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激光针刺对急性阑尾炎手术后患者胃肠功能恢复的影响:一项回顾性临床研究。

Impact of laser acupuncture on gastrointestinal function recovery in patients after acute appendicitis surgery: A retrospective clinical study.

作者信息

Ying Hai-Zhou

机构信息

Department of Acupuncture, Zhoushan Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang Province, China.

出版信息

World J Gastrointest Surg. 2025 Jun 27;17(6):105897. doi: 10.4240/wjgs.v17.i6.105897.

Abstract

BACKGROUND

Laparoscopic surgery has emerged as the preferred treatment for acute appendicitis, a common acute abdominal condition. Despite surgical advances, postoperative gastrointestinal dysfunction and delayed recovery continue to negatively impact rehabilitation outcomes and patient quality of life. Laser acupuncture represents a promising emerging complementary therapy with potential benefits for promoting functional recovery.

AIM

To evaluate the clinical efficacy of laser acupuncture in enhancing gastrointestinal function recovery following laparoscopic appendectomy and to investigate its potential applications in postoperative rehabilitation.

METHODS

This retrospective controlled clinical study selected 120 acute appendicitis patients who underwent laparoscopic appendectomy from January 2022 to December 2023 at a tertiary hospital. Patients were randomly divided into two groups: Routine treatment group ( = 60) and laser acupuncture intervention group ( = 60). There were no significant statistical differences in baseline characteristics (age, gender, body mass index, appendicitis severity) between the two groups. The routine treatment group received standard postoperative care, while the laser acupuncture intervention group received additional laser acupuncture treatment on top of standard care. Key observation indicators included time to first exhaust, time to first bowel movement, time to gastrointestinal function recovery, and postoperative complication rates.

RESULTS

Patients in the laser acupuncture intervention group showed significantly faster gastrointestinal function recovery compared to the routine treatment group. Specifically, time to first exhaust was significantly shortened (intervention group: 12.5 ± 2.3 hours control group: 18.7 ± 3.1 hours, < 0.05), time to first bowel movement was earlier (intervention group: 36.4 ± 4.6 hours control group: 48.2 ± 5.7 hours, < 0.05), postoperative complication rate was significantly reduced (intervention group: 8.3% control group: 20.0%, < 0.05), postoperative pain score was significantly lower (intervention group: 3.2 ± 1.1 control group: 4.7 ± 1.5, < 0.05), and intestinal motility recovery was faster and more effective.

CONCLUSION

Laser acupuncture, as an auxiliary treatment method, can significantly promote gastrointestinal function recovery in patients after laparoscopic appendectomy, reduce complications, and improve postoperative comfort. This technique has advantages such as minimal invasiveness, rapid recovery, and few side effects, making it worthy of further clinical promotion and application.

摘要

背景

腹腔镜手术已成为治疗急性阑尾炎(一种常见的急腹症)的首选方法。尽管手术技术有所进步,但术后胃肠功能障碍和恢复延迟仍对康复效果和患者生活质量产生负面影响。激光针灸是一种有前景的新兴辅助疗法,对促进功能恢复可能有益。

目的

评估激光针灸在促进腹腔镜阑尾切除术后胃肠功能恢复方面的临床疗效,并探讨其在术后康复中的潜在应用。

方法

这项回顾性对照临床研究选取了2022年1月至2023年12月在一家三级医院接受腹腔镜阑尾切除术的120例急性阑尾炎患者。患者被随机分为两组:常规治疗组(n = 60)和激光针灸干预组(n = 60)。两组患者的基线特征(年龄、性别、体重指数、阑尾炎严重程度)无显著统计学差异。常规治疗组接受标准的术后护理,而激光针灸干预组在标准护理的基础上接受额外的激光针灸治疗。主要观察指标包括首次排气时间、首次排便时间、胃肠功能恢复时间和术后并发症发生率。

结果

与常规治疗组相比,激光针灸干预组患者的胃肠功能恢复明显更快。具体而言,首次排气时间显著缩短(干预组:12.5±2.3小时,对照组:18.7±3.1小时,P<0.05),首次排便时间更早(干预组:36.4±4.6小时,对照组:48.2±5.7小时,P<0.05),术后并发症发生率显著降低(干预组:8.3%,对照组:20.0%,P<0.05),术后疼痛评分显著更低(干预组:3.2±1.1,对照组:4.7±1.5,P<0.05),肠道蠕动恢复更快且更有效。

结论

激光针灸作为一种辅助治疗方法,可显著促进腹腔镜阑尾切除术后患者的胃肠功能恢复,减少并发症,提高术后舒适度。该技术具有微创、恢复快、副作用少等优点,值得进一步临床推广应用。

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