围手术期颊针疗法对腹腔镜阑尾切除术后胃肠功能的影响OA
Effect of perioperative buccal acupuncture therapy on gastrointestinal function after laparoscopic appendectomy
目的 探讨围手术期颊针疗法对腹腔镜阑尾切除术后胃肠功能的影响.方法 选取2023年10月至2025年9月黔南布依族苗族自治州人民医院在全身麻醉下行腹腔镜阑尾切除术的 120 例患者作为研究对象,按照随机数字表法分为对照组和颊针组,每组 60 例.对照组采用常规全身麻醉方案,颊针组在常规全身麻醉方案的基础上选穴进行颊针处理.比较两组患者的术后 72 h 进食-恶心-呕吐-查体-症状持续时间评分系统(I-FEED)评分、首次肛门排气时间、首次排便时间、肠鸣音恢复时间、术后恶心呕吐(PONV)、术后 48 h 的 15 项恢复质量量表(QoR-15)评分及不良反应的发生情况.结果 颊针组首次肛门排气时间、首次排便时间、肠鸣音恢复时间短于对照组,术后 72 h I-FEED 评分低于对照组,差异有统计学意义(P<0.05).颊针组 PONV 低于对照组,差异有统计学意义(P<0.05).颊针组术后 48 h QoR-15 评分高于对照组,差异有统计学意义(P<0.05).两组患者的不良反应总发生率比较,差异无统计学意义(P>0.05).结论 围手术期颊针疗法能促进腹腔镜阑尾切除术后胃肠功能的恢复,能缩短首次肛门排气时间、首次排便时间、肠鸣音恢复时间,能减少 PONV,并能提高患者术后恢复质量.
Objective To explore the effect of perioperative buccal acupuncture therapy on gastrointestinal function after laparoscopic appendectomy.Methods From October 2023 to September 2025,120 patients who underwent laparoscopic appendectomy under general anesthesia at Qiannan Bouyi and Miao Autonomous Prefecture People's Hospital were selected as the research objects,they were divided into the control group and the buccal acupuncture group according to random number table method,with 60 cases in each group.The control group received the conventional general anesthesia protocol,while the buccal acupuncture group received buccal acupuncture treatment on the basis of the conventional general anesthesia protocol.The postoperative 72 h intake,feeling nauseated,emesis,physical exam,duration of symptoms(I-FEED)scores,first rectal exhaust time,first defecation time,recovery time of bowel sounds,postoperative nausea and vomiting(PONV),and 15-item quality of recovery scale(QoR-15)score at 48 h after surgery,as well as the occurrence of adverse reactions were compared between the two groups.Results The first rectal exhaust time,first defecation time,recov-ery time of bowel sounds in the buccal acupuncture group were shorter than those in the control group,postoperative 72 h I-FEED score was lower than that in the control group,and the differences were statistically significant(P<0.05).The PONV in the buccal acupuncture group was lower than that in the control group,and the difference was statistically significant(P<0.05).The QoR-15 score at 48 h after surgery in the buccal acupuncture group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Perioperative buccal acupuncture thera-py can promote the recovery of gastrointestinal function af-ter laparoscopic appendectomy,shorten the first rectal exhaust time,first defecation time,and recovery time of bowel sounds,reduce PONV,and improve the postoperative recovery quality of patients.
张永国;姬魁权;金艳;龙明波;陈绿绿;周凯;何锴
黔南布依族苗族自治州人民医院 黔南民族医学高等专科学校第一附属医院麻醉科,贵州都匀 558000黔南布依族苗族自治州人民医院 黔南民族医学高等专科学校第一附属医院麻醉科,贵州都匀 558000黔南布依族苗族自治州人民医院 黔南民族医学高等专科学校第一附属医院麻醉科,贵州都匀 558000黔南布依族苗族自治州人民医院 黔南民族医学高等专科学校第一附属医院麻醉科,贵州都匀 558000黔南布依族苗族自治州人民医院 黔南民族医学高等专科学校第一附属医院麻醉科,贵州都匀 558000黔南布依族苗族自治州人民医院 黔南民族医学高等专科学校第一附属医院麻醉科,贵州都匀 558000黔南布依族苗族自治州人民医院 黔南民族医学高等专科学校第一附属医院麻醉科,贵州都匀 558000
医药卫生
颊针腹腔镜阑尾切除术胃肠功能
Buccal acupunctureLaparoscopicAppen-dectomyGastrointestinal function
《中国当代医药》 2026 (10)
38-43,6
贵州省卫生健康委科学技术基金立项项目(gzwkj2025-081)黔南民族医学高等专科学校科研基金项目(Qnyz202219、Qnyz2023023).
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