穴位按摩联合耳穴埋籽对骨科术后患者呕吐的预防效果研究

Study on the Preventive Effect of Acupoint Massage Combined with Ear Acupoint Embedding on Vomiting in Patients after Orthopaedic Surgery

目的探讨骨科术后患者采用穴位按摩联合耳穴埋籽预防呕吐的效果.方法选择该院2020年1—3月收治的骨科手术患者60例为研究对象,按照随机数表法将其分为两组.对照组(n=30)采用常规术后管理,试验组(n=30)在对照组基础上采用穴位按摩联合耳穴埋籽干预.对比两组的术后呕吐发生率及严重程度,并比较两组干预前后的中医症候积分、胃动力指标.结果试验组的术后呕吐发生率为6.67%,低于对照组的33.33%,术后呕吐严重程度轻于对照组,组间差异有统计学意义(P<0.05).干预前,两组的恶心、呕吐、食欲减退积分比较,差异无统计学意义(P>0.05);干预后,试验组的恶心、呕吐、食欲减退积分分别为(0.74±0.20)分、(0.60±0.18)分、(0.54±0.21)分,均低于对照组的(1.05±0.25)分、(0.84±0.23)分、(0.91±0.25)分,组间差异有统计学意义(P<0.05).干预前,两组的胃排空时间、肠蠕动频率比较,差异无统计学意义(P>0.05);干预后,试验组的胃排空时间为(36.32±5.61)min,短于对照组的(41.20±6.08)min,肠蠕动频率为(2.36±0.52)次/min,高于对照组的(1.96±0.54)次/min,组间差异有统计学意义(P<0.05).结论对骨科手术患者术后采用穴位按摩联合耳穴埋籽干预能够有效降低术后呕吐的发生风险,改善患者的术后症状,促进患者胃动力的恢复,对加快患者的术后康复进程有一定意义,值得推广.

Objective To explore the effect of acupoint massage combined with ear acupoint embedding to prevent vomiting in patients after orthopedic surgery.Methods 60 orthopedic surgery patients admitted to the hospital from January to March 2020 were selected as the research objects,and they were divided into two groups according to the random number table method.The control group(n=30)adopted routine postoperative management,the experimental group(n=30)adopted acupoint massage combined with ear acupoint embedding intervention on the basis of the control group.The incidence and severity of postoperative vomiting were compared between the two groups,and the traditional chinese medicine syndrome scores and gastric motility indexes of the two groups before and after intervention were compared.Results The incidence of postoperative vomiting in the experimental group was 6.67%,which was lower than 33.33%in the control group,the severity of postoperative vomiting was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no significant difference in the scores of nausea,vomiting,and loss of appetite between the two groups(P>0.05);after the intervention,the scores of nausea,vomiting,and loss of appetite in the experimental group were(0.74±0.20)points,(0.60±0.18)points,and(0.54±0.21)points,respectively,which were all lower than those of the control group(1.05±0.25)points,(0.84±0.23)points,(0.91±0.25)points,the differences between the groups were statistically significant(P<0.05).Before the intervention,there was no significant difference in the gastric emptying time and the frequency of bowel movement between the two groups(P>0.05);after the intervention,the gastric emptying time of the experimental group was(36.32±5.61)min,which was shorter than that of the control group(41.20±6.08)min,the frequency of bowel movement was(2.36±0.52)times/min,which was higher than that of the control group(1.96±0.54)times/min,the differences between the groups were statistically significant(P<0.05).Conclusion The use of acupoint massage combined with ear acupoint embedded intervention for orthopedic surgery patients can effectively reduce the risk of postoperative vomiting,improve the postoperative symptoms of the patient,and promote the recovery of the patient’s gastric motility,which has a certain significance in accelerating the postoperative recovery process of the patient.It is worth promoting.