循经穴位按摩配合耳穴点压对化疗引起的胃肠道不适的缓解作用研究  

Acupoint massage combined with auricular point pressuring relieved the gastrointestinal reaction caused by chemotherapy

作　　者：李娜[1] 曹磊[1] 田文聪 刘艳红 宋鹏 LI Na;CAO Lei;TIAN Wen-cong(Department of General Surgery,Tianjin Union Medical Center,Tianjin 300121,China)

机构地区：[1]天津市人民医院普通外科,天津300121

出　　处：《中国中西医结合外科杂志》2023年第6期803-807,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：天津市卫生健康科技项目(TJWJ2023MS015、TJWJ2023XK014)。

摘　　要：目的:探讨循经穴位按摩配合耳穴点压对化疗引起的胃肠道不适的效果。方法:选取2022年1月—10月我院收治的80例恶性肿瘤化疗患者为研究对象,采用随机数字表法均分为观察组和对照组,对照组采用常规护理措施,观察组在常规护理的基础上应用穴位按摩配合耳穴点压的综合护理措施。结果:观察组在化疗期间出现的胃肠道反应明显轻于对照组,差异具有统计学意义(P<0.05),患者满意度也明显高于对照组(P<0.05)。两组间患者自理能力评价无显著性差异,但观察组患者焦虑、抑郁评分明显低于对照组,差异有统计学意义(P<0.05)。观察组与对照组患者NRS2002评分无统计学差异,但观察组的身体测量相关指标包括上臂肌围、腰围、小腿围、握力方面,均高于对照组,差异有统计学意义(P<0.05)。结论:穴位按摩配合耳穴点按的综合护理措施能有效降低恶性肿瘤化疗引起的胃肠道不适情况,提高患者满意度,并改善患者负性情绪,促进患者获得更好的营养状况,护理效果显著。Objective To investigate the effect of acupoint massage combined with auricular point pressing on gastrointestinal problems caused by chemotherapy.Methods 80 patients with malignant tumor undergoing chemotherapy were selected and randomly divided into the observation group and the control group.The patients in the control group were treated with routine nursing measures,and the observation group was treated with comprehensive nursing measures of acupoint massage combined with auricular point pressing on the basis of routine nursing.Results The gastrointestinal reaction of patients in the observation group was significantly alleviated when compared to those in the control group during chemotherapy(P<0.05),and the satisfaction of patients was significantly higher than that of control group.There was no significant difference in the evaluation of patients'self-care ability between these two groups,while the scores of anxiety and depression in observation group were dramatically lower than that of control group(P<0.05).In addition,the Nutritional Risk Screening Scale(NRS2002)scores and body measurement indicators were compared between the two groups,and the results showed that there was no significant difference in NRS2002 scores between the observation group and the control group,but the body measurement related indicators,including upper arm muscle circumference,waist circumference,calf circumference and grip strength,were significantly higher in the observation group than in the control group(P<0.05).Conclusion The comprehensive nursing measures of acupressure combined with auricular point pressing can effectively relive gastrointestinal problems caused by malignant tumor chemotherapy,increase patients'satisfaction,and improve patients'negative mood and nutritional status.

关 键 词：化疗 胃肠道不适 穴位按摩 耳穴点压 

分 类 号：R656.6[医药卫生—外科学]