微创医学

目的探讨针灸对妇科良性肿瘤患者术后胃肠功能的治疗作用。方法选取行腹腔镜手术的妇科良性肿瘤患者 90例，随机分为针灸组、加速康复组和常规组，每组30例，记录并比较三组术后首次肛门排气时间及排便时间。结果三组患者术后首次排气、排便时间比较，差异有统计学意义（P＜0.05）。针灸组及加速康复组术后首次排气时间及排便时间均短于常规组（P＜0.05）。针灸组与加速康复组的术后首次排气时间比较，差异无统计学意义（P＞0.05）。加速康复组的术后首次排便时间短于针灸组（P＜0.05）。针灸组在操作过程中未出现血肿、疼痛难忍等不良反应。三组患者均未出现肠梗阻。结论针灸对妇科良性肿瘤患者的术后胃肠功能恢复有促进作用，不良反应发生率低，可开展进一步研究。

ObjectiveTo explore the therapeutic effect of acupuncture and moxibustion on postoperative gastrointestinal function in patients with gynecological benign tumors. MethodsNinety patients with gynecological benign tumors undergoing laparoscopic surgery were enrolled and randomly divided into acupuncture and moxibustion group , enhanced recovery group and routine group, with 30 cases in each group. The first exhaust time and defecation time after operation were recorded and compared among the three groups. ResultsThere was statistically significant difference in the first exhaust and defecation time after operation among the three groups (P＜0.05).The acupuncture and moxibustion group and the enhanced recovery group had shorter first exhaust and defecation time after operation than the routine group (P＜0.05). There was no statistically significant difference in the first exhaust time after operation between the acupuncture and moxibustion group and the enhanced recovery group (P＞0.05). The enhanced recovery group had shorter first defecation time after operation than the acupuncture and moxibustion group (P＜0.05). No adverse reactions such as hematoma, unbearable pain and etc. occurred during manipulation in the acupuncture and moxibustion group, and there was no intestinal obstruction cases in the three groups. ConclusionAcupuncture and moxibustion has efficacy for promoting postoperative gastrointestinal function recovery in patients with gynecologic benign tumors, with a low incidence rate of adverse reactions, and further research can be carried out.