中药穴位贴敷联合耳穴贴压对急性化脓性阑尾炎术后胃肠功能的影响

EFFECT OF TRADITIONAL CHINESE MEDICINE POINT APPLICATION COMBINED WITH AURICULAR POINT APPLICATION ON GASTROINTESTINAL FUNCTION AFTER ACUTE SUPPURATIVE APPENDICITIS

目的探讨中药穴位贴敷联合耳穴贴压对急性化脓性阑尾炎术后患者胃肠功能的影响。方法选取我院2017年11月~2019年12月急诊行阑尾切除术后的80例患者,通过随机数字表法分为两组,各40例。对照组采取术后常规护理干预,治疗组在对照组术后常规护理干预基础上采取中药穴位贴敷及耳穴贴压。观察两组患者术后肠鸣音恢复时间、肛门首次排气时间和排便时间。结果治疗组术后肠鸣音恢复时间、肛门首次排气排便时间均短于对照组,差异明显(P<0.05);治疗组术后12、24、48 h腹胀发生率均低于对照组,差异有统计学意义(P<0.05)。结论联合采取中药穴位贴敷及耳穴贴压治疗能有效促进急性化脓性阑尾炎术后患者胃肠功能的恢复,减少并发症的发生,加快康复进程,具有一定的临床价值。

Objective:To explore the effect of traditional Chinese medicine point application combined with auricular point application on gastrointestinal function of patients with acute suppurative appendicitis after operation.Methods:80 patients who underwent appendectomy in our hospital from November 2017 to December 2019 were randomly selected and divided into two groups(40 patients per group).The control group were treated with postoperative routine nursing intervention,and the treatment group treated with traditional Chinese medicine acupoint sticking and auricular sticking on the basis of postoperative routine nursing intervention in the control group.Postoperative bowel sound recovery time,first anal exhaust time and defecation time were observed.Results:The recovery time of bowel sound and the time of first anal defecation in the treatment group were shorter than those in the control group(P<0.05);Treatment group after 12 h,24 h,48 h,the abdominal distension rates in treatment group are significantly lower than those in the control group(P<0.05).Conclusion:The combination of traditional Chinese medicine acupoint application and auricular acupoint application can effectively promote the recovery of gastrointestinal function,reduce the occurrence of complications,and speed up the rehabilitation process of patients with acute suppurative appendicitis,which has certain clinical value.