目的 探讨气交灸结合腹部穴位按摩的中医护理方式对腰椎融合术后患者胃肠功能恢复的应用价值。方法 采用便利抽样法，选取2022年10月至2023年10月在广东省某三级甲等医院骨科病房收治的108例腰椎融合手术患者为研究对象，依据随机对照表法分为3组，即干预组（气交灸联合腹部穴位按摩组）、对照组1（气交灸组）、对照组2（腹部穴位按摩组），每组36例。干预1周后，比较3组患者胃肠功能恢复情况。结果干预1周后，干预组患者的术后首次排气、首次排便、首次进食及肠鸣音恢复时间均短于对照组1和对照组2，差异均有统计学意义（均P＜0.05）；恶心、呕吐、肠鸣音及舒适状况量表评分的改善情况亦优于对照组1和对照组2，差异均有统计学意义（均P＜0.05）。结论 基于气交灸结合腹部穴位按摩的中医护理，能有效加快腰椎融合术后患者的胃肠功能恢复，减轻术后疼痛，展现出良好的治疗效果。

Objective To explore the application value of Traditional Chinese Medicine cluster nursing method combining Qi-jiao moxibustion with abdominal acupoint massage on the recovery of gastrointestinal function in patients after lumbar fusion surgery.Method 108 patients admitted to the orthopedic ward of a tertiary A hospital in Guangdong Province from October 2022 to October 2023 who underwent lumbar fusion surgery due to degenerative lumbar diseases were selected.According to the randomized controlled table method,patients were divided into intervention group (cluster nursing of Qi-jiao moxibustion combined with abdominal acupoint massage),control group 1 (Qi-jiao moxibustion),and control group 2 (abdominal acupoint massage),with 36 cases in each group,all of whom were intervened for one week.The recovery of gastrointestinal function,as well as visual analog scale (VAS) and Kolcaba score (GCQ),were compared among three groups of patients.Results After one week of intervention,the intervention group had shorter recovery times for the first exhaust,first defecation,first eating,and bowel sounds after surgery compared to control group 1 and control group 2.The improvement in nausea,vomiting,bowel sounds,and GCQ scores was significantly better than that of control group 1 and control group 2 (all P＜0.05).Conclusions The Traditional Chinese Medicine cluster nursing based on Qi-Jiao moxibustion combined with abdominal acupoint massage can accelerate the recovery of gastrointestinal function after lumbar fusion surgery,reduce postoperative pain,and has favorable therapeutic effects.

R473.53

2022年度广东省中医药局中医药科研项目（20222056）