四子散粗盐药包外敷神阙穴对急诊腹部术后患者胃肠功能恢复的应用研究
Application Study of External Application of Four-Ingredient Powder Coarse Salt Pack on Shenque Acupoint for Gastrointestinal Function Recovery in Emergency Abdominal Surgery Patients
摘要: 目的:探讨四子散粗盐药包外敷神阙穴对急诊腹部术后患者胃肠功能恢复的影响。方法:选取120例急诊腹部手术患者,随机分为观察组与对照组各60例。对照组予术后常规护理,观察组在常规护理基础上加用四子散粗盐药包外敷神阙穴。比较两组患者胃肠功能恢复指标、腹胀程度、舒适度及不良反应。结果:观察组首次排气时间、首次排便时间均显著短于对照组(P < 0.05);观察组腹胀发生率低于对照组,差异有统计学意义(P < 0.05);观察组的总满意度高于对照组,差异有统计学意义(P < 0.05)。结论:四子散粗盐药包外敷神阙穴能有效促进急诊腹部术后胃肠功能恢复,减轻腹胀,改善功能障碍,提升患者舒适度,且安全性良好,具有临床推广价值。
Abstract: Objective: To investigate the effect of applying a medicinal pouch containing Si Zi San and coarse salt externally to the Shenque acupoint on gastrointestinal function recovery in emergency abdominal surgery patients. Methods: A total of 120 emergency abdominal surgery patients were randomly divided into an observation group and a control group (60 patients each). The control group received routine postoperative care, while the observation group received routine care supplemented with the external application of the medicinal pouch to the Shenque acupoint. Results: Patients were randomly assigned to receive either conventional postoperative care (control group) or conventional care plus external application of the Si Zi San coarse salt pouch to the Shenque acupoint (observation group). Conclusion: Topical application of the Four-Seed Powder and coarse salt poultice to the Shenque acupoint effectively promotes gastrointestinal recovery after emergency abdominal surgery, alleviates abdominal distension, improves functional impairment, enhances patient comfort, and demonstrates good safety, making it clinically valuable for widespread adoption.
文章引用:肖会, 操秋娥. 四子散粗盐药包外敷神阙穴对急诊腹部术后患者胃肠功能恢复的应用研究[J]. 护理学, 2026, 15(3): 138-143. https://doi.org/10.12677/ns.2026.153078

参考文献

[1] Mandrioli, M., Inaba, K., Piccinini, A., et al. (2016) Advances in Laparoscopy for Acute Care Surgery and Trauma. World Journal of Gastroenterology, 22, 668-680. [Google Scholar] [CrossRef] [PubMed]
[2] 齐凡, 虞晓红. 急诊腹部手术后胃肠道功能障碍研究现状[J]. 临床急诊杂志, 2020, 21(4): 334-340.
[3] 常剑敏, 李雪云. 中药热敷联合预见性护理对腹部手术患者胃肠症状及胃肠功能恢复的影响[J]. 光明中医, 2021, 36(3): 471-473.
[4] 洪友兰. 艾灸联合热熨对腹部手术后胃肠功能恢复的影响[J]. 新中医, 2016, 48(4): 67-69.
[5] 曹利华, 白明, 苗明三, 等. 中药外治的“双微调平衡”机制探析[J]. 中华中医药杂志, 2018, 33(3): 819-823.
[6] 梁靖蓉, 麦凤怡, 李陈广, 等. 吴茱萸碱的药理学研究进展[J]. 中国药理学通报, 2022, 38(10): 1457-1461.
[7] 黄兆胜. 中药学[M]. 北京: 人民卫生出版社, 2002.
[8] 黄艳雄. 中药外敷对妇科腹腔镜术后胃肠功能恢复作用的临床研究[D]: [硕士学位论文]. 广州: 广州中医药大学, 2022.
[9] 张洁婷, 梁玉婷, 黄家莲, 等. 四子散热敷改善维持性血液透析患者胃肠功能探讨[J]. 实用临床医药杂志, 2019, 23(1): 100-102+105.
[10] 沈展涛, 钟小生, 何军明, 等. 吴茱萸热敷促进肝部分切除术后胃肠功能恢复的临床研究[J]. 江苏中医药, 2014(2): 40-41.
[11] 廖丰云, 温丽珊, 曾丽. 吴茱萸敷脐联合穴位按摩治疗对腹部手术后胃肠功能恢复的影响[J]. 内蒙古中医药, 2020, 39(3): 121-122.
[12] 杨燕贤, 方培婉, 陶杨, 等. 四子散外敷治疗胃肠动力功能障碍的Meta分析[J]. 世界中西医结合杂志, 2022, 17(4): 670-676.