摘要
目的观察子午流注择时穴位按摩在结肠镜检查前肠道准备中的应用效果。方法120例肠镜检查的患者随机分为A、B、C、D 4组,各30例。4组患者均服用复方聚乙二醇电解质散作为肠道清洁剂。A组选择卯时服药,服药前0.5 h进行穴位按摩;B组选择卯时服药,服药前不做穴位按摩;C组选择巳时服药,服药前0.5 h进行穴位按摩;D组选择巳时服药,服药前不做穴位按摩。观察并记录各组患者服药后首次排便时间、最后一次排便时间、排便至液体澄清的如厕次数、灌肠例数、肠镜检查的Boston肠道清洁度评分(BBPS)。结果A组首次排便时间、最后一次排便时间早于B、C、D组,排便至液体澄清的如厕次数低于B、C、D组,差异有统计学意义(P<0.05)。B、C组首次排便时间、最后一次排便时间早于D组,排便至液体澄清的如厕次数低于D组,差异有统计学意义(P<0.05)。4组BBPS评分比较,差异无统计学意义(P>0.05)。A组灌肠例数少于B、C、D组,差异有统计学意义(P<0.05)。结论子午流注择时穴位按摩用于结肠镜检查前肠道准备,能有效缩短肠道准备时间,提高肠道准备质量。
Objective To observe the effect of acupoints massage based on midnight-noon ebb-flow in bowel preparation before colonoscopy.Methods Totally 120 patients who needed a colonoscopy examination were selected as research objects,and they were randomly divided into group A,group B,group C and group D,each group with 30 cases.All of patients were given polyethylene glycol electrolytes powder for bowel preparation.Group A accepted abdominal acupoints massage half an hour before the bowel preparation,which performed at the Mao time-period(5:00-7:00 am).Group B accepted bowel preparation at the Mao time-period(5:00-7:00 am),without abdominal acupoints massage.Group C accepted abdominal acupoints massage half an hour before the bowel preparation,which performed at the Si time-period(9:00-11:00 am).Group D accepted bowel preparation at the Si time-period(9:00-11:00 am),without abdominal acupoints massage.The first defecation time,the last defecation time,the frequency of defecation until clarification,clyster cases and Boston Bowel Preparation Scale(BBPS)were compared among the four groups.Results The first defecation time and the last defecation time of group A were earlier than other groups,the frequency of defecation until clarification were fewer than other groups,the differences were significant(P<0.05).The first defecation time and the last defecation time of group B were earlier than group D,the frequency of defecation until clarification and the clyster cases of group B were fewer than group D,the differences were significant(P<0.05).The first defecation time and the last defecation time of group C were earlier than group D,the frequency of defecation until clarification and the clyster cases of group C were fewer than group D,the differences were significant(P<0.05).Group A got the highest Boston Bowel Preparation Scale score,but the differences of the scores among four groups were not statistically significant(P>0.05).There were fewer patients undergoing clyster in group A than that in other groups,with a signific
作者
赵仙改
萧绮莉
李婷珊
陈慧媛
ZHAO Xiangai;XIAO Qili;LI Tingshan;CHEN Huiyuan(Department of Proctology Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong,528400)
出处
《中西医结合护理（中英文）》
2019年第10期59-62,共4页
Journal of Clinical Nursing in Practice
关键词
子午流注
腹部
穴位按摩
结肠镜
肠道准备
复方聚乙二醇电解质散
中医护理
midnight-noon ebb-flow
acupoints massage
colonoscopy
bowel preparation
polyethylene glycol electrolytes powder
nursing of Traditional Chinese Medicine
