耳穴压豆联合穴位贴敷在腹腔镜胆囊切除术后胃肠功能恢复中的应用
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Application of Auricular Point Pressing with Beans Combined with Point Application on Gastrointestinal Function Recovery After Laparoscopic Cholecystectomy
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    摘要:

    目的:观察耳穴压豆联合穴位贴敷在腹腔镜胆囊切除术后胃肠功能恢复中的应用。方法:选取 95 例行腹腔镜胆囊切除术治疗的患者,按随机数字表法分为对照组 47 例和观察组 48 例。比较 2 组患者干预前后肠胃功能障碍评分、肠胃功能恢复情况、腹胀和排便指标评分以及生活质量变化情况。结果:干预后,观察组胃肠功能障碍评分、肛门排气时间、肠鸣音恢复时间、排尿时间和排便时间均低于对照组,差异均有统计学意义(P<0.05)。干预前,2 组腹胀、排便速度、排便困难和粪便形态评分比较,差异均无统计学意义(P>0.05)。干预后,2 组腹胀、排便速度、排便困难和粪便形态评分较干预前降低,且观察组各项评分均低于对照组,差异均有统计学意义 (P<0.05)。干预前,2 组社会和心理不适、躯体不适、满意度、焦虑和担心评分比较,差异均无统计学意义(P>0.05)。干预后,2 组社会和心理不适、躯体不适、满意度、焦虑和担心评分较干预前降低,且观察组各项评分均低于对照组,差异均有统计学意义(P<0.05)。结论:耳穴压豆联合穴位贴敷能够有效降低腹腔镜胆囊切除术患者的胃肠功能障碍评分,促进胃肠功能恢复,改善腹胀和排便指标,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the application of auricular point pressing with beans combined with point application on gastrointestinal function recovery after laparoscopic cholecystectomy. Methods:A total of 95 cases of patients undergoing laparoscopic cholecystectomy were divided into the control group and the observation group according to the random number table method, 47 and 48 cases in each group respectively. Before and after intervention, the changes in scores of gastrointestinal dysfunction,gastrointestinal function recovery,scores of abdominal distension and defecation indexes and quality of life in the two groups were compared. Results:After intervention,the scores of gastrointestinal dysfunction,the anal exhaust time,the recovery time of bowel sounds,the urination time and the defecation time in the observation group were lower than those in the control group, differences being significant(P<0.05). Before intervention, there was no significant difference being found in the comparison of the scores of abdominal distension,speed of defecation,difficult defecation and shape of feces between the two groups(P>0.05). After intervention,the scores of abdominal distension, speed of defecation,difficult defecation and shape of feces in the two groups were decreased when compared with those before intervention,and the above scores in the observation group were lower than those in the control group,differences being significant(P<0.05). Before intervention, there was no significant difference being found in the comparison of the scores of social,psychological and body discomforts,satisfaction degree,as well as anxiety and concern between the two groups(P>0.05). After intervention,the scores of social,psychological and body discomforts,satisfaction degree,as well as anxiety and concern in the two groups were decreased when compared with those before intervention,and the above scores in the observation group were lower than those in the control group, differences being significant(P<0.05). Conclusion: Auricular point pressing with beans combined with point application can effectively reduce the scores of gastrointestinal dysfunction,promote the gastrointestinal function recovery,and improve the levels of abdominal distension and defecation indexes and quality of life.

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陈莹,章淑菁,祝苏青.耳穴压豆联合穴位贴敷在腹腔镜胆囊切除术后胃肠功能恢复中的应用[J].新中医,2021,53(4):182-185

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  • 在线发布日期: 2021-02-27
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