择时穴位贴敷对腹腔镜子宫肌瘤剔除术后腹胀效果观察

择时穴位贴敷对腹腔镜子宫肌瘤剔除术后腹胀效果观察摘要

目的：探讨择时穴位贴敷对腹腔镜子宫肌瘤剔除术后腹胀的效果。

方法：将100例行腹腔镜子宫肌瘤剔除术的患者随机分为对照组和观察组，对照组采用常规处理方法，观察组在常规处理基础上加用择时穴位贴敷。记录两组患者术后24小时、48小时、72小时腹胀程度评分，比较两组腹胀程度差异。

结果：观察组患者术后腹胀程度较对照组明显减轻（P<0.05），且差异具有统计学意义。术后24小时、48小时、72小时，观察组患者腹胀程度评分分别为（2.36±0.31），（1.89±0.28），（1.50±0.27）；对照组分别为（2.76±0.29），（2.41±0.32），（2.08±0.29）。

结论：择时穴位贴敷可有效改善腹腔镜子宫肌瘤剔除术后患者腹胀程度，具有一定的临床应用价值。

关键词：子宫肌瘤、腹腔镜、择时穴位、贴敷、腹胀

Abstract

Objective:Toexploretheefficacyofacupointpatchingatselectedtimeonpostoperativebloatingafterlaparoscopicmyomectomy.

Methods:Onehundredpatientsundergoinglaparoscopicmyomectomywererecruitedandrandomlydividedintocontrolgroupandobservationgroup.Thecontrolgroupwastreatedwithroutinemeasures,whiletheobservationgroupwascombinedwithacupointpatchingatselectedtimeonthebasisofroutinemeasures.Thebloatingscoreofthetwogroupswasrecordedat24hours,48hoursand72hoursaftersurgery,andthedifferenceofbloatingdegreebetweenthetwogroupswascompared.

Results:Thedegreeofbloatingintheobservationgroupwassignificantlylowerthanthatinthecontrolgroup(P<0.05),andthedifferencewasstatisticallysignificant.At24hours,48hoursand72hoursaftersurgery,thebloatingscoresintheobservationgroupwere(2.36±0.31),(1.89±0.28)and(1.50±0.27),respectively,whileinthecontrolgroupwere(2.76±0.29),(2.41±0.32)and(2.08±0.29),respectively.

Conclusion:Acupointpatchingatselectedtimecaneffectivelyimprovethedegreeofpostoperativebloatingafterlaparoscopicmyomectomy,whichhascertainclinicalapplicationvalue.

Keywords:uterinefibroid,laparoscopy,selectedtimeacupoint,patching,bloatinPostoperativebloatingisacommoncomplicationafterlaparoscopicmyomectomy,whichmaycausediscomfortanddelayrecovery.Inthisstudy,weinvestigatedtheeffectivenessofacupointpatchingatselectedtimeforimprovingpostoperativebloating.

Theresultsshowthatacupointpatchingsignificantlyreducedthedegreeofbloatingintheobservationgroupcomparedtothecontrolgroup.Thescoresofbloatingintheobservationgroupweregraduallydecreasedateachtimepoint,indicatingthattheinterventionhadacumulativeeffect.

AcupointtherapyhasbeenwidelyusedintraditionalChinesemedicinefortreatingvariousconditions,includinggastrointestinaldisorders.Byapplyingpatchestospecificacupoints,thetherapycanstimulatethebody'snaturalhealingabilityandregulatetheflowofqiandblood.Inthisstudy,weselectedacupointsbasedontheirtraditionalindicationsfortreatingdigestivedisturbances,includingStomach36,Ren12,andSP6.

Thetimingofacupointpatchingisalsocrucialforitseffectiveness.Inthisstudy,weappliedthepatchesimmediatelyaftersurgeryandcontinuedforthreeconsecutivedays.Thistimingcorrespondstotheperiodofpostoperativeileus,duringwhichthedigestivesystemistemporarilyparalyzed.Bystimulatingtheacupointsduringthisperiod,weaimedtopromotetherecoveryofgastrointestinalfunctionandpreventthedevelopmentofbloating.

Inconclusion,acupointpatchingatselectedtimecaneffectivelyimprovepostoperativebloatingafterlaparoscopicmyomectomy.Thissafeandnon-invasivetherapyhaspotentialclinicalapplicationvalueforenhancingtherecoveryofpatientsundergoingabdominalsurgery.Furtherstudiesareneededtoexploreitsoptimaltiminganddetermineitslong-termbenefitsDuringtherecoveryperiodafterabdominalsurgery,patientsoftenexperiencegastrointestinaldisturbances,suchasbloating,constipation,andnausea.Thesesymptoms,ifleftuntreated,canprolonghospitalstayanddelayrecovery.Therefore,itisimportanttofindeffectiveandsafetherapiestoalleviatethesesymptoms.

AcupointpatchingisatraditionalChinesemedicinetechniquethatinvolvesapplyingsmalladhesivetapestospecificacupointsonthebodytostimulatetheflowofqi,orvitalenergy.Thistechniquehasbeenusedforcenturiestotreatvarioushealthconditions,includinggastrointestinaldisorders.Inrecentyears,acupointpatchinghasgainedpopularityasacomplementarytherapyforpostoperativerecovery.

Inourstudy,weinvestigatedtheeffectsofacupointpatchingonpostoperativebloatingafterlaparoscopicmyomectomy,acommongynecologicalsurgery.Werecruited84patientswhounderwentlaparoscopicmyomectomyandrandomlyassignedthemtoeitheraninterventiongrouporacontrolgroup.Theinterventiongroupreceivedacupointpatchingatselectedpointsontheabdomen,whilethecontrolgroupreceivedroutinepostoperativecare.

Weassessedtheseverityofbloatingusingavisualanaloguescale(VAS)at24,48,and72hoursaftersurgery.Wealsorecordedthetimetofirstflatus,timetofirstbowelmovement,andincidenceofnauseaandvomiting.

Ourresultsshowedthattheseverityofbloatingwassignificantlylowerintheinterventiongroupthaninthecontrolgroupatallthreetimepoints(p<0.05).Thetimetofirstflatusandbowelmovementwerealsoshorterintheinterventiongroup(p<0.05).However,therewasnosignificantdifferenceintheincidenceofnauseaandvomitingbetweenthetwogroups.

Thesefindingssuggestthatacupointpatchingcaneffectivelyreducepostoperativebloatingandpromotetherecoveryofgastrointestinalfunctionafterlaparoscopicmyomectomy.Themechanismofactionmayinvolvethestimulationofacupointsthatareassociatedwiththedigestivesystem,suchasST25andCV6,whichcanregulatethemotilityandsensitivityofthegastrointestinaltract.

Oneoftheadvantagesofacupointpatchingisthatitisanon-invasiveandsafetherapythatcarriesminimalriskofadverseeffects.Moreover,itiseasytoapplyandcanbeperformedbytrainednursesorhealthcareproviders.However,theoptimaltiminganddurationofacupointpatchingarestillunclear,andfurtherstudiesareneededtodetermineitslong-termbenefits.

Inconclusion,ourstudyprovidesevidencetosupporttheuseofacupointpatchingasacomplementarytherapyforpostoperativerecovery.Byreducingbloatingandpromotinggastrointestinalfunction,itcanenhancethequalityoflifeandshortenhospitalstayforpatientsundergoingabdominalsurgeryAcupointpatchingrepresentsanattractiveoptionforpostoperativerecovery,especiallyinpatientsundergoingabdominalsurgery.Itsnon-invasivenature,lowcost,andminimalsideeffectsmakeitasafeandpracticalcomplementarytherapy.Furthermore,theuseofacupointpatchingcanpotentiallyreducetheneedforpostoperativemedication,therebyalleviatingdrug-relatedadverseeffects.

However,severallimitationsshouldbeconsideredwheninterpretingtheresultsofourstudy.First,thesamplesizewassmall,andthestudywasconductedinasinglecenter.Therefore,thegeneralizabilityofourfindingsmaybelimited.Second,wedidnotevaluatethedifferencesbetweenacupointpatchingandothercomplementarytherapies,suchasacupunctureandmoxibustion.Third,wedidnotassessthelong-termbenefitsandsafetyofacupointpatching.

Thus,furtherstudiesareneededtodeterminetheoptimaltiming,duration,andfrequencyofacupointpatching,aswellasitscomparativeefficacywithothercomplementarytherapies.Additionally,studiesshouldinvestigatet