穴位按摩联合耳穴埋籽对阑尾炎术后患者胃肠功能恢复的影响

The effect of acupoint massage combined with auricular seed-embedding on the recovery of gastrointestinal function in patients after appendicitis

目的探讨穴位按摩联合耳穴埋籽对阑尾炎术后患者胃肠功能恢复的影响.方法选取2016年4月~2017年4月该院急性阑尾炎手术患者70例作为研究对象.随机抽签分为观察组和对照组,各35例.对照组给予常规术后处理,观察组患者术后在常规护理基础之上给予穴位按摩联合耳穴埋籽干预.记录两组患者术后胃肠功能恢复情况、并发症发生率及其临床疗效.结果观察组术后肠鸣音恢复时间、肛门首次排气时间、引流管拔除时间及住院时间均显著少于对照组,差异有统计学意义(均P<0.05).两组术后并发症总发生率和严重程度比较,差异均无统计学意义(均P>0.05).观察组治疗总体疗效显著优于对照组,差异有统计学意义(P<0.05).结论穴位按摩联合耳穴埋籽用于急性阑尾切除术后有助于促进术后胃肠功能的恢复.

Objective To study the effect of acupoint massage combined with auricular seed-embedding on the recovery of gastrointestinal function in patients after appendicitis. Methods A total of 70 patients with acute appendicitis in this hospital from April 2016 to April 2017 were selected as research objects. The patients were randomly divided into observation group and control group, 35 cases of each group. The control group received routine postoperative treatment, while the observation group received acupuncture point massage combined with ear acupuncture point seed burying intervention on the basis of routine nursing. Gastrointestinal function recovery, complication rate and clinical efficacy were recorded in the two groups. Results The recovery time of postoperative bowel sound, the time of first anal exhaust, the time of drainage tube removal and the time of hospitalization in the observation group were significantly less than those in the control group, and the differences were statistically significant ( P<0. 05). The total incidence and severity of postoperative complications were compared between the two groups, and the differences had no statistical significance ( P>0. 05). The overall therapeutic effect of observation group was significantly better than that of control group, and the difference was statistically significant ( P<0. 05). Conclusion After acute appendectomy, acupoint massage combined with ear point implantation is helpful to promote the recovery of gastrointestinal function.