Abstract:

Objective　To explore the efficacy of infrared physiotherapy combined with the external application of Glauber's salt on postoperative gastrointestinal dysfunction (PGD) after surgery for acute appendicitis. Methods　One hundred and seventeen patients with PGD after surgery for acute appendicitis admitted to The People's Hospital of Linyi City from June 2020 to May 2021 were divided into a control group A, a control group B, and a study group by the random number table method, with 39 cases in each group. In the control group A, there were 23 males and 16 females, and they were (35.72±6.16) years old. In control group B, there were 26 males and 13 females, and they were (36.86±6.55) years old. There were 25 males and 14 females in the study group, and they were (37.37±6.73) years old. The control group A were treated with infrared physiotherapy, the control group B with the external application of Glauber's salt, and the study group with infrared physiotherapy and the external application of Glauber's salt. The curative effects, the recovery times of bowel sounds, the first postoperative exhaustion times, and the first postoperative defecation times, and the traditional Chinese medicine (TCM) syndrome scores and the levels of motilin (MTL) and gastrin (GAS) before and after treatment were compared between these 3 groups. The measurement data were compared between the groups by independent-sample t test, and the enumeration data by χ² test. Results　On day 1, 2, and 3 after the treatment, the TCM syndrome scores of the study group were lower than those of the control group A and the control group B, with statistical differences (all P<0.01). The total effective rate of the study group was higher than those of the control group A and the control group B [94.87% (37/39) vs. 76.92% (30/39) and 79.49% (31/39)], with statistical differences (both P<0.05). The recovery time of bowel sounds, the first postoperative exhaustion time, and the first postoperative defecation time in the study group were shorter than those in the control group A and the control group B [(20.37±5.70) h vs. (26.58±6.89) h vs. (27.60±7.25) h, (21.33±6.02) h vs. (27.18±6.75) h vs. (29.35±7.68) h, and (35.74±7.79) h vs. (44.33±8.84) h vs. (48.45±9.28) h], with statistical differences (all P<0.001). The levels of MTL and GAS on day 3 after the treatment in the study group were higher than those in the control group A and the control group B [(254.27±42.35) ng/L vs. (220.35±39.10) ng/L and(212.60±38.32) ng/L; (168.42±28.73) ng/L vs. (143.15±27.64) ng/L and (135.60±25.89) ng/L], with statistical differences (all P<0.05). Conclusions　Infrared physiotherapy combined with the external application of Glauber's salt can better alleviate PGD-related symptoms in patients after surgery for acute appendicitis, accelerate gastrointestinal peristalsis, and shorten the recovery time of bowel sounds, the first postoperative exhaustion time, and the first postoperative defecation time.

Key words:

"> Infrared physiotherapy, External application of Glauber's salt, Acute appendicitis, Gastrointestinal dysfunction, Recovery

摘要： 目的　探讨红外线理疗联合芒硝外敷对急性阑尾炎术后胃肠功能紊乱（PGD）的恢复效果。方法　将临沂市人民医院2020年6月至2021年5月接收的急性阑尾炎术后PGD的117例随机分为对照组A、对照组B及研究组，每组39例。对照组A患者中男23例、女16例，年龄（35.72±6.16）岁；对照组B中男26例、女13例，年龄（36.86±6.55）岁；研究组中男25例、女14例，年龄（37.37±6.73）岁。对照组A采用红外线理疗，对照组B采用芒硝外敷治疗，研究组采用红外线理疗联合芒硝外敷治疗。对比3组患者的疗效、肠鸣音恢复时间、术后首次排气、术后首次排便时间，治疗前后的中医证候评分及胃动素（MTL）及胃泌素（GAS）水平。计量资料组间比较采用独立样本t检验，计数资料组间比较采用χ²检验。结果　研究组治疗后第1、2、3 d的中医证候评分均低于对照组A及对照组B，差异均有统计学意义（均P<0.01）。研究组总有效率高于对照组A及对照组B［94.87%（37/39）比 76.92%（30/39）、 （79.49%（31/39）］，差异均有统计学意义（均P<0.05）。研究组术后肠鸣音恢复时间［（20.37±5.70）h比（27.60±7.25） h、（26.58±6.89） h］、术后首次排气［（21.33±6.02） h比（29.35±7.68）h、（27.18±6.75）h ］、术后首次排便时间［（35.74±7.79）h比（48.45±9.28）h、（44.33±8.84）h］均短于对照组A、对照组B，差异均有统计学意义（均P<0.001）；研究组治疗后第3 d的MTL［（254.27±42.35）ng/L比（212.60±38.32）ng/L、（220.35±39.10）ng/L］及GAS［（168.42±28.73）ng/L比（135.60±25.89）ng/L、（143.15±27.64）ng/L］均高于对照组A、对照组B，差异均有统计学意义（均P<0.05）。结论　红外线理疗联合芒硝外敷可更好地缓解急性阑尾炎术后PGD相关症状，加速胃肠蠕动，缩短肠鸣音恢复时间、首次排气及排便时间。

关键词: 红外线理疗, 芒硝外敷, 急性阑尾炎, 胃肠功能紊乱, 恢复