大黄敷脐联合耳穴贴压用于结肠镜检查肠道清洁准备及腹痛腹胀的效果  

Effect of Rhubarb apply umbilical combined with auricular point sticking on intestinal cleaning preparation and abdominal pain and distension during colonoscopy

作　　者：蒋茜 徐燕 李丹[1] 陶以理 杜玲 JIANG Qian;XU Yan;LI Dan;TAO Yili;DU Ling(Digestive Disease Diagnosis and Treatment Center of Integrated Traditional Chinese and Western Medicine,Changzhou Hospital of Traditional Chinese Medicine,Jiangsu Province,Changzhou 213000,China;Department of Spleen and Stomach Diseases,Changzhou Hospital of Traditional Chinese Medicine,Jiangsu Province,Changzhou 213000,China)

机构地区：[1]江苏省常州市中医医院中西医结合消化病诊疗中心,江苏常州213000 [2]江苏省常州市中医医院脾胃病消化科,江苏常州213000

出　　处：《中国医药导报》2022年第22期172-175,共4页China Medical Herald

基　　金：江苏省研究生科研与实践创新计划项目(SJCX18_0069)。

摘　　要：目的观察大黄敷脐联合耳穴贴压对结肠镜检查肠道清洁准备及腹痛腹胀程度影响。方法便利抽样法选取2019年1月至2022年1月就诊江苏省常州市中医医院行结肠镜检查患者120例,采用随机数字表法将其分为大黄敷脐组(大黄敷脐)、耳穴贴压组(耳穴贴压)、联合组(大黄敷脐联合耳穴贴压),各40例。三组均采用口服聚乙二醇电解质散行肠道准备,持续干预3 d,比较三组肠道清洁准备率及腹痛腹胀影响。结果联合组Boston肠道准备量表各部位评分及总分、肠道准备清洁合格率、肠道内气泡易于观察率、首次息肉检出率均高于大黄敷脐组、耳穴贴压组(P<0.01);三组最终息肉检出率比较,差异无统计学意义(P>0.05);检查后,大黄敷脐组和耳穴贴压组腹痛、腹胀视觉模拟评分均高于检查前,且联合组腹痛、腹胀视觉模拟评分、肠道各部位气泡评分均低于大黄敷脐组、耳穴贴压组(P<0.01)。结论大黄敷脐联合耳穴贴压能够改善结肠镜检查肠道准备程度,减少肠道内气泡,提升肠道息肉检出率,减轻腹胀、腹痛程度。Objective To observe the effect of Rhubarb apply umbilical combined with auricular point sticking on intestinal cleaning preparation and abdominal pain and distension during colonoscopy.Methods A total of 120 patients receiving colonoscopy in Changzhou Hospital of Traditional Chinese Medicine in Jiangsu Province from January 2019 to January 2022 were selected by random number table method.The patients were divided into Rhubarb apply umbilical group(Rhubarb apply umbilical),auricular acupoint sticking magnetic group(auricular point sticking)and combined group(Rhubarb apply umbilical combined auricular point sticking)by random number table method,with 40 cases in each group.All three groups were treated with oral polyethylene glycol electrolyte powder for intestinal preparation,and continued intervention for three days.The intestinal cleaning preparation rate and abdominal pain and abdominal distension were compared among the three groups.Results The scores of Boston intestinal preparation scale and total scores,qualified rate of preparation cleaning,easy observation rate of intestinal bubbles,and detection rate of first polyp in the combined group were higher than those in the Rhubarb apply umbilical group and auricular acupoint sticking magnetic group(P<0.01).There was no significant difference in the detection rate of polyps among the three groups(P>0.05).After examination,visual analogue scale scores of abdominal pain and abdominal distention of Rhubard apply umbilical group and aurrcular acupoint sticking magnetic group were higher than before,and visual analogue scale of abdominal pain,abdominal distention and bubble scores of intestinal parts in the combined group were lower than those in the Rhubarb apply umbilical group and auricular acupoint sticking magnetic group(P<0.01).Conclusion Rhubarb umbilical application combined with auricular acupuncture can improve intestinal preparation for colonoscopy,reduce intestinal bubbles,improve the detection rate of intestinal polyps,and reduce abdominal distension an

关 键 词：大黄敷脐 耳穴贴压 结肠镜 肠道准备 腹痛腹胀 

分 类 号：R473[医药卫生—护理学]