宫腔镜联合穴位敷贴对围绝经期异常子宫出血患者术后疼痛及肠道功能恢复的影响
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Influence of hysteroscopy combined with acupoint application on postop-erative pain and intestinal function recovery in patients with perimenopa-usal abnormal uterine bleeding
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    摘要:

    目的:观察宫腔镜联合穴位敷贴对围绝经期异常子宫出血患者术后疼痛及肠道功能恢复的影响。方法:纳入100例围绝经期异常子宫出血患者作为研究对象,根据治疗方法不同分为研究组(n=50)和对照组(n=50)。对照组接受宫腔镜治疗;研究组在对照组治疗基础上术后接受穴位敷贴治疗,治疗2 d。比较两组术后疼痛程度[视觉模拟评分法(VAS)]、疼痛因子[P物质(SP)、去甲肾上腺素(NE)]水平、胃肠激素[胃泌素(GAS)、胃动素(MLT)]水平、肠道功能恢复时间(肠鸣音恢复时间、首次排气时间、首次排便时间)、住院时间。结果:研究组术后各时间点(术后6 h、1 d、2 d)VAS评分均低于对照组(P<0.05);术后1、2 d,两组SP、NE均高于术前1 d,且研究组低于对照组(P<0.05);术后1 d及2 d,两组GAS均低于术前1 d,且研究组高于对照组(P<0.05);MLT均高于术前1 d,且研究组低于对照组(P<0.05)。研究组肠道功能恢复时间、住院时间均短于对照组(P<0.05)。结论:宫腔镜联合穴位敷贴对围绝经期异常子宫出血患者术后疼痛有较好缓解作用,且能促进术后肠道功能恢复,缩短住院时间。

    Abstract:

    Objective:To observe the influence of combination of hysteroscopy and acupoint application on postoperative pain and intestinal function recovery in patients with perimenopausal abnormal uterine bleeding.Methods:100 patients with peri-menopausal abnormal uterine bleeding were enrolled as study subjects,and were divided into study group(n=50)and control group(n=50)by means of different treatment methods.The control group was given hysteroscopy,whereas the study group received postoperative acupoint application on the basis of the control group.Both groups were treated for 2 days.The postoper-ative pain degree[visual analogue scale(VAS)],pain factors[substance P(SP),norepinephrine(NE)],gastrointestinal hor-mones[gastrin(GAS),motilin(MLT)],intestinal function recovery time(bowel sound recovery time,first exhaust time,first defecation time)and hospitalization time were compared between the two groups.Results:The VAS score in the study group at each time point after surgery(6 hours,1 and 2 days after surgery)was lower than that in the control group(P<0.05).At 1 day and 2 days after surgery,both groups showed higher levels of SP and NE compared to preoperative day 1,and the study group was lower than the control group(P<0.05).Both groups showed lower levels of GAS compared to preoperative day 1,and the study group was higher than the control group(P<0.05).MLT was higher than 1 day before surgery,and the study group was lower than the control group(P<0.05).The intestinal function recovery time and hospitalization time in study group were shorter than those in the control group.Conclusion:Hysteroscopy combined with acupoint application has a good re-lieving effect on postoperative pain in patients with perimenopausal abnormal uterine bleeding,and it can promote the recovery of postoperative intestinal function and shorten the hospitalization time.

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刘姗;陈学婷;董莉;.宫腔镜联合穴位敷贴对围绝经期异常子宫出血患者术后疼痛及肠道功能恢复的影响[J].川北医学院学报,2025,40(10):1346-1349.

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  • 在线发布日期: 2025-11-03
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