Objective: To explore and analyze the effect of moxibustion combined with acupoint application on enteral nutrition tolerance, nutritional status and comfort in patients with severe acute pancreatitis. Methods: Ninety...Objective: To explore and analyze the effect of moxibustion combined with acupoint application on enteral nutrition tolerance, nutritional status and comfort in patients with severe acute pancreatitis. Methods: Ninety-six patients who were hospitalized in a third-grade class-A general hospital in Tianjin were selected and divided into three groups: A, B, and C, each with 32 cases. Group A uses usual treatment and care methods, group B implements acupoint application treatment, group C was treated with moxibustion on the basis of acupoint application. Intervention time is from the first day of the enteral nutrition to the 7th day, the tolerance of enteral nutrition in patients 7 days during the intervention and the level of serum albumin and pre-protein in the nutritional indicators of patients on day 3 of intervention and intervention on day 7, as well as the comfort level of the patients on the 7th day of intervention were observed and recorded. Results:(1) The difference in the incidence of enteral nutrition intolerance among the three groups was significantly statistical (P < 0.05). The incidence of enteral nutrition intolerance in group C was lower than that in group B (P < 0.05) and group A (P < 0.05). There was no significant difference between group B and group C (P > 0.05).(2) Nutritional index levels of three groups of patients, on the third day of intervention, the serum albumin and serum pre-protein were significantly statistical (P < 0.05). Comparing the two groups, the serum albumin level in group A was significantly different from that in group B (P < 0.05). There was significant difference between group A and group C (P < 0.05). There was no significant difference between the group and the group C (P > 0.05). On the 7th day of intervention, the difference between group A and group B was statistically significant (P < 0.05). There was a statistically significant difference between group A and group C (P < 0.05), group B and group C (P < 0.05). Pre-protein levels in three groups, there was a significantly statistical difference between intervention days 3 and 7 (P < 0.05), further comparison was made between the two groups. On the third day of intervention, there were significant differences between group A and group B, group A and group C, group B and group C (P < 0.05). On the 7th day of intervention, there were significant differences between group A and group B, group A and group C, group B and group C (P < 0.05).(3) On the 7th day of intervention, the comfort level of the three groups was significantly different (P < 0.05). Further comparison between the two groups was made. The comfort score of group C was higher than that of group B and group A (P < 0.05), and the score of group B was higher than group A (P < 0.05). Conclusion: Moxibustion combined with acupoint application can effectively improve the tolerance level of enteral nutrition and improve the nutritional status of patients and increase patient comfort.展开更多
文摘Objective: To explore and analyze the effect of moxibustion combined with acupoint application on enteral nutrition tolerance, nutritional status and comfort in patients with severe acute pancreatitis. Methods: Ninety-six patients who were hospitalized in a third-grade class-A general hospital in Tianjin were selected and divided into three groups: A, B, and C, each with 32 cases. Group A uses usual treatment and care methods, group B implements acupoint application treatment, group C was treated with moxibustion on the basis of acupoint application. Intervention time is from the first day of the enteral nutrition to the 7th day, the tolerance of enteral nutrition in patients 7 days during the intervention and the level of serum albumin and pre-protein in the nutritional indicators of patients on day 3 of intervention and intervention on day 7, as well as the comfort level of the patients on the 7th day of intervention were observed and recorded. Results:(1) The difference in the incidence of enteral nutrition intolerance among the three groups was significantly statistical (P < 0.05). The incidence of enteral nutrition intolerance in group C was lower than that in group B (P < 0.05) and group A (P < 0.05). There was no significant difference between group B and group C (P > 0.05).(2) Nutritional index levels of three groups of patients, on the third day of intervention, the serum albumin and serum pre-protein were significantly statistical (P < 0.05). Comparing the two groups, the serum albumin level in group A was significantly different from that in group B (P < 0.05). There was significant difference between group A and group C (P < 0.05). There was no significant difference between the group and the group C (P > 0.05). On the 7th day of intervention, the difference between group A and group B was statistically significant (P < 0.05). There was a statistically significant difference between group A and group C (P < 0.05), group B and group C (P < 0.05). Pre-protein levels in three groups, there was a significantly statistical difference between intervention days 3 and 7 (P < 0.05), further comparison was made between the two groups. On the third day of intervention, there were significant differences between group A and group B, group A and group C, group B and group C (P < 0.05). On the 7th day of intervention, there were significant differences between group A and group B, group A and group C, group B and group C (P < 0.05).(3) On the 7th day of intervention, the comfort level of the three groups was significantly different (P < 0.05). Further comparison between the two groups was made. The comfort score of group C was higher than that of group B and group A (P < 0.05), and the score of group B was higher than group A (P < 0.05). Conclusion: Moxibustion combined with acupoint application can effectively improve the tolerance level of enteral nutrition and improve the nutritional status of patients and increase patient comfort.