穴位敷贴联合穴位按摩对心力衰竭肠内营养患者脑钠肽水平及腹胀改善研究  

Effect of Acupoint Application Combined with Acupoint Massage on Brain Natriuretic Peptide Level and Abdominal Distension in Patients with Heart Failure

作　　者：林淑萍 詹淼淋 陈玲玲 颜彩兰 王冰惠 Lin Shuping;Zhan Miaolin;Chen Lingling(ICU,Fuzhou Hospital of Traditional Chinese Medicine,Fuzhou,Fujian,350001,China)

机构地区：[1]福州市中医院重症医学科,福建福州350001

出　　处：《黑龙江医学》2024年第14期1766-1768,共3页Heilongjiang Medical Journal

基　　金：福建中医药大学校管科研课题临床专项(XB2021130)。

摘　　要：目的:探讨穴位敷贴联合穴位按摩护理对心力衰竭肠内营养患者脑钠肽(BNP)水平及腹胀改善的应用效果,为临床护理提供依据。方法:选取2020年3月—2022年3月福州市中医院收治的68例心力衰竭肠内营养所致腹胀患者作为研究对象,采用抽签法将其分为对照组和观察组,每组各34例。对照组采用常规护理干预,观察组在常规护理基础上采用穴位敷贴联合穴位按摩护理干预。比较两组患者腹胀改善情况、心功能指标(BNP水平)、肠鸣音、腹腔压力、腹围及生活质量[健康状况调查问卷(SF-36)评分]情况。结果:观察组患者腹胀轻度占比明显高于对照组,中度占比低于对照组,差异均有统计学意义(χ^(2)=11.769、7.703,P<0.05)。干预后,观察组患者BNP指标明显低于对照组,差异有统计学意义(t=8.275,P<0.05)。干预后,观察组患者肠鸣音、腹腔压力、腹围、生活质量评分等指标均明显优于对照组,差异均有统计学意义(t=16.492、5.485、7.872、5.058,P<0.05)。结论:对心力衰竭肠内营养所致腹胀患者采用穴位敷贴联合穴位按摩护理干预,能够明显改善患者BNP水平,促进腹胀症状的好转,优化临床指标,提高患者的生活质量。Objective:To explore the effect of point application combined with point massage on brain natriuretic peptide(BNP)level and abdominal distension in patients with heart failure after enteral nutrition.Methods:68 cases of abdominal distension caused by enteral nutrition in patients with heart failure admitted to Fuzhou Hospital of Traditional Chinese medicine from March 2020 to March 2022 were selected and divided into control group and observation group by drawing lots,with cases in each group.The control group received routine nursing intervention,while the observation group received acupoint application combined with acupoint massage nursing intervention on the basis of routine nursing.The improvement of abdominal distention,the level of brain natriuretic peptide(BNP),bowel sounds,abdominal pressure,abdominal circumference and quality of life(SF-36)were compared between the two groups.Results:The ratio of mild abdominal distention in the observation group was significantly higher than that in the control group,and the ratio of moderate abdominal distention was lower than that in the control group.The difference was statistically significant(χ^(2)=11.769,7.703;P<0.05).After intervention,the level of BNP in the observation group was significantly lower than that in the control group(t=8.275,P<0.05).After intervention,the scores of bowel sounds,abdominal pressure,abdominal circumference and quality of life in the observation group were significantly better than those in the control group(t=16.492,5.485,7.872,5.058;P<0.05).Conclusion:The nursing intervention of point application combined with point massage for patients with abdominal distension caused by enteral nutrition in heart failure can obviously improve the BNP level,promote the improvement of abdominal distension symptoms,optimize the clinical indexes,and improve the quality of life of patients.

关 键 词：腹胀 穴位敷贴 穴位按摩护理 心力衰竭 肠内营养 

分 类 号：R248[医药卫生—中医临床基础]