耳穴压豆法治疗大肠息肉电切术后腹胀症状的临床效果

Clinical effect of ear-point pressing of bean method in treating abdominal distension after colorectal polyp resection

目的探讨耳穴压豆治疗大肠息肉电切术后腹胀症状的效果。方法选取2020年1月~2020年10月在九江市中医医院进行电切手术治疗后腹胀的80例大肠息肉患者作为研究对象,按随机数字表法将其分为对照组与观察组,每组各40例。对照组患者进行腹部按摩,观察组患者在对照组的基础上采用耳穴压豆法。比较两组患者的胃肠功能恢复时间、术后不同时间的腹胀程度以及生活质量评分。结果观察组患者的肠鸣音恢复时间、首次排便时间以及肛门排气时间短于对照组,差异有统计学意义(P<0.05)。两组患者术后6 h的腹胀程度评分高于术后1 h,差异有统计学意义(P<0.05);观察组患者术后1、6 h的腹胀程度评分低于对照组,差异有统计学意义(P<0.05)。观察组患者的生理功能、心理健康、人际关系以及精神状态评分高于对照组,差异有统计学意义(P<0.05)。结论对大肠息肉电切术后腹胀的患者实施耳穴压豆法,可帮助患者改善腹胀的状况,加快术后排气、排便以及肠鸣音的恢复时间,促进胃功能恢复,同时还能在一定程度上改善患者的生活质量,值得在临床中推广应用。

Objective To study the effect of ear-point pressing of bean in the treatment of abdominal distension after resection of colorectal polyps.Methods From January 2020 to October 2020,80 patients with colorectal polyps who had abdominal distension after undergoing electrical resection surgery in Jiujiang Traditional Chinese Medicine Hospital were selected as the research objects.According to the random number table method,they were divided into the control group and the observation group,with 40 cases in each group.The control group received abdominal massage,and the observation group received ear-point pressing of bean on the basis of the control group.The recovery time of gastrointestinal function,the degree of abdominal distension at different postoperative time and the quality of life scores were compared between the two groups.Results The bowel sound recovery time,first defecation time and anal exhaust time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The abdominal distension score 6 h after surgery in two groups were higher than 1 h after surgery,and the differences were statistically significant(P<0.05).The abdominal distension score of observation group at 1 and 6 h after surgery were lower than those of control group,and the differences were statistically significant(P<0.05).The scores of physiological function,mental health,interpersonal relationship and mental state in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The method of ear-point pressing of bean for patients with abdominal distension after colorectal polyp resection can help patients improve their abdominal distension,speed up the recovery time of postoperative gas,defecation,and bowel sounds,and promote the recovery of gastric function.To improve the quality of life of patients to a certain extent,it is worthy of clinical application.