Preventive Effect of Navel Needle on Postoperative Gastrointestinal Dysfunction in Patients Undergoing Unilateral Inguinal Hernia Repair and Its Impact on 5-Hydroxytryptamine
ZHAO Qingpan
CHENG Zhifang
YAN Liangting
ZHANG Xiuzhi
WANG Xuan
Abstract：Objective To explore the preventive effect of navel needle on postoperative gastrointestinal dysfunction(PGID)among patients who had undergone unilateral inguinal hernia repair and exploring its mechanism.Methods A total of 80 patients who had unilateral inguinal hernia repair surgery at the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January to December 2022 were chosen.By using the random number table method,they were separated into a navel needle group consisting of 40 cases and a control group also with 40 cases.Two groups were given surgical treatment for inguinal hernia repair.After anesthesia recovery and extubation,the navel needle group completed 30 minutes of umbilical needle intervention every morning from 7:00-11:00 for 1-3 days after surgery,while the control group did not receive any treatment.The time of first postoperative exhaust,first bowel movement,recovery time of bowel sounds,incidence of nausea,vomiting,abdominal distension,and incidence of wound pain between two groups were compared.The levels of serum 5-hydroxytryptamine 3(5-HT3),5-HT4,and 5-HT7 receptors of two groups at entry,after tracheal intubation,24 hours after surgery,and 72 hours after surgery were detected.Results The time of first postoperative exhaust,first defecation,recovery time of bowel sounds in the navel needle group were shorter than those in the control group,and the incidence of nausea,vomiting,abdominal distension and wound pain were lower than those of the control group(P＜0.05).There was no statistically difference in the levels of 5-HT4 and 5-HT7 receptors between the two groups after extubation(P＞0.05),and the difference in 5-HT3 receptor levels was statistically significant(P＜0.05).The levels of 5-HT3,5-HT4 and 5-HT7 receptors in the control group were lower than those in the navel needle group 24 hours after surgery(P＜0.05).After extubation,the levels of 5-HT3,5-HT4 and 5-HT7 in both groups were lower than when entering the room(P＜0.05).The levels of 5-HT3,5-HT4 and 5-HT7 in the navel needle group were higher than those during extubation 24 hours after surgery(P＜0.05).Conclusion Navel needle may reduce PGID symptoms in patients with unilateral inguinal hernia repair by promoting the recovery of 5-HT3,5-HT4,and 5-HT7 receptor levels.
Keywords：navel needlerepair of unilateral inguinal herniapostoperative gastrointestinal dysfunction5-hydroxytryptamine receptor
Publication Date：2024-10-31
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 3658-3661 )