穴位贴敷联合艾灸对胆囊结石术后患者胃肠道功能的影响

Effect of Acupoint Application Combined With Moxibustion on Gastrointestinal Function of Patients With Cholecystolithiasis After Operation

目的探讨穴位贴敷联合艾灸促进胆囊结石术后患者胃肠道功能恢复的效果。方法选取2021年3月—2023年3月贵港市中西医结合骨科医院胆囊结石术后患者80例,随机分为对照组与观察组,各40例。对照组采用常规护理干预,观察组采用穴位贴敷联合艾灸干预,2组均干预1周。比较2组胃肠功能恢复情况、干预后的生活质量、并发症发生率及护理满意度、干预前后的疼痛评分与舒适度评分。结果观察组胃肠恢复蠕动时间、肛门首次排气时间、首次排便时间、恢复正常饮食时间、下床活动时间均低于对照组(P<0.05)。观察组心理领域、生理领域、社会关系领域、环境领域评分高于对照组(P<0.05)。干预后,2组疼痛评分均低于干预前,且观察组低于对照组(P<0.05)。干预后,2组舒适度评分均升高,且观察组高于对照组(P<0.05)。观察组并发症发生率为5.00%,低于对照组的20.00%(P<0.05)。观察组护理满意度为92.50%,高于对照组的75.00%(P<0.05)。结论穴位贴敷联合艾灸干预胆囊结石术后可促进胃肠功能恢复,提高生活质量,减轻患者疼痛程度,提升患者舒适度,减少并发症发生,缩短住院时间,提升护理满意度。

Objective To explore the effect of acupoint application combined with moxibustion on promoting the recovery of gastrointestinal function in patients with cholecystolithiasis after operation.Methods From March 2021 to March 2023,a total of 80 patients with cholecystolithiasis after operation in Guigang Orthopedics Hospital of Integrated Traditional and West Medicine were selected and randomly divided into the control group and the observation group,with 40 patients in each group.Both groups were intervened for 1 week.The recovery of gastrointestinal function,quality of life,incidence of complications and nursing satisfaction after intervention,pain score and comfort score before and after intervention of the two groups were compared.Results The time of gastrointestinal peristalsis recovery,the first time of anal exhaust,the first time of defecation,the time of returning to normal diet and the time of getting out of bed of the observation group were lower than those of the control group(P<0.05).The scores of psychological field,physiological field,social relationship field and environmental field of the observation group were higher than those of the control group(P<0.05).After intervention,the pain scores of the both groups were lower than before intervention,and the observation group was lower than the control group(P<0.05).After intervention,the comfort scores of the both groups increased,and the observation group was higher than the control group(P<0.05).The incidence of complications of the observation group was 5.00%,which was lower 20.00%of the control group(P<0.05).The nursing satisfaction of the observation group was 92.50%,which was higher than 75.00%of the control group(P<0.05).Conclusion Acupoint application combined with moxibustion can promote the recovery of gastrointestinal function after gallstone surgery,improve the quality of life,reduce the degree of pain,improve the comfort of patients,reduce the occurrence of complications,shorten the hospitalization time and improve nursing satisfaction.