| Objective:to analyze the therapeutic effect of acupuncture on gastrointestinal dysfunction after abdominal hysterectomy,so as to provide a new method for clinical diagnosis and treatment,and provide a theoretical basis for acupuncture to promote the rapid recovery of postoperative patients.Methods:Since December 2019 to January 2021,collected from jiangsu provincial hospital of traditional Chinese medicine hospital department of gynaecology ward in hospital patients,a total of 54 patients with into standard,patients can be divided into the treatment group and control group,each group of 27 cases,two groups are postoperative routine therapy(such as resistance to infection,rehydration,nutrition support treatment),treatment group on the basis of this,to the foot three mile,blood,hong leong,valley,Ir 3 and closed in acupuncture treatment,observation comparison after treatment in patients with clinical curative effect,Safety indexes including first exhaust time,first defecation time,first bowel sound recovery time,nausea and vomiting score,abdominal distension and pain score,postoperative fever,abdominal incision healing,gastrin changes,blood routine and renal function were observed,and adverse reactions of the patients were observed.Results:The treatment group and control group had 2 cases of abscission,with 25 cases in each group.Among them,2 cases in the treatment group were shed due to personal factors,and 2cases in the control group were shed due to non-compliance with inclusion criteria.1.General information:including patients’ age,height,BMI,intraoperative blood loss,operative time,ength of hospital stay,etc.,the differences were not statistically significant(P>0.05),and were comparable.2.Clinical efficacy indicators:(1)The recovery time of the first exhaust and the first intestinal sounds of the patients were observed.The results showed that the recovery time of the first exhaust and the first intestinal sounds of the patients in the treatment group was shorter than that in the control group,and there were significant differences(P<0.01);(2)The time of first defecation in the treatment group was shorter than that in the control group,and the difference was statistically significant(P<0.05).(3)Compared with the control group on the first day after surgery,the abdominal distension score of the treatment group was significantly lower than that of the control group(P<0.01).Compared with the abdominal distension score of the treatment group on the second and third day after surgery,the abdominal distension score of the treatment group was lower than that of the control group,the difference was statistically significant(P<0.05).(4)treatment group compared with control group in postoperative day 1 abdominal pain score,the score is lower than the control group,treatment group the difference was statistically significant(P<0.05),postoperative abdominal pain score is 2 days,the treatment group scores significantly lower than the control group,there were significant differences(P<0.01),compared two groups of abdominal pain score 3 days postoperatively,there was no statistically significant difference(P>0.05),illustrate 1-2 days postoperatively,the treatment group compared with the control group also had an improved postoperative abdominal pain degree,postoperative abdominal pain score 2 days show that the curative effect of treatment group was better than control group,the two groups after 3 days is abdominal pain;(5)The scores of nausea and vomiting on the first and second days after surgery in the treatment group were significantly lower than those in the control group(P<0.01),with significant difference.The scores of nausea and vomiting in the treatment group were lower than those in the control group on the third day after surgery(P<0.05),the difference was statistically significant,indicating that the treatment group could significantly improve postoperative nausea and vomiting compared with the control group.(6)The number of postoperative fever in the treatment group was significantly less than that in the control group,with a significant difference(P<0.01),indicating that acupuncture can reduce postoperative fever rate;(7)Postoperative wound healing:Both groups had good postoperative wound healing without statistical significance(P>0.05);(8)Serum gastrin levels:compared with preoperative levels,gastrin levels in both groups increased to varying degrees,with statistical significance(P<0.05);After treatment,the gastrin level in the treatment group was higher than that in the control group,and the difference was statistically significant(P<0.05).Postoperative gastrin level in the treatment group was higher than that in the control group,indicating that acupuncture therapy can enhance gastrointestinal motility.3.Efficacy evaluation:the total effective rate of the treatment group was 92.00%;The total effective rate of the control group was 70.00%,indicating that the total effective rate of the treatment group was better than that of the control group,and the difference between groups was statistically significant(P<0.05).4.Occurrences of adverse reactions:During the treatment,no obvious discomfort symptoms occurred in the treatment group and the control group,and no obvious abnormalities were observed in postoperative blood routine,renal function and other related indexes,indicating that the study was reliable and safe.Conclusion:Acupuncture clinical curative effect significantly,can significantly alleviate the uncomfortable symptom of patients,as soon as possible to restore the patient’s postoperative gastrointestinal function,on the basis of regular treatment,acupuncture therapy,can shorten the exhaust time,for the first time in patients with defecation time and bowel sounds for the first time,is beneficial to alleviate postoperative gastrointestinal adverse reactions such as nausea and vomiting,abdominal distension,abdominal pain,has a good effect in reducing postoperative fever,etc,can be further promotion in clinic. |
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