Study on clinical effect of needle-embedding for preventing and treating postoperative constipation in thoracic and lumbar vertebral fractures
10.3969/j.issn.1671-8348.2025.09.005
- VernacularTitle:揿针防治胸腰椎骨折术后便秘的临床效果研究
- Author:
Liangliang SHI
1
;
Tianyu WANG
;
Lingkang WU
;
Ying JIN
;
Haiyan LI
Author Information
1. 浙江中医药大学附属第二医院骨科,杭州 310005
- Keywords:
preventing illness;
needle-embedding;
thoracicolumbar vertebral surgery;
constipation;
tra-ditional Chinese medicine nursing
- From:
Chongqing Medicine
2025;54(9):2023-2027
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical application of needle-embedding therapy for preventing and treating postoperative constipation in the patients with thoracolumbar vertebral fractures based on the theory of"preventing illness".Methods Eighty patients meeting the criteria for postoperative constipation af-ter thoracolumbar vertebral surgery in a tertiary hospital of Hangzhou City from January 2023 to February 2024 were selected as the study subjects.The patients were divided into the control group and experimental group by using the random number table method,40 cases in each group.The control group adopted the treat-ment of orally taking lactulose oral solution and the nursing such as routine postoperative food and drink and bed defecation training.The experimental group was given the needle-embedding therapy on the basis of rou-tine care.The gastrointestinal syndrome rating scale(GSRS)score,intra-abdominal pressure(IAP),abdomi-nal circumference,defecation and exhausting situation before and after intervention were performed the statis-tics and compared between the two groups.Results At 36,72 h after oeperation,the GSRS score,IAP and ab-dominal circumference in the both groups were significantly declined or decreased compared with those imme-diately after the operation,the above indicators in the experimental group were superior to those in the control group,and the differences were statistically significant(P＜0.01).The first exhausting and defecation time of the experimental group was earlier than that of the control group,and the difference was statistically signifi-cant(P＜0.01).Conclusion Under the basis of"preventing illness",the needing-embedding therapy has signif-icant therapeutic effects in preventing and treating postoperative constipation in thoracolumbar fractures,could effec-tively reduce IAP,alleviate the symptoms of constipation in the patients and improve their quality of life.
