穴位贴敷预防重症医学科患者并发胃肠功能障碍的价值探究

Study on the value of acupoint application in preventing gastrointestinal dysfunction in intensive care unit patients

目的分析穴位贴敷预防重症医学科患者并发胃肠功能障碍的价值。方法68例重症医学科患者,在随机数字表下分为对照组及观察组,每组34例。对照组采用常规西医干预,观察组基于常规西医干预增加穴位贴敷治疗。对比两组患者的疗效,治疗前后的胃肠功能相关指标、胃肠功能障碍评分及急性生理学与慢性健康状况评分Ⅱ(APACHEⅡ)评分。结果观察组的治疗总有效率为94.12%,与对照组的73.53%相比较高(P<0.05)。治疗后,观察组患者的肠鸣音(4.43±0.45)次/min多于对照组的(3.12±0.37)次/min,腹围(79.85±8.20)cm小于对照组的(84.33±9.26)cm,腹内压(8.85±1.10)mm Hg(1 mm Hg=0.133 kPa)低于对照组的(10.68±1.56)mm Hg,胃潴留量(51.23±12.57)ml少于对照组的(67.42±12.33)ml(P<0.05)。治疗后,观察组患者的胃肠功能障碍评分(1.12±0.28)分、APACHEⅡ评分(11.03±1.45)分较对照组的(1.40±0.49)、(13.61±1.62)分更低(P<0.05)。结论将穴位贴敷用于重症医学科患者预防并发胃肠功能障碍中可发挥积极效果,可改善患者胃肠功能相关指标,提升其机体健康水平。

Objective To analyze the value of acupoint application in preventing gastrointestinal dysfunction in intensive care unit patients.Methods A total of 68 cases of intensive care unit patients were divided into a control group and an observation group according to the random numerical table,with 34 cases in each group.The control group was treated with conventional Western medicine intervention,and the observation group was treated with acupoint application based on conventional Western medicine intervention.Both groups were compared in terms of therapeutic effects,and gastrointestinal function related indicators,gastrointestinal dysfunction score and acute physiology and chronic health evaluationⅡ(APACHEⅡ)score before and after treatment.Results The total effective rate of the observation group was 94.12%,which was higher than that of 73.53%of the control group(P<0.05).After treatment,intestinal sound of(4.43±0.45)times/min in the observation group was more than that of(3.12±0.37)times/min in the control group;the abdominal circumference of(79.85±8.20)cm in the observation group was lower than that of(84.33±9.26)cm in the control group;the intra-abdominal pressure of(8.85±1.10)mm Hg(1 mm Hg=0.133 kPa)in the observation group was lower than that of(10.68±1.56)mm Hg in the control group;the amount of gastric retention of(51.23±12.57)ml in the observation group was lower than that of(67.42±12.33)ml in the control group(P<0.05).After treatment,the gastrointestinal dysfunction score of(1.12±0.28)points and APACHEⅡscore of(11.03±1.45)points in the observation group were lower than those of(1.40±0.49)and(13.61±1.62)points in the control group(P<0.05).Conclusion The application of acupoint application in the prevention of gastrointestinal dysfunction in intensive care unit patients can play a positive effect,improve the gastrointestinal function related indicators and enhance the health level of patients.