耳穴贴压对重症急性胰腺炎患者早期肠内营养喂养耐受性的临床研究

Clinical study on tolerance of early enteral nutrition feeding in SAP patients with auricular acupoint sticking

目的:探讨耳穴贴压治疗对重症急性胰腺炎(SAP)患者早期肠内营养喂养耐受性的临床研究。方法:选择2021年12月—2022年12月期间于天津市中西医结合医院住院的经早期肠内营养治疗的88例SAP患者,随机分为对照组(30例)、研究组(29例)及安慰剂组(29例)。对照组仅给予SAP中西医结合常规护理和早期肠内营养,研究组在对照组的基础上加用耳穴贴压疗法,安慰剂组在对照组的基础上采用空白耳穴贴贴压(耳穴穴位与研究组相同),对比三组患者的喂养耐受性评分、喂养不耐受发生率、血清总蛋白和白蛋白数值。结果:与对照组和安慰剂组相比,研究组患者喂养不耐受发生率及喂养耐受性评分均降低,血清总蛋白和白蛋白均升高,差异有统计学意义(P<0.05)。结论:耳穴贴压可提高SAP患者早期肠内营养耐受性,改善患者营养指标,值得临床推广。

Objective The purpose of this study was to explore the application of auricular acupoint sticking on early enteral nutritional intolerance in SAP patients.Methods 88 patients with SAP hospitalized between December 2021 and December 2022 who were treated with early enteral nutrition were selected.They were divided into control group(30 cases),experimental group(29 cases)and placebo group(29 cases)randomly.The control group were only given SAP routine nursing of traditional Chinese and western medicine and early enteral nutrition.Auricular acupoint sticking was added to the experimental group.In the placebo group,a blank auricular acupoint was applied(auricular acupoints were the same as those in the experimental group).The feeding tolerance scores,incidence of feeding intolerance,serum total protein and albumin of the three groups were compared.Results Compared with control group and placebo group,the incidence of feeding intolerance and feeding tolerance scores in experimental group was decreased,and serum total protein and albumin in experimental group were increased(P<0.05).Conclusion Auricular acupoint sticking can improve the early enteral nutrition tolerance and improve the nutritional index of patients with SAP,which is worthy of clinical promotion.