A Clinical Study Of Acupuncture Combined With Acupuncture For Recovery Of Gastrointestinal Function After Laparoscopic Cholecystectomy

Objective:Using acupuncture at he-mu points to treat gastrointestinal dysfunction after laparoscopic cholecystectomy,observing the improvement of gastrointestinal function after laparoscopic cholecystectomy.Exploring the effect of acupuncture at he-mu points on the improvement of gastrointestinal function after laparoscopic cholecystectomy.It provides a clinical evidence for the treatment of gastrointestinal function after laparoscopic cholecystectomy and provides a new idea for clinical research of HeMu acupoints matching.Method:According to the principle of randomized control,64 patients with postlc gastrointestinal dysfunction who met the criteria were divided into experimental group and control group,32 patients in each group.On the basis of routine treatment,the control group was treated with general acupuncture,while the experimental group was treated with he-mu points acupuncture.Acupuncture started 6 hours after operation in both groups,once a day,until the first defecation stopped.The longest course of treatment was 3 days,and the patients who had not defecated for 3 days stopped treatment.The first time of exhaust and defecation and the recovery time of bowel sounds were recorded in patients with gastrointestinal dysfunction after LC.The degree of nausea,vomiting,abdominal distension and abdominal pain were recorded at 6,24,48 and 72 hours after LC.Result:1.The baseline of the two groups before treatment was consistent and comparable.2.Comparison of the treatment times of the two groups: after the end of the course,the treatment times of the experimental group was 2.19±0.65 and the control group was 2.58±0.62.There were significant differences between the two groups.(P<0.05).3.The recovery time of bowel sounds of the two groups were compared:in the experimental group was 15.49±3.31 and that in the control group was 22.60±6.00.There were significant differences between the two groups.(P<0.05).4.Comparison of the first time of anal exhaust and defecation: The time of first anal exhaust was 20.37±3.89 in the experimental group and 28.86±4.06 in the control group.There were significant differences between the two groups.(P<0.05).The time of first defecation was 41.35±9.12 in the experimental group and 54.85 ±11.30 in the control group.There were significant differences between the two groups.(P<0.05).5.Comparison of postoperative abdominal pain: The degree of abdominal pain in the experimental group at 24 hours and 6 hours,48 hours and 6 hours,72 hours and 6 hours,48 hours and 24 hours,72 hours and 48 hours after operation had statistical significance(P < 0.01);the degree of abdominal pain in the control group at 24 hours and 6 hours,48 hours and 6 hours after operation,72 hours and 6 hours after operation,48 hours and 24 hours after operation,72 hours and 48 hours after operation had statistical significance(P < 0.01).There was no significant difference in the degree of abdominal pain between the two groups at 6h,24 h,48h and 72h(P > 0.05).6.Comparison of postoperative abdominal distension: the degree of abdominal distension in the experimental group was significantly different at 24 and 6 hours,48 and 6 hours,72 and 6 hours,48 and 24 hours,72 and 48 hours after operation(P < 0.01);the degree of abdominal distension in the control group was significantly differrent at 24 and 6 hours,48 and 6 hours after operation,72 and 6 hours after operation,48 and 24 hours after operation,72 hours and 48 hours after operation(P < 0.01).There was no significant difference in the degree of abdominal distension between the two groups at 6h,24 h and 72 h after operation(P > 0.05);there was significant differrence in the degree of abdominal distension between the two groups at 48 h after operation(P < 0.05).7.Postoperative nausea and vomiting comparison: The degree of nausea and vomiting in the experimental group at 24 and 6 hours,48 and 6 hours,72 and 6 hours,48 and 24 hours after operation had statistical significance(P < 0.01);the degree of nausea and vomiting at 72 and 48 hours after operation had no statistical significance(P > 0.01);the degree of nausea and vomiting in the control group at 48 and 6 hours,72 and 6 hours,48 and 24 hours after operation had statistical significance(P < 0.01).There was no significant difference in the degree of nausea and vomiting between the two groups at 24 h and 6h,72 h and 48 h after operation(P > 0.01);there was no sign-i ficant difference in the degree of nausea and vomiting between the two groups at 6h,48 h and 72 h after operation(P > 0.05);there was significant difference in the degree of nausea and vomiting between the two groups at 24 h after operation(P < 0.05).8.Overall efficacy evaluation: the overall efficacy of the experimental group was better than that of the control group,with statistical significance(P < 0.05).Conclusion:1.The first time of exhaust defecation and the recovery time of bowel sounds in the experimental group was earlier than that in the control group;both groups could improve the degree of abdominal pain,abdominal distension,nausea and vomiting after operation.There was no significant difference in the improvement degree of abdominal pain between the two groups.The experimental group was more effective in alleviating abdominal distension after operation.The experimental group could improve the degree of nausea and vomiting in advance.2.The safety and compliance of the two groups were good,and the gastrointestinal function of the subjects was improved to a certain extent after operation.However,the overall efficacy of the experimental group was better than that of the control group,which was worthy of promotion and application.