耳穴贴压联合早期假饲对妇科腹腔镜术后胃肠功能恢复的影响

摘要

目的:观察评估耳穴贴压联合早期假饲对妇科腹腔镜患者术后胃肠功能恢复的影响.方法:本研究将符合纳入标准的150例妇科腹腔镜手术患者,采用计算机随机分组的方法分为观察组,对照组,空白组各50例.空白组患者按传统术后常规治疗及护理;对照组患者从麻醉清醒后开始咀嚼无糖口香糖,其他治疗及护理同空白组;观察组在对照组的基础上,从患者麻醉清醒后开始耳穴贴压.比较3组患者术后肠鸣音恢复时间、首次肛门排气时间、恶心呕吐、腹胀、术后第2天低血钾等胃肠功能恢复及相应并发症指标,并对2组住院时间进行比较.结果:观察组与对照组患者术后首次肠鸣音出现时间、首次肛门排气时间均较空白组提前,差异均有统计学意义(P＜0.05),观察组优于对照组,差异有统计学意义(P＜0.05);观察组住院时间明显少于其他2组,差异有统计学意义(P＜0.05);观察组与对照组及空白组患者术后恶心呕吐、腹胀发生率比较有明显降低,差异均有统计学意义(P＜0.05),观察组优于对照组,差异有统计学意义(P＜0.05);观察组术后第2天低血钾发生率较对照组及空白组降低,差异有统计学意义(P＜0.05).结论:妇科腹腔镜术后患者给予耳穴贴压联合早期假饲可促进患者胃肠功能恢复,减少术后并发症,降低术后低钾血症的发生,缩短住院时间.%Objective:To investigate the effects of auricular plaster combined with sham feeding on the recovery of gastrointestinal function in patients undergoing gynecological laparoscopy.Methods:A total of 150 patients scheduled to undergo laparotomy and met inclusion criteria were randomly divided into treatment group (n =50) and control group (n =50) and blank control group (n =50).Patients in blank control group were given the conventional treatment and cares;Patients in control group started to chew sugar-free gum since recovery from anesthetic.While other treatment and cares were the same as the blank control group.Patients in treatment group were given auricular plaster based on control group.Time to first bowel motion and flatus,nausea and vomiting,abdominal distension,the serum potassium values 2d after operation,the length of hospital stay and bowel-related complications were observed and compared.Results:The mean time to bowel movement and the flatus were reduced in the treatment group and the control group when compared with blank control group,and the difference was statistically significant (P ＜ 0.05).Treatment group was better than the control group,and the difference was statistically significant (P ＜ 0.05);The occurrence rates of nausea and vomiting,and abdominal distension in treatment group,control group and blank control group were significantly reduced,and the differences were statistically significant (P ＜ 0.05).Treatment group was better than the control group,and the difference was statistically significant (P ＜ 0.05).Treatment group had higher serum potassium values 2d after operation than blank control group and control group (P ＜ 0.05),and the difference was statistically significant (P ＜ 0.05).Conclusion:Auricular plaster combined with sham feeding can decrease time of recovery of gastrointestinal function,reduce postoperative complications,shorten the duration of hospitalization and reduce the incidence of postoperative hypokalemia.