关键词: 子午流注, 神阙穴位贴敷疗法, 妇科腹腔镜术后, 胃肠功能, 中医护理学

Abstract:

Objective To investigate effects of midnight-noon ebb-flow combined with acupoint application on gastrointestinal function of patients after gynecological laparoscopy.Methods 108 patients after laparoscopy in Guangzhou from August 2017 to December 2018 were selected as research subjects who were randomly allocated into group A（midnight-noon ebb-flow combined with acupoint application therapy）,group B（rhubarb Shenque acupoint application therapy without time control） and group C （midnight-noon ebb-flow combined with placebo）. In addition to the above intervention,all patients received routine nursing care during the study. The gastrointestinal function,including the time of first defecation,the time of first passage of flatus（“gas-out time”） and the recovery time of bowel sound,as well as adverse events,were measured daily.Results The recovery of gastrointestinal function among 3 groups were statistically significant after treatment（P<0.05）. The time of first defecation,the time of first passage of flatus and the recovery time of bowel sound in Group A were less than those in the other 2 groups（P<0.05）. The time of first defecation and first passage of flatus in Group B was less than that in Group C（P<0.05）. But there was no significant difference in recovery time of bowel sounds between Group B and Group C. Meanwhile,Group A ranked with the least adverse events（abdominal distension,nausea,vomiting,abdominal pain and etc.）,followed by Group B.Conclusion Acupoint application therapy based on midnight-noon ebb-flow can effectively promote the recovery of gastrointestinal function and reduce the adverse events related to gynecological laparoscopy.

Key words: Midnight-Noon Ebb-Flow, Shenque Acupoint Application Therapy, Gynecological Laparoscopic Surgery, Gastrointestinal Function, Nursing（TCM）