葫芦灸在卒中恢复期胃肠道功能障碍与尿失禁患者中的应用

Application of gourd moxibustion in patients with gastrointestinal dysfunction and urinary incontinence during stroke recovery period

目的探讨葫芦灸在卒中恢复期胃肠道功能障碍与尿失禁患者护理中的应用效果,为改善卒中患者胃肠功能及尿失禁程度提供新思路,提高卒中患者生活质量。方法选择2021年1月—2023年1月医院收治的150例卒中恢复期胃肠道功能障碍与尿失禁患者作为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组75例。对照组实施常规护理干预,观察组在常规护理干预的基础上添加葫芦灸干预,每天1次,每次30 min。两组持续干预2周,对比两组患者干预前、干预2周后的胃肠道耐受情况、胃肠道功能评分、胃肠屏障功能、日排尿频率、尿失禁程度。结果葫芦灸护理干预后,观察组患者胃肠道功能障碍评分量表(GIDF)中临床表现、肠鸣音、黏膜病变、肠吸收面积、细菌移位的评分均低于对照组,差异具有统计学意义(P<0.05);观察组患者的胃肠道功能评分以及D-乳酸、二胺氧化酶(DAO)水平均低于对照组,差异具有统计学意义(P<0.05);观察组患者的日排尿频率等级及尿失禁等级均优于对照组,差异具有统计学意义(P<0.05)。结论葫芦灸在卒中恢复期胃肠道功能障碍与尿失禁患者干预中具有良好效果,不仅能促进胃肠道蠕动,改善机体的胃肠道耐受情况,提高胃肠功能及屏障功能,还能帮助患者调节尿道括约肌的功能,恢复正常的排尿频率,减轻其尿失禁程度,具有无创伤、简易操作、安全性高、易于接受的优点,发挥中医“简、便、廉”特点。

Objective To explore the application effect of gourd moxibustion in the care of patients with gastrointestinal dysfunction and urinary incontinence during the recovery period of stroke,to provide new ideas for improving gastrointestinal function and urinary incontinence in stroke patients,and to improve the quality of life of stroke patients.Methods A total of 150 patients with gastrointestinal dysfunction and urinary incontinence admitted to the hospital from January 2021 to January 2023 were selected as research subjects and divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 75 cases in each group.The control group received routine nursing intervention,and the observation group added gourd moxibustion intervention on the basis of routine nursing intervention,once a day for 30 minutes each time.The two groups of patients were continuously intervened for 2 weeks,and the gastrointestinal tolerance,gastrointestinal function score,gastrointestinal barrier function,daily urination frequency,and urinary incontinence degree of the two groups of patients were compared before and after the intervention for 2 weeks.Results After the gourd moxibustion nursing intervention,the scores of clinical manifestations,bowel sounds,mucosal lesions,intestinal absorption area,and bacterial translocation in the gastrointestinal dysfunction scale(GIDF)of the patients in the observation group were all lower than those of the control group,and the differences were statistically significant(P<0.05);the gastrointestinal function scores of the patients in the observation group and the levels of D-lactic acid and diamine oxidase(DAO)were lower than those of the control group,and the differences were statistically significant(P<0.05);the daily urination frequency grade and urinary incontinence grade of the patients in the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Gourd moxibustion had a good effect in intervening patients with gastrointestinal dysfunction and urinary incontinence during the recovery period of stroke.It can not only promote gastrointestinal motility,improve the body's gastrointestinal tolerance,improve gastrointestinal function and barrier function,but also It can help patients adjust the function of the urethral sphincter,restore normal urination frequency,and reduce the degree of urinary incontinence.It had the advantages of non-invasive,easy operation,high safety,and easy acceptance,and brings into play the characteristics of"simple,convenient and cheap"of traditional Chinese medicine.