Impact of laser acupuncture on gastrointestinal function recovery in patients after acute appendicitis surgery: A retrospective clinical study.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Hai-Zhou Ying
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Abstract

Background: Laparoscopic surgery has emerged as the preferred treatment for acute appendicitis, a common acute abdominal condition. Despite surgical advances, postoperative gastrointestinal dysfunction and delayed recovery continue to negatively impact rehabilitation outcomes and patient quality of life. Laser acupuncture represents a promising emerging complementary therapy with potential benefits for promoting functional recovery.

Aim: To evaluate the clinical efficacy of laser acupuncture in enhancing gastrointestinal function recovery following laparoscopic appendectomy and to investigate its potential applications in postoperative rehabilitation.

Methods: This retrospective controlled clinical study selected 120 acute appendicitis patients who underwent laparoscopic appendectomy from January 2022 to December 2023 at a tertiary hospital. Patients were randomly divided into two groups: Routine treatment group (n = 60) and laser acupuncture intervention group (n = 60). There were no significant statistical differences in baseline characteristics (age, gender, body mass index, appendicitis severity) between the two groups. The routine treatment group received standard postoperative care, while the laser acupuncture intervention group received additional laser acupuncture treatment on top of standard care. Key observation indicators included time to first exhaust, time to first bowel movement, time to gastrointestinal function recovery, and postoperative complication rates.

Results: Patients in the laser acupuncture intervention group showed significantly faster gastrointestinal function recovery compared to the routine treatment group. Specifically, time to first exhaust was significantly shortened (intervention group: 12.5 ± 2.3 hours vs control group: 18.7 ± 3.1 hours, P < 0.05), time to first bowel movement was earlier (intervention group: 36.4 ± 4.6 hours vs control group: 48.2 ± 5.7 hours, P < 0.05), postoperative complication rate was significantly reduced (intervention group: 8.3% vs control group: 20.0%, P < 0.05), postoperative pain score was significantly lower (intervention group: 3.2 ± 1.1 vs control group: 4.7 ± 1.5, P < 0.05), and intestinal motility recovery was faster and more effective.

Conclusion: Laser acupuncture, as an auxiliary treatment method, can significantly promote gastrointestinal function recovery in patients after laparoscopic appendectomy, reduce complications, and improve postoperative comfort. This technique has advantages such as minimal invasiveness, rapid recovery, and few side effects, making it worthy of further clinical promotion and application.

激光针刺对急性阑尾炎术后患者胃肠功能恢复影响的回顾性临床研究。
背景:腹腔镜手术已成为急性阑尾炎的首选治疗方法,阑尾炎是一种常见的急性腹部疾病。尽管手术进展,术后胃肠道功能障碍和延迟恢复继续对康复结果和患者生活质量产生负面影响。激光针灸是一种有前景的新兴补充疗法,具有促进功能恢复的潜在益处。目的:评价激光针刺促进腹腔镜阑尾切除术后胃肠功能恢复的临床疗效,探讨其在术后康复中的潜在应用价值。方法:选取某三级医院于2022年1月至2023年12月行腹腔镜阑尾切除术的急性阑尾炎患者120例,进行回顾性对照临床研究。患者随机分为常规治疗组(n = 60)和激光针刺干预组(n = 60)。两组患者的基线特征(年龄、性别、体重指数、阑尾炎严重程度)无统计学差异。常规治疗组术后给予标准护理,激光针刺干预组在标准护理的基础上进行激光针刺治疗。主要观察指标包括首次排气时间、首次排便时间、胃肠功能恢复时间和术后并发症发生率。结果:激光针刺干预组患者胃肠功能恢复明显快于常规治疗组。其中,第一次排气时间明显缩短(干预组:12.5±2.3小时,对照组:18.7±3.1小时,P < 0.05),第一次排便时间提前(干预组:36.4±4.6小时,对照组:48.2±5.7小时,P < 0.05),术后并发症发生率明显降低(干预组:8.3%,对照组:20.0%,P < 0.05),术后疼痛评分明显降低(干预组:3.2±1.1小时,对照组:20.0%,P < 0.05);4.7±1.5,P < 0.05),肠动力恢复更快、更有效。结论:激光针刺作为辅助治疗方法,可显著促进腹腔镜阑尾切除术后患者胃肠功能恢复,减少并发症,提高术后舒适度。该技术具有侵入性小、恢复快、副作用少等优点,值得临床进一步推广应用。
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