平滑肌电刺激对重度盆腔子宫内膜异位症术后肠功能恢复的疗效

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Abstract Objective To observe the effect of smooth muscle electric stimulation on intestinal function after severe endometriosis surgery. Methods A total of 150 postoperative patients with severe endometriosis were selected and divided into the observation group and control group, with 75 cases in each. The severity and locations of intestinal adhesion were recorded in both groups, and bioelectrical stimulation was performed 24 hours postoperatively. The observation group received smooth muscle electric stimulation, while the control group was subjected to traditional striated muscle stimulation. The time of regular bowel sounds, exhaust, defecation, tolerance to general foods and abdominal distension were compared between the two groups. Results Regular bowel sounds, the first exhaust and first tolerance to general foods without discomfort occurred earlier in the observation group than in the control group (P<0.05). The duration of abdominal distension in the observation group was shorter (P<0.05). None of the patients developed intestinal obstruction or adverse reactions. Conclusions Smooth muscle electric stimulation has a better effect than striated muscle electrical stimulation on postoperative intestinal function recovery in patients with severe pelvic endometriosis.

Key words： smooth muscle electric stimulation intestinal function recovery enterodialysis effectiveness

Received: 25 May 2021

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R711.7

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I11/942

[1]	Olive D, Pritts E. Treatment of endometriosis [J]. New England Journal of Medicine, 2001, 345(4): 266-275.
[2]	郝敏,赵卫红,王永红.子宫内膜异位症患者盆腔粘连与疼痛的相关性[J].中华妇产科杂志,2009,44(5):333-336.
[3]	Slack A,Child T,Lindsey I,et al.Urological and colorectal complications following surgery for rectovaginal endometriosis[J].BJOG,2007,114:1278-1282.
[4]	Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: enhanced recovery after surgery (ERAS) society recommendations—2019 update[J]. Obstet Gynecol Surv, 2019,74(7):408-409.
[5]	Swank D J, Hop W J, Jeekel J. Reduction, regrowth, and de novo formation of abdominal adhesions after laparoscopic adhesiolysis: a prospective analysis[J]. Dig Surg, 2004,21(1):66-71.
[6]	郎景和.子宫内膜异位症的基础与临床研究[M].北京:中国协和医科大学出版社,2003:35-50.
[7]	熊秀梅,周应芳.重度盆腹腔粘连及其妇科腹腔镜手术策略[J].中华妇产科杂志,2015,50(5):398-400.
[8]	Possover M, Diebolder H, Plaul K, et al. Laparascopically assisted vaginal resection of rectovaginal endometriosis[J]. Obstet Gynecol, 2000, 96(2):304-307.
[9]	Antosh D D, Grimes C L, Smith A L, et al. A case-control study of risk factors for ileus and bowel obstruction following benign gynecologic surgery[J]. Inter J Gynecol Obstet, 2013,122(2):108-111.
[10]	中华医学会妇产科学分会加速康复外科协作组.妇科手术加速康复的中国专家共识[J].中华妇产科杂志,2019,54(2):73-79.
[11]	张俊吉,冷金花,戴毅,等.临床症状和妇科检查对术前诊断深部浸润型子宫内膜异位症的意义[J].中华妇产科杂志,2014,49(8):599-603.
[12]	Chung Owyang.胃肠动力的细胞基础[J].基础医学与临床,2003(S1):22.
[13]	欧阳守.胃肠起搏原理及其在功能性胃肠病中的应用[J].基础医学与临床,2003(S1):20-22.
[14]	Moore J S, Gibson P R, Burgell R E. Randomised clinical trial: transabdominal interferential electrical stimulation vs sham stimulation in women with functional constipation[J]. Aliment Pharmacol Ther, 2020, 51.
[15]	张慧娟. 经皮穴位电刺激对颅脑损伤患者胃肠动力功能的作用[D].皖南医学院,2020.
[16]	陈朔,姚树坤,李艳梅.结肠电刺激对胃肠动力的影响及相关机制[J].胃肠病学和肝病学杂志,2015,24(9):1043-1046.
[17]	陈军,余跃.胃肠电刺激和胃肠动力紊乱研究进展[J].胃肠病学和肝病学杂志,2010,19(4):382-384.
[18]	郭丽娜,王丽萍,张洁. 仿生物电技术对妇科术后患者康复中胃肠道功能恢复和缓解腹胀的影响[J]. 河北医药,2016,38(14):2209-2211.
[19]	雷瑞霖,龙腾飞,范葵,等. 仿生物电刺激促进妇科腹腔镜术后肠道功能恢复的成本效果分析[J]. 岭南现代临床外科,2019,19(6):751-754.
[20]	蔡文智,张焱,陈玲,等.电刺激联合生物反馈治疗初产妇和经产妇压力性尿失禁的疗效观察[J].中国康复医学杂志,2020,35(2):141-145.
[21]	史红梅,龚林,董玉楠,等.横纹肌联合平滑肌电刺激治疗产后腹直肌分离的疗效研究[J].深圳中西医结合杂志,2021,31(1):16-19.
[22]	刘志文,李国强,朱丽吟,等.脉管平滑肌细胞刺激技术治疗轻中度腕管综合征的疗效观察[J].中国现代药物应用,2018,12(9):53-54.
[23]	余琳,程艳,张娟,等.平滑肌电刺激技术治疗产后42天后会阴疼痛的探索性研究[J]. 临床和实验医学杂志,2020,19(5):546-549.
[24]	孙姣,李善凤,仲启欢,等.产后盆腔肌筋膜疼痛两种综合治疗疗效比较[J].武警医学,2020,31(10):839-842.
[25]	张洁,王影,冯艳霞,等.血管平滑肌电刺激技术治疗外阴上皮内非瘤样病变疗效观察[J].中国实用妇科与产科杂志,2017,33(1):125-128.
[26]	刘静乔,郑燕,王玉静,等.阿司匹林联合盆底平滑肌电刺激对宫腔粘连分离术后患者子宫内膜MVD和VEGF表达的影响及其临床意义[J].吉林大学学报(医学版),2019,45(6):1408-1414.
[27]	苏园园,韩燕华.仿生物电治疗在妇产科手术后尿潴留防治中的应用[J].中国妇产科临床杂志,2021,22(2):203-204.
[28]	王静璇,段爱红,卢丹,等. 仿生物电刺激用于妇科肠粘连松解术后促进肠道功能恢复的有效性研究[J]. 中国医刊,2021,56(1):53-56.