| 摘要 |
［Objectives］To investigate the effects of Visceral Manipulation combined with Enhanced Recovery after Surgery on postoperative recovery in patients undergoing gastrointestinal surgery, and to evaluate its impacts on inflammatory stress response, gastrointestinal motility recovery, and blood oxygen levels. [Methods] A prospective randomized controlled design was adopted. Eighty patients undergoing gastrointestinal surgery from January 2022 to December 2023 were selected and randomly divided into an observation group (40 cases) and a control group (40 cases). The observation group received Visceral Manipulation therapy in addition to routine Enhanced Recovery after Surgery care, while the control group received only routine Enhanced Recovery after Surgery care. Clinical indicators, inflammatory factors (TNF-α, IL-6, hs-CRP), traumatic stress hormones (cortisol, epinephrine, norepinephrine), gastrointestinal motility indicators (GAS, MTL, GIP), and blood oxygen levels were measured and compared between the two groups on postoperative days 1, 5, and 10. [Results] The observation group showed significantly better outcomes in postoperative abdominal distension, time to first flatus and defecation, and hospital stay compared to the control group (P<0.05). Inflammatory factors (TNF-α, IL-6, hs-CRP), traumatic stress hormones (cortisol, epinephrine, norepinephrine), and gastrointestinal motility indicators (GAS, MTL, GIP) were significantly improved in the observation group (P<0.05). Postoperative blood oxygen levels were also significantly higher in the observation group (P<0.05). [Conclusions] Visceral Manipulation combined with Enhanced Recovery after Surgery can significantly improve postoperative recovery in gastrointestinal surgery patients, alleviate inflammatory stress responses, promote gastrointestinal functional recovery, and enhance blood oxygen levels, demonstrating promising clinical application prospects. |
