耳穴埋豆联合穴位按摩防治胃镜检查继发恶心呕吐的疗效探讨  

Clinical effects of ear point embedding bean and acupoint massage in prevention and treatment for patients with secondary nausea and vomiting induced by gastroscopy

作　　者：贺照霞[1] 刘君颖[1] 张红娟 余海洋[1] Zhao-xia He;Jun-ying Liu;Hong-juan Zhang;Hai-yang Yu(Department of Endoscopy Center,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou,Henan 450000,China)

机构地区：[1]河南中医药大学第一附属医院内镜中心,河南郑州450000

出　　处：《中国内镜杂志》2020年第3期52-56,共5页China Journal of Endoscopy

摘　　要：目的探讨耳穴埋豆联合穴位按摩防治胃镜检查继发恶心呕吐的临床疗效。方法选取该院2017年4月-2018年10月行胃镜检查的患者共140例,以随机抽签法分为对照组(70例)和观察组(70例),分别采用西医常规干预和在此基础上辅以耳穴埋豆联合穴位按摩治疗,比较两组恶心呕吐严重程度分级和次数、胃镜检查时间、症状视觉模拟评分(VAS)、检查前后焦虑量表评分及检查满意度评分。结果观察组恶心呕吐严重程度分级明显轻于对照组(P<0.05);观察组恶心呕吐次数和胃镜检查时间均明显少于对照组(P<0.05);观察组症状VAS评分均明显低于对照组(P<0.05);观察组检查后焦虑量表评分均明显低于检查前和检查后对照组(P<0.05);观察组检查满意度明显高于对照组(P<0.05)。结论耳穴埋豆联合穴位按摩用于胃镜检查患者可有效减轻恶心呕吐严重程度,缩短胃镜检查时间,缓解焦虑情绪,并有助于提高检查满意度。Objective To investigate the clinical effects of ear point embedding bean and acupoint massage in prevention and treatment for patients with secondary nausea and vomiting induced by gastroscopy. Methods 140 patients with gastroscopy were chosen from April 2017 to October 2018 and randomly divided into control group(70 patients) with routine intervention of western medicine and observation group(70 patients) with ear point embedding bean and acupoint massage on the basis of control group;and the severity grading, frequency of nausea and vomiting, examination time of gastroscopy, VAS score of symptoms, score of anxiety scale before and after examination and satisfaction degree of examination of the two groups were compared. Results The severity grading of nausea and vomiting of observation group were significantly better than that in control group(P < 0.05). The frequency of nausea and vomiting, examination time of gastroscopy of observation group were significantly less than that in control group(P < 0.05). The VAS score of symptoms of observation group were significantly less than that in control group(P < 0.05). The score of anxiety scale after examination of observation group were significantly less than that in control group and before examination(P < 0.05). The satisfaction degree of examination of observation group were significantly higher than that in control group(P < 0.05). Conclusion Ear point embedding bean and acupoint massage on patients with gastroscopy can efficiently reduce the degree of nausea and vomiting, shorten the examination time of gastroscopy, alleviate anxiety status and be helpful to improve the satisfaction degree of examination.

关 键 词：恶心呕吐 耳穴埋豆 穴位按摩 胃镜 

分 类 号：R573[医药卫生—消化系统]