| 杨秀娟,周洪博,宋正伟,张海燕,董方秋,许 芳.术后穴位贴敷联合加速康复外科理念对腹腔镜肝切除术患者康复效果、胃肠功能和生命质量的影响[J].,2022,(18):3520-3523 |
| 术后穴位贴敷联合加速康复外科理念对腹腔镜肝切除术患者康复效果、胃肠功能和生命质量的影响 |
| Effect of Postoperative Acupoint Application Combined with Enhanced Recovery After Surgery on Rehabilitation Effect, Gastrointestinal Function and Quality of Life of Patients Undergoing Laparoscopic Hepatectomy |
| 投稿时间：2022-03-09 修订日期：2022-04-06 |
| DOI：10.13241/j.cnki.pmb.2022.18.022 |
| 中文关键词: 穴位贴敷 加速康复外科理念 腹腔镜肝切除术 康复效果 胃肠功能 生命质量 |
| 英文关键词: Acupoint application Enhanced recovery after surgery Laparoscopic hepatectomy Rehabilitation effect Gastrointestinal function Quality of life |
| 基金项目:重庆市科技计划项目（2017ACC1016）；国家自然科学基金项目（81173710） |
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| 中文摘要: |
| 摘要 目的：探讨术后穴位贴敷联合加速康复外科理念（ERAS）对腹腔镜肝切除术患者康复效果、胃肠功能和生命质量的影响。方法：根据双色球法，将2019年6月~2021年6月间在我院行腹腔镜肝切除术的104例肝癌患者分为对照组（应用ERAS治疗）和研究组（术后穴位贴敷联合ERAS治疗），各为52例。对比两组术后康复效果、胃肠功能情况和生命质量。结果：研究组的住院时间短于对照组（P<0.05）。两组术后7 d谷草转氨酶（AST）、谷丙转氨酶（ALT）水平均升高，但研究组低于对照组（P<0.05）。研究组的排气时间、肠鸣音恢复时间、排便时间短于对照组（P<0.05）。研究组术后3 d、术后7 d 胃动素（MTL）水平高于对照组，胃泌素（GAS）水平低于对照组（P<0.05）。研究组术后1个月总体健康状况、功能领域评分高于对照组，单测项目、症状领域评分低于对照组（P<0.05）。结论：ERAS联合术后穴位贴敷用于腹腔镜肝切除术患者，可提高术后康复效果，促进患者胃肠道功能恢复，改善患者的生命质量。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of postoperative acupoint application combined with enhanced recovery after surgery (ERAS) on the rehabilitation effect, gastrointestinal function and quality of life of patients undergoing laparoscopic hepatectomy. Methods: According to the two-color ball method, the patients with liver cancer who underwent laparoscopic hepatectomy (n=104) in our hospital from June 2019 to June 2021 were divided into control group (treated with ERAS) and study group (treated with postoperative acupoint application combined with ERAS), with 52 cases each. The postoperative rehabilitation effect, gastrointestinal function and quality of life were compared between the two groups. Results: The hospital stay in the study group was shorter than that in the control group (P<0.05). The levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) in the two groups at 7 d after operation increased, but the study group was lower than the control group(P<0.05). The exhaust time, bowel sound recovery time and defecation time in the study group were shorter than those in the control group(P<0.05). The level of Motilin (MTL) in the study group was higher than that in the control group at 3 d and 7 d after operation, and the level of Gastrin (GAS) was lower than that in the control group (P<0.05). The scores of overall health status and functional areas in the study group were higher than those in the control group, the scores of single test items and symptom areas in the study group at 1 month after operation were lower than those in the control group (P<0.05). Conclusion: ERAS combined with postoperative acupoint application for patients undergoing laparoscopic hepatectomy can improve the postoperative rehabilitation effect, promote the recovery of gastrointestinal function, and improve the quality of life of patients. |
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