耳穴压豆预防脑卒中急性期便秘的护理

Nursing care of cerebral apoplexy patients accepting ear acupoint bean pressing to prevent complicating with constipation in acute phase

[目的]探讨耳穴压豆对脑卒中急性期便秘的预防作用。[方法]将120例急性期脑卒中病人随机分为实验组和对照组,对照组实施常规治疗护理,实验组在常规治疗护理的同时予耳穴压豆,每日按压3次～5次,每次3min～5min;施压后耳郭有酸麻、胀、痛、灼热感;3d换1次,两耳交替,连续治疗12d,记录病人每天排便情况。根据罗马标准判断有无便秘,对两组病人便秘发生率进行比较。[结果]实验组和对照组便秘发生率比较差异有统计学意义(P<0.01)。[结论]耳穴压豆有很好地预防便秘作用。

Objective. To probe into the prevention effect of ear acupoint bean pressing for cerebral apoplexy patients from complicating with constipation in acute phase. Methods. A total of 120 cerebral apoplexy patients in acute phase were randomly divided into test and control group. Routine treatment and nursing care were carried out for control group patients. Besides the routine treatment, patients of test group were given ear acupoint bean pressing, 3~ 5 times daily, and 3~5 minutes per time until patients felt sore and callous, dis- tending, pain and scorching in ears. Both ears were pressed in turn for three days, and totally lasting for 12 days. Then defaecation of patients were recor- ded every day. Patients were with constipation or not judged according to the Rome III standard. The incidences of constipation of the two group patients were compared. Results： There was statistical significant difference in occur- rence of constipation between the two groups （P〈0. 01）. Conclusion. Ear acupoint bean pressing can prevent constipation for cerebral apoplexy patients effectively.