Liu Li, Cui Jin, Jiang Yu
School of Acupuncture-moxibustion and Tuina, Guizhou University of Traditional Chinese Medicine, Guiyang 550002, China.
The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang 550001.
Zhen Ci Yan Jiu. 2023 Jan 25;48(1):83-7. doi: 10.13702/j.1000-0607.20211181.
To observe the synergistic effect and safety of combined use of houpo paiqi mixture and thumb-tack needle on promoting gastrointestinal function recovery after cesarean section.
Parturients receiving cesarean section were randomly divided into the control group (29 cases), the traditional Chinese medicine (TCM) group (30 cases) and needle+TCM group (30 cases). The control group received only routine postoperative treatment. Besides the treatment as the control group, parturients in the TCM group were given 50 mL houpo paiqi mixture 6 h and 10 h after cesarean section respectively. Besides the treatment as the TCM group, parturients in the needle+TCM group received thumb-tack needle treatment at bilateral Zusanli(ST36), Tianshu(ST25), Shangjuxu(ST37) and Sanyinjiao(SP6), Zhongwan(CV12), Qihai(CV6), with auricular pressure at bilateral otopoints Zigong(Uterus), Wei(Stomach) and Dachang(Large intestine), within 1 h after the parturients returned to the ward after the operation. Each acupoint was pressed for 10 s and performed acupressure every 4 h (except sleeping hours), continuously for 3 d. The time of bowel sound recovery, the time to the first postoperative exhaust and defecation, the time of postoperative semi-fluid diet recovery, incidence of postoperative nausea and vomiting (PONV) and abdominal distention, and abdominal pain VAS score were recorded and analyzed. The safety of the treatments was also evaluated.
Compared with the control group, the time of bowel sounds recovery, the time to the first postoperative exhaust and the time of postoperative semi-fluid diet recovery were significantly shortened in the TCM and needle+TCM groups (<0.01); the time to the first postoperative defecation were significantly shortened (<0.01), incidence of both abdominal distention and PONV were significantly decreased in the needle+TCM group (<0.05, <0.01); incidence of abdominal distention were significantly decreased in TCM group (<0.05). Compared with the TCM group, the time of bowel sounds recovery, the time to the first postoperative exhaust and defecation, and the time of postoperative semi-fluid diet recovery were significantly shortened (<0.01), and incidence of both abdominal distention and PONV were significantly decreased in the needle+TCM group (<0.05). VAS scores of the three groups decreased gradually over time (<0.01). Compared with the control and TCM groups, VAS scores of the needle+TCM group significantly decreased at 24 h, 48 h and 72 h after operation (<0.01). No treatment-related adverse reactions were observed during the whole trial.
On the base of the treatment with houpo paiqi mixture, the addition of thumb-tack needle treatment exerted positive synergistic effect on gastrointestinal function recovery after cesarean section, with high safety, which is worthy of clinical application.
观察厚朴排气合剂与揿针联合应用促进剖宫产术后胃肠功能恢复的协同作用及安全性。
将行剖宫产的产妇随机分为对照组（29例）、中药组（30例）和针药组（30例）。对照组仅接受术后常规治疗。中药组在剖宫产术后6 h和10 h分别给予50 mL厚朴排气合剂，除接受与对照组相同的治疗外。针药组在剖宫产术后返回病房1 h内，除接受与中药组相同的治疗外，还在双侧足三里（ST36）、天枢（ST25）、上巨虚（ST37）、三阴交（SP6）、中脘（CV12）、气海（CV6）行揿针治疗，并在双侧耳穴子宫、胃、大肠行耳穴贴压。每个穴位按压10 s，每4 h（除睡眠时间外）进行1次穴位按压，持续3 d。记录并分析肠鸣音恢复时间、术后首次排气和排便时间、术后半流质饮食恢复时间、术后恶心呕吐（PONV）发生率和腹胀发生率以及腹痛视觉模拟评分（VAS）。还对治疗的安全性进行了评估。
与对照组比较，中药组和针药组肠鸣音恢复时间、术后首次排气时间、术后半流质饮食恢复时间均明显缩短（<0.01）；术后首次排便时间明显缩短（<0.01），针药组腹胀发生率和PONV发生率均明显降低（<0.05，<0.01）；中药组腹胀发生率明显降低（<0.05）。与中药组比较，针药组肠鸣音恢复时间、术后首次排气和排便时间、术后半流质饮食恢复时间均明显缩短（<0.01），腹胀发生率和PONV发生率均明显降低（<0.05）。三组VAS评分均随时间逐渐降低（<0.01）。与对照组和中药组比较，针药组术后24 h、48 h和72 h VAS评分明显降低（<0.01）。整个试验期间未观察到与治疗相关的不良反应。
在厚朴排气合剂治疗基础上，加用揿针治疗对剖宫产术后胃肠功能恢复具有积极的协同作用，安全性高，值得临床应用。
