摘要
目的:观察基于子午流注理论择时行耳穴贴压对急性阑尾炎患者术后肠功能的影响。方法:选取急性阑尾炎患者114例作为研究对象,根据不同护理治疗方法将其分为A组(择时耳穴贴压)、B组(常规耳穴贴压)、C组(常规护理),每组38例。3组患者均经过手术治疗,C组采用常规护理进行干预,B组在C组基础上采用耳穴贴压法治疗,A组在上述两组基础上采用子午流注择时耳穴贴压法进行治疗。观察3组患者治疗后肠鸣音恢复时间、首次排气时间、首次排便时间、恢复半流质时间、住院时间,采用NRS数字评分法对两组患者术后不同时间的疼痛评分进行评定,并观察两组腹胀情况,记录并发症发生率。结果:经治疗,A组患者肠鸣音恢复时间、首次排气时间、首次排便时间、恢复半流质时间、住院时间显著短于B组、C组,差异均有统计学意义(P<0.05)。治疗后A组患者腹胀发生率为26.32%,显著低于B组的42.11%、C组的65.79%,差异均有统计学意义(P<0.05);且腹胀程度比较,A组患者轻度腹胀7例、中度腹胀3例、无重度腹胀,明显少于B、C两组,差异有统计学意义(P<0.05)。3组患者NRS疼痛评分术后6 h比较,差异无统计学意义(P>0.05);A组患者12、24、48 h疼痛评分显著低于B组、C组,差异均有统计学意义(P<0.05)。治疗期间A组、B组患者并发症总发生率低于C组,差异有统计学意义(P<0.05);而A组与B组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:基于子午流注理论择时耳穴贴压能促进急性阑尾炎患者术后肠功能恢复,并减少并发症发生。
Objective:To observe the effect of auricular acupressure at selected time on intestinal function in patients with acute appendicitis after operation based on meal flow theory.Methods:A total of 114 patients with acute appendicitis were enrolled.According to different nursing treatment methods,they were divided into group A,B and C,38 patients in each group.All the patients were treated with surgery.Group C was treated with conventional care.Group B was treated with general auricular acupressure on the basis of group C.Group A was treated with auricular acupressure at selected time based on meal flow theory besides the above two groups.The recovery time of bowel sounds,the first exhaust time,the first defecation time,the recovery of semi-liquid time,and the hospitalization time were observed in the three groups.The pain scores of the two groups were evaluated by NRS digital scoring method.The incidence of complications was recorded in the two groups.Results:After treatment,the recovery time of bowel sounds,first exhaust time,first defecation time,recovery of semi-liquid time,and hospitalization time of group A were significantly shorter than those in group B and C(P<0.05).After treatment,the incidence of abdominal distension in group A was 26.32%,significantly lower than 42.11%in group B and 65.79%in group C,the difference was statistically significant(P<0.05).There were 7 cases of mild abdominal distention,3 cases of moderate abdominal distention and no severe abdominal distention in group A,and the degree of abdominal distention in group A was significantly lower than that in group B and C(P<0.05).There was no significant difference in NRS pain score between the three groups at 6 hours after operation(P>0.05),and the pain score of group A at 12,24 and 48 hours was significantly lower than that of group B and group C(P<0.05).During the treatment,the total incidence of complications in group A and group B was lower than that in group C(P<0.05),but there was no significant difference between group A and group B(P>0.05).Conclusion:Auricular acupressure at selected time based on meal flow theory can promote the recovery of intestinal function in patients with acute appendicitis,make patients recover quickly and reduce complications.
作者
刘佳
李香娥
顾国英
顾志贞
施银仙
LIU Jia;LI Xiang-e;GU Guo-ying;GU Zhi-zhen;SHI Yin-xian(Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou Jiangsu 215101,China)
出处
《中医药导报》
2020年第8期35-38,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
苏州市中西医结合医院资助项目(YJ2018009),项目名称:择时耳穴贴压对急性阑尾炎术后肠功能恢复效果研究。
关键词
子午流注理论
择时
耳穴贴压
急性阑尾炎
肠功能
meridian flow theory
selected time
auricular acupressure
acute appendicitis
intestinal function
