揿针刺激双侧足三里穴、内关穴对腹腔镜下胆囊切除术后胃肠功能的影响

Effect of press needle for subcutaneous embedding on both sides Zusanli and Neiguan in gastrointestinal functions after laparoscopic cholecystectomy

中文关键词: 胆囊切除术  揿针  足三里  内关  胃肠功能  紊乱

英文关键词: Cholecystectomy  Press needle  Zusanli  Neiguan  Gastrointestinal function  Disfunction

中文摘要:

      
目的 探讨揿针刺激双侧足三里穴、内关穴对腹腔镜下胆囊切除术后胃肠功能的影响。
方法 选择2017年1月至2018年6月全麻下行腹腔镜胆囊切除术的患者120例，男66例，女54例，年龄20~65岁，BMI 18~27 kg/m²，ASA Ⅰ或Ⅱ级。采用随机数字表法将患者分为两组：揿针组和对照组，每组60例。术前30 min，揿针组采取揿针刺激双侧足三里穴与内关穴，对照组在相同穴位贴上无菌穴位透明敷贴。两组麻醉诱导及麻醉维持方法相同，揿针组需在术后24 h更新揿针一次。记录术后0~12、12~24、24~48 h恶心呕吐发生例数、术后首次肛门排气、术后首次排便时间、肠鸣音恢复时间、住院时间、患者满意率、皮内针相关感染、刺痛、不适等不良反应发生情况。
结果 术后0~12、12~24、24~48 h揿针组恶心呕吐发生率明显低于对照组（P<0.05）。揿针组术后首次肛门排气、术后首次排便时间、肠鸣音恢复时间和住院时间均明显短于对照组（P<0.05）。两组均未发生皮内针相关感染、刺痛、不适等不良反应。
结论 揿针刺激双侧足三里穴、内关穴治疗可明显降低腹腔镜胆囊切除术后恶心呕吐的发生率，并能有效地促进术后胃肠功能的恢复。

英文摘要:

      
Objective To study the effect of press needle for subcutaneous embedding on both sides Zusanli and Neiguan in gastrointestinal functions after laparoscopic cholecystectomy.
Methods A total of 120 patients underwent laparoscopic cholecystectomy from January 2018 to December 2019, 66 males and 54 females, aged 20-65 years, BMI 18-27 kg/m², ASA physical status Ⅰ or Ⅱ, were randomly divided into the treatment group and the control group, 60 patients in each group. Thirty minutes before the operation, the treatment group adopted the press needle for subcutaneous embedding points Zusanli and Neiguan on both sides, and the control group applied at the same acupoint. Both groups were given the same anesthesia induction method and aspiration combined anesthesia maintenance scheme, and patients in the treatment group were required to renew the acupuncture once 24 hours after operation. The incidence of nausea and vomiting 0-12, 12-24, 24-48 hours after operation were compared between the two groups. The first exhaust time, defecation time, bowel sound recovery time, the length of hospital stay, satisfaction of patients, intradermal needle related infections, tingling, discomfort and other adverse reactions of the two groups were all recorded.
Results The incidence of nausea and vomiting in the treatment group were significantly lower in the control group 0-12, 12-24, 24-48 hours after operation (P < 0.05). The first postoperative exhaust time, defecation time, bowel sound recovery time and the length of hospital stay were significantly shorter in the control group (P < 0.05). There were no adverse reactions such as intradermal needle related infections, tingling, and discomfort in two groups.
Conclusion Press needle for subcutaneous embedding on both sides Zusanli and Neiguan therapy can significantly reduce the incidence of nausea and vomiting after laparoscopic cholecystectomy, and also can effectively promote the recovery of gastrointestinal function after surgery.