揿针在结肠镜检查肠道准备中的护理干预研究

Nursing Intervention Study of Press-needle Treatment in Preparation of Intestinal Tract for Colonoscopy

目的:探讨揿针联合聚乙二醇电解质散(polyethylene glycol,PEG)口服在结肠镜检查肠道准备中的效果。方法:按照便利抽样法将2018年10月—2019年1月拟进行结肠镜检查的120例住院患者分为观察组60例和对照组60例,分别安排在同一科室的A、B两个病区,观察组采用揿针针刺足三里、上巨虚和内关穴联合PEG口服进行肠道准备;对照组仅采用口服PEG行肠道准备。分别统计两组Boston肠道准备评分(boston bowel preparation scale,BBPS)、排便次数、结肠镜操作时间(由开始进镜到退出肛门的时间)、盲肠插管率和不良反应的发生率。结果:干预后两组BBPS评分、排便次数、结肠镜操作时间、盲肠插管率及服药后腹胀、恶心发生率均有统计学差异(P<0.05),两组患者服药后腹胀、腹痛和低血糖的发生率无显著差异(P>0.05)。结论:揿针联合PEG口服可以提高患者肠道清洁的效果,增加排便次数,缩短结肠镜操作时间,降低口服PEG后腹胀、恶心的发生率。

Objective To explore the effect of press-needle treatment combined with oral administration of PEG in preparation of intestinal tract for colonoscopy.Methods By convenient sampling,120 patients with constipation hospitalized for colonoscopy were divided into the two groups from October 2018 to January 2019,and they were placed in two different wards in the same department.The observation group was provided with press-needle treatment combined with oral administration of PEG in bowel preparation.The control group orally received PEG.The BBPS,defecation frequency,colonoscopy operation time,cecal intubation rate and the incidence of adverse reactions were evaluated in two groups.Results There were significant differences in the intestinal tract cleaness,defecation frequency,colonoscopy operation time,cecal intubation rate and the incidence of abdominal distension and nausea in two groups after the intervention(P<0.05),but the incidence of abdominal pain,vomiting and hypoglycemia have no statistics significance(P>0.05).Conclusion Using press-needle treatment combined with oral administration of PEG for patients with colonoscopy can promote the cleaning effects,increase the frequency of defecation,shorten colonoscopy operation time,and reduce the incidence of abdominal distension and nausea after taking the PEG.