穴位贴敷联合耳穴埋籽在经内镜逆行性胰胆管造影术后患者中的应用

doi:10.3761/j.issn.0254-1769.2022.05.012

摘要/Abstract

摘要：

目的探究穴位贴敷联合择时耳穴埋籽在经内镜逆行性胰胆管造影（endoscopic retrograde cholangiopancrea-tography,ERCP）术后并发热秘患者中的应用效果。方法采用便利抽样法,选取2019年7月—2021年6月苏州市某三级甲等中医院所有符合ERCP术后并发热秘标准的90例患者作为研究对象,采用随机数字表法分为试验组和对照组各45例。试验组在常规护理基础上予穴位贴敷联合择时耳穴埋籽干预,对照组在常规护理基础上予穴位贴敷干预。比较两组干预前后中医证候积分、疗效指数有效率和干预后首次排便时间。结果干预后,试验组、对照组的中医证候积分分别为（2.41±1.23）、（4.17±1.56）分,试验组、对照组的疗效指数总有效率分别为97.44%、41.46%,干预后试验组、对照组的首次排便时间分别为（10.03±3.98）、（22.51±6.36） h,两组比较,差异均具有统计学意义（均P<0.001）。结论穴位贴敷联合择时耳穴埋籽改善ERCP术后并发热秘的效果显著,能降低患者的中医证候积分,提高其疗效指数,缩短术后首次排便时间,且效果优于单独使用穴位贴敷。

关键词: 穴位贴敷, 择时耳穴埋籽, 经内镜逆行性胰胆管造影, 热秘, 中医护理

Abstract:

Objective To explore the application effect of acupoint application therapy combined with seed embedding in ear acupoints at selected time in patients with constipation（Heat syndrome） after endoscopic retrograde cholangiopancreatography（ERCP）. Methods A total of 90 patients with constipation（Heat syndrome） after ERCP in a tertiary A hospital of traditional Chinese medicine in Suzhou from July 2019 to June 2021 were selected as the research subjects by convenience sampling method. They were randomly divided into an experimental group（n=45） and a control group（n=45）.The experimental group was provided acupoint application therapy combined with seed embedding in ear acupoints at selected time intervention on the basis of routine care,and the control group was given acupoint application therapy intervention on the basis of routine care. The TCM syndrome points,efficacy index and first defecation time after intervention were compared between the 2 groups. Results The TCM syndrome points of （2.41±1.23） in the experimental group was lower than that of （4.17±1.56） in the control group （P<0.001）. The efficacy index of （97.44%） in the experimental group was higher than that of （41.46%） in the control group（P<0.05）.The time of first defecation after intervention in the experimental group was（10.03±3.98） h,which was shorter than （22.51±6.36） h in the control group（P<0.001）. Conclusion Compared with single usage of acupoint application therapy,acupoint application therapy combined with seed embedding in ear acupoints at selected time can effectively improve the constipation （Heat syndrome） after ERCP by decreasing the TCM syndrome points,enhancing the efficacy index and shortening the first defecation time.

Key words: Acupoint Application Therapy, Seed Embedding in Ear Acupoints at Selected Time, Endoscopic Retrograde Cholangiopancreatography, Constipation（Heat Syndrome）, Traditional Chinese Medicine Nursing

黄小燕, 蔡岚, 屈花珍, 李晓婷, 朱梦颖, 陆娇娇, 王杰. 穴位贴敷联合耳穴埋籽在经内镜逆行性胰胆管造影术后患者中的应用[J]. 中华护理杂志, 2022, 57(5): 588-593.

HUANG Xiaoyan, CAI Lan, QU Huazhen, LI Xiaoting, ZHU Mengying, LU Jiaojiao, WANG Jie. Application of acupoint application therapy combined with seed embedding in ear acupoints at selected time in patients with constipation after endoscopic retrograde cholangiopancreatography[J]. Chinese Journal of Nursing, 2022, 57(5): 588-593.

图/表 4

表1 便秘主要症状评分标准

Table 1 The scoring criteria for the major symptoms of constipation

表2 两组一般资料比较

Table 2 Comparison of general data in the two groups

表3 两组疗效指数比较[例（百分比,%）]

Table 3 Efficacy index of both groups[cases（percentage,%）]

表4 两组患者干预后首次排便时间比较

Table 4 Comparison of first defecation time after intervention between the two patient groups

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