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| 颊针疗法用于治疗剖宫产术后胃肠功能紊乱的效果 |
| Effect of buccal acupuncture therapy in treatment of gastrointestinal dysfunction after cesarean section |
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| DOI：10.12089/jca.2026.01.010 |
| 中文关键词: 颊针 剖宫产 术后胃肠功能紊乱 红外热成像 |
| 英文关键词: Buccal acupuncture Cesarean section Postoperative gastrointestinal dysfunction Infrared thermography |
| 基金项目:广东省中医药局科研项目（20251286）；广州市科技计划项目（2024A03J1105） |
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| 中文摘要: |
目的：观察颊针疗法用于治疗剖宫产术后胃肠功能紊乱的效果。
方法：选择剖宫产术后发生胃肠功能紊乱的产妇，年龄22～40岁，ASA Ⅱ或Ⅲ级，将产妇随机分为两组：颊针组和对照组。颊针组于术后12、48、72 h分次进行颊针治疗，排气后即停止治疗，每次留针30 min；对照组在同样的时点采用常规护理治疗（开塞露外用、腹部轻柔按摩等）。主要指标为术后首次肛门排气时间。次要指标包括首次排便时间、治疗前和治疗后15 min腹痛、腹胀评分。采用红外热像仪观察治疗前后腹部温度变化。
结果：共纳入产妇74例，每组37例。与对照组比较，颊针组首次肛门排气时间、首次排便时间明显缩短，治疗后15 min腹痛、腹胀评分明显降低（P＜0.05）。红外热像检测结果显示，与对照组比较，颊针组治疗前后的温度差明显增大（P＜0.05）。
结论： 颊针疗法能够缩短产妇术后排气和排便时间，缓解胃肠功能紊乱的症状，增大治疗前后腹部温差，促进胃肠功能恢复。 |
| 英文摘要: |
Objective: To observe the effect of buccal acupuncture in treating gastrointestinal dysfunction after cesarean section.
Methods: Puerperae with gastrointestinal dysfunction after cesarean section were selected, aged 22-40 years, ASA physical status Ⅱ or Ⅲ, were randomly assigned to buccal acupuncture or control groups. The acupuncture group received treatment at 12, 48, and 72 hours postoperatively (30 minutes per session, discontinued upon flatus), while the control group received routine care (enemas, abdominal massage). Primary outcome was time to first flatus. Secondary outcomes included time to first defecation, abdominal distension/pain scores (pre-and 15 minutes post-treatment), and infrared thermography-measured abdominal temperature changes.
Results: Seventy-four puerperae were included, 37 puerperae in each group. Compared with control group, buccal acupuncture group showed significantly shorter times to first flatus and first defecation, the buccal acupuncture group had significantly lower scores of abdominal distension and abdominal pain 15 minutes after treatment (P < 0.05). Infrared thermography results showed that compared with the control group, amplitude of temperature change before and after treatment was significantly increased in buccal acupuncture group (P < 0.05).
Conclusion: Buccal acupuncture shorten the time for postoperative gas and stool expulsion of pregnant women, alleviate the symptoms of gastrointestinal dysfunction, increase the temperature difference in the abdomen before and after treatment, and promote the recovery of gastrointestinal function. |
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