穴位按摩联合离床活动对重症急性胰腺炎患者胃肠功能的影响

The effect of acupoint massage combined with limb movements on gastrointestinal function in patients with severe acute pancreatitis

目的探讨穴位按摩联合离床活动对重症急性胰腺炎(SAP)患者胃肠功能的影响。方法采用类试验研究方法,选取2023年1至12月在遵义医科大学附属医院综合ICU接受治疗的64例重症急性胰腺炎患者作为研究对象,根据患者住院时间,将2023年7至12月的32例SAP患者作为试验组,2023年1至6月的32例SAP患者作为对照组。试验组给予穴位按摩联合离床活动,对照组给予早期活动。比较两组SAP患者腹内压及胃肠功能恢复情况。结果试验组29例、对照组30例完成研究。与对照组相比,试验组在干预后3、5、7 d腹内压降低更明显,差异有统计学意义(P<0.05);试验组胃肠功能恢复时间均低于对照组,差异有统计学意义(P<0.05)。结论穴位按摩联合离床活动与早期活动均可降低SAP患者肠内压以及改善其胃肠功能,但是穴位按摩联合离床活动效果更佳,能够更好地促进SAP患者的康复。

Objective To explore the effect of acupoint massage combined with limb movements on gastrointestinal function in patients with severe acute pancreatitis(SAP).Methods Convenience sampling was used to select 64 patients with severe acute pancreatitis who received treatment in a comprehensive ICU of Affiliated Hospital of Zunyi Medical University from January to December 2023 as the study subjects.According to the length of hospital stay,32 SAP patients from July to December 2023 were selected as the experimental group,and 32 SAP patients from January to June 2023 were selected as the control group.The experimental group received acupoint massage combined with limb movements,while the control group received early activity.The intra-abdominal pressure and gastrointestinal function recovery between the two groups of SAP patients were compared.Results Twenty-nine cases in the experimental group and 30 cases in the control group completed the study.Compared with the control group,the experimental group had a more significant reduction in internal abdominal pressure at 3,5 and 7 days after intervention,with statistical significance(P<0.05).The recovery time of gastrointestinal function in experimental groups was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Acupoint massage combined with off-bed activity and early activity can reduce intestinal pressure and improve gastrointestinal function in SAP patients,but acupoint massage combined with off-bed activity is more effective and can better promote the recovery of SAP patients.