唐荣妹

513400　连州市　广东省连州市中医院



枳实消痞汤穴位敷贴对剖宫产术后胃肠功能恢复的影响

唐荣妹

513400连州市广东省连州市中医院

摘要目的：探讨枳实消痞汤穴位敷贴对剖宫产术后胃肠功能恢复的影响。方法：选取100例剖宫产产妇，将其随机等分为对照组和观察组，对照组给予术后常规护理，观察组在常规护理基础上加用枳实消痞汤穴位敷贴。比较两组产妇术后肠鸣音恢复时间、肛门排气时间、排便时间、腹胀发生率。结果： 观察组产妇术后肠鸣音恢复时间、肛门排气时间及排便时间均短于对照组(P<0.05)，术后腹胀发生率低于对照组(P<0.05)。结论：采用枳实消痞汤穴位敷贴可显著促进剖宫产产妇术后胃肠功能恢复。

关键词枳实消痞汤；剖宫产；穴位敷贴；神阙穴；胃肠功能

doi:10.3969/j.issn.1672-9676.2016.02.071

Effects of acupointsticking and Zhishi Xiaopi soup for the gastrointestinal function recovery of cesarean section operation

TANG Rong-mei(Lianzhou Hospital of Traditional Chinese Medicine,Lianzhou513400)

AbstractObjective：To explore the effects of acupoint sticking and Zhishi Xiaopi soup for the gastrointestinal function recovery of delivery women who have cesarean section operation.Methods:Take 100 delivery women who had cesarean section operation as our subject and divided them into control group and observation group at random.The control group patients received regular nursing after the operation and the observation group received regular nursing and additional acupoint sticking and Zhishi Xiaopi Soup. Then compared the recovery time of bowel sound, gas passage by anus and defecation and the occurrence rate of abdominal distension of those delivery women after the operation.Results:The recovery time of bowel sound, gas passage by anus and defecation of delivery women in observation group was shorter than those in control group(P<0.05). The occurrence rate of abdominal distension of those delivery women in observation group was lower than that in control group(P<0.05).Conclusion:The acupoint sticking and Zhishi Xiaopi soup has great effects in improving the gastrointestinal function recovery of delivery women who have cesarean section operation.

Key wordsZhishi Xiaopi soup;Cesarean section;Acupoint sticking;Shenque acupoint;Gastrointestinal function

胃肠功能障碍是剖宫产术后常见并发症之一，多由于手术应激、麻醉抑制及术后静脉自控镇痛等因素诱发。胃肠功能障碍可导致胃肠功能减弱，影响产妇术后饮食、泌乳及体能恢复，甚至引发腹痛、腹胀、肠粘连等严重并发症，威胁产妇生命健康[1-2]。如何改善剖宫产术所致胃肠功能障碍并尽快恢复产妇饮食是临床工作者面临的一大难题。枳实消痞汤由枳实消痞丸演化而来，具有健脾和胃、消痞除满之功效[3]。现代药理学研究证实枳实消痞汤可有效促进胃肠蠕动，提高胃蛋白酶、胰淀粉酶、胰脂肪酶等活性酶分泌，其在促进胃肠功能恢复方面的作用已得到肯定[4]。但中药汤剂口感苦涩，患者经口服药依从性较差，且在患者术后肠鸣音未恢复前，亦不适合经口服用汤剂。本研究采用枳实消痞汤为治疗药物，以氮酮为促透剂进行穴位贴敷给药，在促进剖宫产产妇术后胃肠功能恢复方面取得满意疗效，现报道如下。……