作　　者： (王敏）; (卜彩芳）; (黄丽霞）; (黄利慧）; (周群）;

机构地区： 杭州市红十字会医院骨科,310003

出　　处： 《中华现代护理杂志》 2017年第16期2149-2152,共4页

摘　　要： 目的 研究神阙穴拔罐治疗胸腰椎结核术后胃肠功能障碍的临床效果,为推动中医手段在临床实践中应用提供科学依据.方法 根据随机数字序列法将纳入的60例择期行胸腰椎结核前路病灶清除后路内固定取自体骨植骨手术的患者分为对照组和观察组,每组30例.对照组采用常规治疗,观察组在常规治疗的基础上术后6 h进行神阙穴拔罐,比较两组术后肠蠕动恢复时间、首次排气时间、排便时间和留置胃管情况.结果 观察组术后肠蠕动恢复时间、首次排气时间、排便时间分别为（30.93±8.37）、（80.10±6.44）、（24.33±5.51）h,均较对照组提前,差异有统计学意义（t值分别为15.396、9.688、8.079;P〈0.05）.对照组中留置胃管患者4例,观察组无一例留置胃管.结论 神阙穴拔罐有促进胸腰椎结核手术后胃肠功能恢复的作用,此中医手段值得在临床推广. ObjectiveThe clinical effects of shen que acupoint cupping in the treatment of postoperative gastrointestinal dysfunction in patients with thoracolumbar tuberculosis,and provide scientific references for the promotion of traditional Chinese medicine （TCM） nursing in clinical practice.Methods Totally 60 patients with thoracolumbar tuberculosis undergoing anterior debridement,posterior internal fixation and self-bone graft were divided into the observation group and the control group,30 cases respectively. Patients in the control group received the routine treatment,while patients in the observation group received additional shen que acupoint cupping at 6 hours post operation. After the operation,the intestinal peristalsis recovery time,the first exhaust time, the first defecation time and number of indwelling feeding tubes were compared between two groups.Results The time for the recovery of intestinal peristalsis,exhaust and defecation in the observation group were （30.93±8.37） h, （80.10±6.44） h and （24.33±5.51） h,which were significantly shorter than the time in the control group （t=15.396, 9.688,8.079;P〈0.05）. There were four persons with indwelling gastric tubes in the control group,while there was no indwelling gastric tube in the observation group.Conclusions Shen que acupoint cupping can effectively improve the recovery of gastrointestinal dysfunction in postoperative patients with thoracolumbar tuberculosis and is worthy for promotion in clinical practice.

关 键 词： 胸腰椎结核 神阙穴 拔罐 胃肠功能紊乱