耳穴埋豆联合手指点穴对结直肠癌手术患者胃肠功能恢复及睡眠质量的影响

Effect of Embedding Beans in Ear Point Combined with Finger Point on Gastrointestinal Function Recovery and Sleep Quality in Patients Undergoing Colorectal Cancer Surger

目的:探讨耳穴埋豆联合手指点穴对结直肠癌手术患者胃肠功能恢复及睡眠质量的影响。方法:选取2021年3月—2023年3月福建中医药大学附属人民医院收治的112例结直肠癌手术患者作为研究对象,按照随机数表法分为对照组和观察组,每组各56例。对照组术后给予常规护理干预,观察组术后在常规护理基础上给予耳穴埋豆联合手指点穴干预,对两组结直肠癌手术患者均进行1周干预。记录两组胃肠功能恢复情况、胃功能指标、睡眠质量评分,并进行统计分析。结果:观察组术后肠鸣音恢复时间、肛门排气时间、首次排便时间及首次进食时间均少于对照组,差异有统计学意义(P<0.05);干预后,观察组血清胃泌素(GAS)及瘦素(Leptin)均低于对照组,而血清生长抑素(SS)高于对照组,差异有统计学意义(P<0.05);干预后,观察组睡眠情况、催眠药物使用及日间功能障碍均低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:对结直肠癌手术患者术后给予耳穴埋豆联合手指点穴可促进胃肠功能恢复及改善睡眠质量,且并发症较少。

Objective:To explore the effect of embedding beans in ear point combined with finger point on gastrointestinal function recovery and sleep quality in patients undergoing colorectal cancer surger.Method:A total of 112 patients with colorectal cancer surgery admitted to the Affiliated People's Hospital of Fujian University of Chinese Medicine from March 2021 to March 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 56 cases in each group.The control group was given routine care after surgery,and the observation group was given ear point embedding and finger point puncturing on the basis of routine care.The patients in both groups were given 1-week intervention.Gastrointestinal function recovery,gastric function index and sleep quality score of the two groups were recorded,and statistical analysis was performed.Result:The postoperative recovery time of bowel sounds,anal exhaust time,first bowel movement time and first eating time of the observation group of patients undergoing colorectal cancer surgery were all less than those of control group,the difference were statistically significant(P<0.05).After intervention,the serum GAS and Leptin of the observation group were lower than those of the control group,while the serum SS was higher than that of the control group,the difference were statistically significant(P<0.05).After intervention,the sleep status,hypnotic drug use and daytime dysfunction of the observation group were lower than those of the control group,the difference were statistically significant(P<0.05).The incidence of postoperative complications of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:In patients with colorectal cancer surgery,embedding beans in ear points combined with finger points can promote the recovery of gastrointestinal function and improve sleep quality,and the complications are less.