四子散不同用法对全麻结肠镜检查术后胃肠功能恢复的影响

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摘要 目的: 探究四子散不同用法对全麻结肠镜检查术患者术后胃肠功能恢复、腹痛腹胀症状及舒适度的影响。方法: 选取2022年2月—2024年2月于本院就诊且拟行全麻结肠镜检查术的150例患者,采取随机信封抽签法分为三组：A组（n=50例,予以常规基础干预）、B组（n=50例,予以常规基础干预+四子散热敷脐部干预）和C组（n=50例,予以常规基础干预+四子散热奄包循经取穴干预）。比较三组胃肠道功能、不同时间点的腹胀程度、腰围、腹痛程度、舒适度以及干预效果。结果: 最终A组、B组、C组均48例完成研究。B组、C组腹胀完全缓解时间短于A组,而C组腹胀完全缓解时间比B组更短。B组、C组每分钟肠鸣次数为0~5次/min的病例数占比高于A组,而C组每分钟肠鸣次数为0~5次/min的病例数占比又高于B组。干预后2 h和干预后4 h,B组和C组腹胀程度评分均低于A组,而C组腹胀程度评分又低于B组。三组在干预前、干预后1 h和干预后2 h及干预后4 h的腰围无明显差异。干预后2 h和干预后4 h,B组和C组数字疼痛评分法（NRS）评分均低于A组,而C组NRS评分又低于B组。预后1 h、干预后2 h和干预后4 h,B组和C组简易舒适度量表（GCQ）评分均高于A组,而C组GCQ评分又高于B组。B组和C组腹胀干预效果均优于A组,而C组腹胀干预效果又比B组更优。结论: 四子散热奄包循经取穴干预是促进全麻结肠镜检查术后胃肠功能恢复、改善腹痛腹胀症状、提高舒适度的有效中医适宜干预技术。

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	朱培培
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关键词 ：四子散, 热奄包, 全身麻醉, 结肠镜检查术, 胃肠功能, 腹胀

Abstract： Objective To explore the application effect of different uses of Sizi powder on postoperative gastrointestinal function recovery, abdominal pain and abdominal distension symptoms and comfort in patients with colonoscopy under general anesthesia. Methods A total of 150 patients who received general anesthesia colonoscopy in the hospital were selected from February 2022 to February 2024, and were divided into three groups: group A(n=50, conventional basic intervention), group A(n=50, conventional basic intervention + Sizi powder hot compress umbilical intervention) and group C(n=50, conventional basic intervention + Sizi powder Renyanbao meridian acupoint selection intervention). The gastrointestinal function, abdominal distension degree, waist circumference, abdominal pain degree and comfort at different time points and intervention effect were compared among the three groups. Results Finally, 48 patients in group A, group B and group C were enrolled respectively. The complete remission time of abdominal distention in group C and group A was shorter than that in group A, and the time in group C was shorter than that in group A. The number of cases with 0-5 times bowel sounds per minute was higher in group C and group A than that in group A, and the number was higher in group C than that in group A. At 2 h and 4 h after intervention, the abdominal distention degree score in group A and group C was lower than that in group A, and the score was lower in group C than that in group A. There was no significant difference in waist circumference among the three groups before intervention and at 1 h, 2 h and 4 h after intervention. At 2 h and 4 h after intervention, the numerical rating scale (NRS) score in group A and group C was lower than that in group A, and the NRS score in group C was lower than that in group A. At 1 h, 2 h and 4 h after intervention, the general comfort questionnaire (GCQ) score was higher in group A and group C than that in group A, and the GCQ score in group C was higher compared to group A. The abdominal distention intervention effect in group A and group C was better than that in group A, and group C had better abdominal distention intervention effect than group A. Conclusion Sizi powder Renyanbao meridian acupoint selection intervention is an effective traditional Chinese medicine appropriate intervention technique to promote the recovery of gastrointestinal function after general anesthesia colonoscopy, improve the symptoms of abdominal pain and abdominal distension and enhance the comfort.

Key words： Sizi powder Renyanbao general anesthesia colonoscopy gastrointestinal function abdominal distension

收稿日期: 2024-08-02

中图分类号:

R24

基金资助:江苏省中医药科技发展计划面上项目“健脾清化活血方通过干预线粒体自噬功能改善Treg稳态治疗脾虚湿滞型溃疡性结肠的机制研”（MS2023109）;南通市卫生健康委员会科研课题“四子散热奄包循经取穴外敷缓解结肠镜后腹胀的效果观察”(MS2022021)

通讯作者: 冯娟,E-mail：905723058@qq.com

引用本文:

朱培培, 陈林玲, 景珊, 贾捷, 冯娟. 四子散不同用法对全麻结肠镜检查术后胃肠功能恢复的影响[J]. 湖南师范大学学报(医学版), 2024, 21(5): 86-91. ZHU Peipei, CHEN Linling, JING Shan, JIA Jie, FENG Juan. Influence of different uses of Sizi powder on gastrointestinal function recovery after colonoscopy under general anesthesia. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(5): 86-91.

链接本文:

http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2024/V21/I5/86

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