首页|期刊导航|护理学报|中医护理技术促进胆囊切除术后胃肠功能恢复的范围综述

中医护理技术促进胆囊切除术后胃肠功能恢复的范围综述OA

TCM nursing techniques for recovery of gastrointestinal function after cholecystectomy:a scoping review

中文摘要英文摘要

目的 对近5年中医护理技术在胆囊切除术后胃肠功能恢复中的应用研究进行范围综述,为优化临床护理实践提供依据.方法 系统检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网、万方数据库及维普数据库中2020年1月—2025年4月的相关文献.纳入探讨中医护理技术促进胆囊切除术后胃肠功能恢复的文献,提取干预方法、频率、效果指标等数据.结果 共纳入19篇文献,涵盖悬灸、隔物灸、穴位敷贴、经穴推拿、穴位注射、耳穴贴压等9项技术.主要结局指标包括术后首次排气排便时间、腹胀腹痛、恶心呕吐、肠鸣音恢复时间、胃肠功能恢复效果评分等.结论 中医护理技术在胆囊切除术后胃肠功能恢复中具有显著效果,但存在技术操作标准化不足、长期随访缺乏等问题,建议未来结合循证医学优化干预方案,推动多学科协作与临床指南制定.

Objective To conduct a scoping review of the application of TCM nursing techniques in the recovery of gastrointestinal function after cholecystectomy in the past five years,and to provide references for optimizing clinical nursing practice.Methods We systematically searched PubMed,Embase,CINAHL,Web of Science,Cochrane Library,CNKI,Wanfang Database and VIP Database from January 2020 to April 2025.Literature on promoting gastrointestinal function recovery after cholecystectomy with TCM nursing technology was included,and the data on intervention methods,frequency,and effect indicators were extracted.Results Nineteen ar-ticles were collected,including nine techniques of suspension moxibustion,septal moxibustion,acupoint application,meridian acupoint massage,acupoint injection,and auricular acupoint compression.The main outcome indicators included the time to first postoperative gas and defecation,abdominal distension and abdominal pain,nausea and vomiting,time to recovery of bowel sounds,and scores of gas-trointestinal function recovery.Conclusion TCM nursing techniques have shown significant efficacy in promoting gastrointestinal function recovery after cholecystectomy,however,challenges such as insufficient standardization of technical procedures and a lack of long-term follow-up persist.It is recommended to optimize intervention protocols by integrating evidence-based medicine in the fu-ture,and to promote multidisciplinary collaboration along with the development of clinical guidelines.

黄琳;韩冰;王翔飞;牟丹;黄梅英;程一恒;曹春菊

广州医科大学附属清远医院(清远市人民医院)护理部,广东 清远 511500广州医科大学附属清远医院(清远市人民医院)护理部,广东 清远 511500广州医科大学附属第二医院肝胆外科一区,广东 广州 510000广州医科大学附属清远医院(清远市人民医院)ICU二区,广东 清远 511500广州医科大学附属清远医院(清远市人民医院)普外一区,广东 清远 511500广州医科大学附属清远医院(清远市人民医院)ICU二区,广东 清远 511500广州医科大学附属清远医院(清远市人民医院)护理部,广东 清远 511500

医药卫生

中医护理技术胆囊切除术胃肠功能恢复范围综述

TCM nursing techniquescholecystectomygastrointestinal function recoveryscoping review

《护理学报》 2026 (1)

40-45,6

2022年广州医科大学附属清远医院(清远市人民医院)专项基金(QYRYCRC2023004)

10.16460/j.issn2097-6569.2026.01.040

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