针灸联合穴位贴敷在重症监护室患者胃肠功能障碍中的护理研究
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R248.1

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Nursing Research of Acupuncture and Moxibustion Combined with Point Application for Patients with Gastrointestinal Dysfunction in Intensive Care Unit
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    摘要:

    目的:观察针灸联合穴位贴敷在重症监护室患者胃肠功能障碍中的应用及护理效果。方法:将重症监护室合并胃肠功能障碍的患者65 例,按随机数字表法将其分成2 组,对照组32 例予以常规西医进行治疗,观察组33 例在对照组的基础上予以针灸联合穴位贴敷进行治疗。对比2 组患者干预前后腹内压、肠鸣音、腹围、急性生理慢性健康状况评分系统Ⅱ(APACHE Ⅱ)、胃肠功能障碍评分和肠内营养耐受情况。结果:2 组干预前腹内压、肠鸣音比较,差异无统计学意义(P>0.05)。2 组均较前改善,观察组干预后腹内压、肠鸣音优于对照组,差异有统计学意义(P<0.05)。2 组干预前腹围、APACHE Ⅱ比较,差异无统计学意义(P>0.05)。2 组均较前改善,观察组干预后腹围、APACHE Ⅱ评分明显优于对照组,差异有统计学意义(P<0.05)。2 组干预前胃肠功能障碍评分、肠内营养耐受情况比较,差异无统计学意义(P>0.05)。观察组干预后胃肠功能障碍评分、肠内营养耐受情况明显优于对照组,差异有统计学意义(P<0.05)。结论:针灸联合穴位贴敷可以有效缓解重症监护室患者胃肠功能障碍的腹内压过高症状,改善患者肠鸣音、APACHE Ⅱ评分、胃肠功能障碍评分和肠内营养耐受情况。

    Abstract:

    Abstract:Objective:To observe the application and nursing effect of acupuncture and moxibustion combined with point application for patients with gastrointestinal dysfunction in intensive care unit. Methods:A total of 65 cases of patients with gastrointestinal dysfunction in intensive care unit were divided into the control group and the observation group according to the random number table method,32 and 33 cases in each group respectively. The control group was treated with routine western medicine,and the observation group was additionally given acupuncture and moxibustion combined with point application based on the treatment of the control group. Before and after treatment , the intra- abdominal pressures, bowel sounds, abdominal circumference, scores of Acute Physiology and Chronic Health Evaluation(APACHE Ⅱ) and gastrointestinal dysfunction as well as enteral nutrition tolerance in the two groups were compared. Results:Before treatment,there was no significant difference being found in the comparison of intra-abdominal pressures and bowel sounds between the two groups(P>0.05). After treatment,the intra-abdominal pressures and bowel sounds in the two groups were improved when compared with those before treatment,and the above two indexes in the observation group were better than those in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of abdominal circumferences and APACHE Ⅱ scores between the two groups(P>0.05). After treatment, the abdominal circumferences and APACHE Ⅱ scores in the two groups were improved when compared with those before treatment,and the above indexes in the observation group were significantly better than those in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of gastrointestinal dysfunction scores and enteral nutrition tolerance between the two groups(P>0.05). After treatment, the gastrointestinal dysfunction score and enteral nutrition tolerance in the observation group were significantly better than those in the control group,the difference being significant(P<0.05). Conclusion:Acupuncture and moxibustion combined with point application can effectively relieve the symptoms of intra- abdominal hypertension in patients with gastrointestinal dysfunction in intensive care unit, and improve bowel sounds, scores of APACHE Ⅱ and gastrointestinal dysfunction as well as enteral nutrition tolerance.

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韩丹萍,陆雯,徐锦.针灸联合穴位贴敷在重症监护室患者胃肠功能障碍中的护理研究[J].新中医,2020,52(17):143-146

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  • 在线发布日期: 2020-09-06
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