灸疗技术联合穴位按摩在脓毒症喂养不耐受患者中的应用效果

Application effect of moxibustion therapy combined with acupoint massage on septic patients with feeding intolerance

目的探讨灸疗技术联合穴位按摩在脓毒症喂养不耐受患者中的应用效果。方法选取江西中医药大学附属医院2022年1月至2024年1月收治的80例脓毒症喂养不耐受患者作为研究对象,其中将2022年1月至2023年1月收治的40例患者纳入对照组,将2023年2月至2024年1月收治的40例患者纳入研究组;对照组予常规干预,研究组基于常规干预予灸疗技术联合穴位按摩干预;比较两组干预效果、胃肠功能指标、营养指标及预后指标。结果研究组的总有效率高于对照组,差异有统计学意义(P<0.05);干预7 d,研究组的肠鸣音评分、胃肠功能障碍评分、腹腔压力均低于对照组,血清白蛋白、血清总蛋白水平均高于对照组,差异有统计学意义(P<0.05);研究组的ICU入住时间短于对照组,差异有统计学意义(P<0.05)。结论脓毒症喂养不耐受患者采用灸疗技术联合穴位按摩干预效果较好,可提高胃肠功能,改善营养状况与预后。

Objective To investigate the application effect of moxibustion therapy combined with acupoint massage on septic patients with feeding intolerance.Methods A total of 80 patients with sepsis feeding intolerance admitted to the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2022 to January 2024 were selected as research objects.Among them,40 patients admitted from January 2022 to January 2023 were included in the control group,and 40 patients admitted from February 2023 to January 2024 were included in the study group.The control group received routine intervention,and the study group received moxibustion therapy combined with acupoint massage based on routine intervention.The intervention effect,gastrointestinal function index,nutritional index and prognosis index were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 7 days of intervention,the intestinal ringing score,gastrointestinal dysfunction score and abdominal pressure in the study group were lower than those in the control group,and the serum albumin and serum total protein levels were higher than those in the control group,and the differences were statistically significant(P<0.05).The duration of ICU stay in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Moxibustion therapy combined with acupoint massage can improve gastrointestinal function,nutritional status and prognosis of patients with sepsis feeding intolerance.