莱菔子热熨腹部腧穴缓解无痛结肠镜检查后腹胀的效果观察  

Clinical Observation of Hot Compress with Semen Raphani on Abdominal Acupoints in Relieving Abdominal Distension After Painless Colonoscopy

作　　者：胡佩欣 丁美祝[2] 李春[1] 伦朝霞[2] 付朝丽[2] 周逊[2] 黄楚君[1] HU Pei-Xin;DING Mei-Zhu;LI Chun;LUN Zhao-Xia;FU Zhao-Li;ZHOU Xun(Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangzhou,China;Guangdong Provincial Hospital ofTraditional Chinese Medicine,Guangzhou 510120 Guangzhou,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广东省中医院,广东广州510120

出　　处：《广州中医药大学学报》2019年第6期819-823,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医院中医药科学技术研究专项资助(编号:YN2018HL02)

摘　　要：【目的】探讨莱菔子热熨腹部腧穴对缓解无痛结肠镜检查后腹胀的效果。【方法】将107例行无痛结肠镜检查后腹胀患者随机分为常规组35例、沙子组37例和莱菔子组35例。常规组给予常规护理,沙子组在常规组基础上给予沙子热熨腹部腧穴治疗,莱菔子组在常规组基础上给予莱菔子热熨腹部腧穴治疗,观察3组患者腹胀完全缓解时间及干预前后腹胀程度、每分钟肠鸣音次数和腹围的变化情况,并评价3组的腹胀缓解疗效。【结果】(1)脱落情况:纳入研究的107例患者中,共脱落6例,常规组、沙子组和莱菔子组分别脱落3例、2例和1例,最终各有32、35、34例患者完成试验。(2)干预后1 h,莱菔子组患者腹胀程度低于沙子组和常规组(P<0.05);干预后2 h,莱菔子组和沙子组腹胀程度均低于常规组(P<0.05),且莱菔子组比沙子组作用更明显(P<0.05)。(3)与干预前比较,3组患者干预后0.5 h的每分钟肠鸣音次数和腹围情况均无显著性变化,差异均无统计学意义(P>0.05)。(4)莱菔子组的腹胀完全缓解时间短于沙子组和常规组,差异有统计学意义(P<0.05);沙子组的腹胀完全缓解时间略短于常规组,但差异无统计学意义(P>0.05)。(5)干预后2 h,莱菔子组的腹胀缓解总有效率为100.00%,高于常规组的81.25%,差异有统计学意义(P<0.01),也略高于沙子组的94.29%,但差异无统计学意义(P>0.05)。【结论】莱菔子热熨腹部腧穴能促进肠蠕动,有效缓解无痛结肠镜检查后腹胀症状,缩短腹胀完全缓解时间,提高检查后的舒适度。Objective To investigate the effect of hot compress with Semen Raphani on abdominal acupoints in relieving abdominal distension after painless colonoscopy. Methods One hundred and seven patients with abdominal distension after painless colonoscopy were randomly divided into routine group(35 cases),sand group(37 cases)and Semen Raphani group(35 cases),which were treated with routine nursing,routine nursing+ hot compress with the sand on abdominal acupoints,routine nursing+hot compress with Semen Raphani on abdominal acupoints,respectively. Before and after treatment,we observed the time for the disappearance of abdominal distension, the degree of abdominal distension, the times of bowel sounds per minute, and abdominal circumference of the 3 groups. And the efficacy on relieving abdominal distension in the 3 groups was also evaluated. Results(1)Of the 107 patients,6 patients dropped out during the trial;the dropped-out case number of routine group,sand group and Semen Raphani group was 3,2,1 respectively,and the final case number of the 3 groups was 32,35,34 respectively.(2)one hour after intervention,the degree of abdominal distension in Semen Raphani group was lower than that in the sand group and routine group(P<0.05). Two hours after intervention,the degree of abdominal distension in Semen Raphani group and sand group was lower than that in the routine group(P<0.05),and the effect on lowering the distension in Semen Raphani group was superior to that in the sand group(P<0.05).(3)The times of bowel sounds per minute 0.5 hours after intervention and abdominal circumference in the 3 groups did not differ from those before intervention(P>0.05).(4)The time for the disappearance of abdominal distension in Semen Raphani group was shorter than that in sand group and routine group,the difference being significant(P<0.05). The sand group only had a trend in shortening the time for the disappearance of abdominal distension in comparison with routine group(P>0.05).(5) Two hours after intervention,the total effective rate

关 键 词：莱菔子 无痛结肠镜检查 腹胀 热熨疗法 腧穴 

分 类 号：R244.9[医药卫生—针灸推拿学]