group(P<0.05)after 7 d of treatment.Immunoglobulin A(IgA),immunoglobulin G(IgG),and immunoglobulin M(IgM)levels of the patients in the auricular seed burrowing group,the tonic medium and beneficial qi soup group,and the combined group were significantly higher than those in the auricular seed burrowing group and the tonic medium and Buzhong Yiqi Decoction group after 7 d of treatment(P<0.05).The VAS scores of the patients in the auricular acupuncture point seed burial group,the Buzhong Yiqi Decoction group and the combined group were significantly lower than those before treatment after 7 d of treatment,and the combined group was significantly lower than the auricular acupuncture point seed burial group and the Buzhong Yiqi Decoction group(P<0.05).The incidence of abdominal distension in patients in the combined group(6.00%)was significantly lower than that in the auricular acupuncture point seed burial group(20.00%),the Buzhong Yiqi Decoction group(20.00%)and the control group(28.00%).[Conclusion]The Buzhong Yiqi Decoction combined with ear acupoint seed implantation can reduce GM-CSF and hs-CRP levels,improve gastrointestinal function,enhance immune function,alleviate pain and anxiety,and reduce the incidence of abdominal distension in patients undergoing gynecological laparoscopic surgery.关键词
补中益气汤/腹腔镜手术/耳穴埋籽/巨噬细胞集落刺激因子Key words
Buzhong Yiqi Decoction/laparoscopic surgery/ear acupoint seed implantation/granulocyte-macrophage colony-stimulating factor分类
医药卫生引用本文复制引用
胡亚男,高彦利,王娜娜..补中益气汤联合耳穴埋籽对妇科腹腔镜手术患者术后炎症反应及胃肠功能恢复的影响[J].天津中医药,2026,43(4):471-476,6.基金项目
河北省中医药类科学研究课题计划项目(2023431). （2023431）
