刘凤彬 廖燕锬 兰花兰

【摘要】 目的：研究穴位贴敷联合按揉足三里对妇科手术后腹胀、便秘的影响。方法：选取笔者所在医院2017年1-6月行妇科开腹手术患者120例，随机分为两组，每组60例。对照组给予术后常规处理，干预组在常规处理基础上加用穴位贴敷联合按揉足三里。观察兩组排气及排便时间。结果：干预组术后排气和排便时间均早于对照组，差异均有统计学意义（P<0.05）。结论：妇科开腹手术后进行穴位贴敷联合按揉足三里对患者的腹胀便秘情况改善明显，能够促进患者胃肠功能的恢复，应在临床实践中推广应用。

【关键词】 穴位贴敷 按揉足三里 妇科手术 腹胀 便秘

doi：10.14033/j.cnki.cfmr.2019.30.007 文献标识码 B 文章编号 1674-6805（2019）30-00-02

[Abstract] Objective： To study the effect of acupoint application combined with massage of Zusanli on abdominal distension and constipation after gynecological surgery. Method： A total of 120 patients who underwent gynecological laparotomy in our hospital from January to June 2017 were randomly divided into two groups， with 60 cases in each group. The control group was given routine treatment after operation. On the basis of routine treatment， the intervention group was treated with acupoint application combined with massage of Zusanli. The time of exhaust and defecation were observed. Result： The time of exhaust and defecation in the intervention group were earlier than those of the control group， and the differences were statistically significant （P<0.05）. Conclusion： Acupoint application combined with massage of Zusanli after gynecological laparotomy can improve the abdominal distension and constipation of patients， promote the recovery of gastrointestinal function， and should be popularized in clinical practice.

[Key words] Acupoint application Massage of Zusanli Gynecological surgery Abdominal distension Constipation

First-authors address： Affiliated Peoples Hospital of Fujian University of Traditional Chinese Medicine， Fuzhou 350004， China

妇科腹部手术中由于组织损伤、机械刺激、麻醉等多种因素影响，使肠道功能受到一定的抑制，导致患者术后早期出现腹胀、腹痛、肠麻痹等[1]。手术后患者因切口疼痛而不敢活动，导致脏腑功能失调，出现不同程度的气滞血瘀，致使术后出现腹胀便秘。研究表明，妇科腹部手术后腹胀发生率高达80%以上[2]。穴位按摩和贴敷为中医学中独特的、行之有效的治疗方法[3]。为了促进妇科腹部手术患者术后胃肠功能尽早恢复，笔者采用穴位贴敷联合按揉足三里对患者进行治疗，效果显著，将结果报道如下。

1 资料与方法

1.1 一般资料

选择2017年1-6月于笔者所在医院行妇科开腹手术患者120例。纳入标准：（1）妇科开腹手术后;（2）非急诊手术、术前空腹8 h以上;（3）无药物过敏史。排除标准：（1）肠道梗阻、肠道器质性疾病;（2）存在精神病史或认知功能障碍;（3）合并严重原发性疾病;（4）家属和患者在试验过程中主动退出;（5）穴位处皮肤破溃;（6）对疼痛不耐受。随机分为对照组和干预组，各60例。……