耳针对结直肠癌腹腔镜术后疼痛及胃肠运动恢复影响的回顾性分析

Xiaofan Li, Ni Yang, Lei Yu, Lingzhi Nie, Zhixin Xue, Yan-Chuan Pu, Min-feng Wu, Junyan Wang
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引用次数: 0

摘要

目的:探讨耳针对结直肠癌腹腔镜手术后疼痛及胃肠运动恢复的影响。方法:收集我院2020年4月至2021年12月行腹腔镜结直肠癌根治术患者的临床资料。根据纳入和排除标准,76例患者纳入回顾性分析。根据患者是否接受耳针治疗,将患者分为两组:实验组(耳针治疗)46例,对照组30例。分析两组患者的差异。结果:实验组首次放屁时间明显短于对照组(52.2±7.36 h vs 66.3±7.83 h);P < 0.001)。同样,实验组首次排便时间明显短于对照组(76.3±7.76 h vs 86.1±10.79 h);P < 0.001)。耳穴组首次饮水时间明显短于对照组(90.4±8.92 h vs 107.3±9.66 h, P < 0.001)。实验组术后第2、3天视觉模拟评分明显低于对照组(P < 0.001)。结论:耳针是一种有效的中医外敷治疗方法。可促进腹腔镜结直肠癌根治术后患者胃肠运动恢复,减轻术后疼痛不适。此外,该疗法操作简便,为患者所接受。因此,在临床实践中应大力推广。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective Analysis of the Effect of Auricular Acupuncture on Pain and Gastrointestinal Motility Recovery After Laparoscopic Surgery for Colorectal Cancer
Objective: To investigate the effect of auricular acupuncture on postoperative pain and gastrointestinal motility recovery after laparoscopic surgery for colorectal cancer. Methods: The clinical data of patients who underwent laparoscopic radical surgery for colorectal cancer in our hospital from April 2020 to December 2021 were collected. Based on the inclusion and exclusion criteria, 76 patients were included in the retrospective analysis. Depending on whether they received auricular acupuncture or not, the patients were divided into two groups: 46 patients in the experimental group (auricular acupuncture) and 30 patients in the control group. The differences between the two groups were analyzed. Results: The time to first flatus of the experimental group was significantly shorter than that of the control group (52.2 ± 7.36 h versus 66.3 ± 7.83 h; P < 0.001). Similarly, the time to first defecation of the experimental group was significantly shorter than that of the control group (76.3 ± 7.76 h versus 86.1 ± 10.79 h; P < 0.001). The time to first fluid intake of the auricular group was significantly shorter than that of the control group (90.4 ± 8.92 h versus 107.3 ± 9.66 h, P < 0.001). Compared with the control group, the experimental group scored significantly lower on the visual analogue scale on postoperative days 2 and 3 (P < 0.001). Conclusion: Auricular acupuncture is an effective traditional Chinese medicine external treatment method. It can promote gastrointestinal motility recovery in patients after laparoscopic radical surgery for colorectal cancer and also reduce postoperative pain and discomfort. Furthermore, this therapy is easy to operate and well-accepted by patients. Therefore, it should be strongly promoted in clinical practice.
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