摘要
目的 探究耳穴贴压联合穴位艾灸对结直肠癌患者术后腹胀的影响。方法 查阅2019年1月至2021年10月在北京朝阳中西医结合急诊抢救中心行结直肠癌手术患者的病历资料,对纳入的120例患者进行回顾性分析,将其按护理方法的不同分为观察组和对照组,各60例。对照组接受常规护理及耳穴贴压,观察组加用穴位艾灸,比较2组患者的护理效果。结果 对照组的腹围和腹胀评分均在术后1 d达到峰值,随后降低,且术前1 d、术后1 d、3 d及7 d各时间点两两比较均有统计学差异(P均<0.05);观察组的腹围和腹胀评分均在术后1 d达到峰值,随后降低,且除术后7 d与术前1 d相比无统计学差异(P>0.05)外,其余各时间点两两比较均有统计学差异(P均<0.05);术后3 d及7 d,观察组的腹围和腹胀评分均优于同期对照组(P均<0.05)。术后1 d、3 d、7 d,2组的视觉模拟评分法(VAS)评分均高于术前1 d,于术后1 d达到最高,随后降低,且组内各时间点两两比较均有统计学差异(P均<0.05);观察组在术后3 d、7 d的VAS评分均低于同期对照组(P均<0.05)。观察组的肠鸣音恢复时间及首次排气、排便、进食时间均早于对照组,术后胃肠道反应发生率低于对照组(P均<0.05)。结论 耳穴贴压联合穴位艾灸可缓解结直肠癌患者术后腹胀和疼痛,促进其胃肠道功能的恢复。
Objective To explore the effect of auricular plaster therapy combined with acupoint moxibustion on the postoperative abdominal distension in patients with colorectal cancer.Methods The medical records of patients undergoing colorectal cancer surgery in Beijing Chaoyang Integrative Medicine Emergency Medical Center from January 2019 to October 2021 were reviewed.The 120 patients included were retrospectively analyzed and divided into observation and control groups according to different nursing methods,each with 60 cases.The control group received conventional nursing and auricular plaster therapy,and the observation group additionally received acupoint moxibustion.The nursing effect of the two groups was compared.Results The abdominal circumference and abdominal distension scores of the control group reached the peak at 1 day after operation and then decreased.There were significant differences between each time point at 1 day before operation and 1,3,and 7 days after operation(all P<0.05).The abdominal circumference and abdominal distension scores of the observation group reached the peak at 1 day after operation and then decreased.Except that there was no significant difference between 7 days after operation and 1 day before operation(P>0.05),there were significant differences between other time points(all P<0.05).At 3 and 7 days after operation,the abdominal circumference and abdominal distension scores of the observation group were better than those of the control group(all P<0.05).At 1,3,and 7 days after operation,the visual analogue scale(VAS)scores of the two groups were higher than those at 1 day before operation.The VAS scores of the two groups reached the peak at 1 day after operation and then decreased.There were significant differences between each time point(all P<0.05).The VAS scores of the observation group at 3 and 7 days after operation were lower than those of the control group(both P<0.05).The recovery time of bowel sounds and the time of first exhaust,defecation,and eating in the observation g
作者
宁翠霞
刘宏丽
NING Cuixia;LIU Hongli(Department of Nursing,Beijing Chaoyang Integrative Medicine Emergency Medical Center,Beijing,100025,China;Department of Oncology,Beijing Chaoyang Integrative Medicine Emergency Medical Center,Beijing,100025,China)
出处
《中西医结合护理（中英文）》
2022年第2期53-56,共4页
Journal of Clinical Nursing in Practice
关键词
结直肠癌
耳穴贴压
穴位艾灸
腹胀
colorectal cancer
auricular plaster therapy
acupoint moxibustion
abdominal distension
