五行音乐联合中医清肠操在结肠镜检查患者肠道准备中的临床研究  

Clinical research on five-element music&Chinese medicine gut purge exercises in bowel preparation for patients before colonoscopy

作　　者：庄跃 林翠萍 吴昊[1] 仲晨馨 单莹 张嘉裕 王牡丹 丁一琳 ZHUANG Yue;LIN Cuiping;WU Hao;ZHONG Chenxin;SHAN Ying;ZHANG Jiayu;WANG Mudan;DING Yilin(Department of Spleen and Stomach Diseases,Affiliated of Nanjing University of Chinese Medicine to Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing 210018,China;Nursing Department,Affiliated of Nanjing University of Chinese Medicine to Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing 210018,China;Critical Care Medicine,Affiliated of Nanjing University of Chinese Medicine to Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing 210018,China)

机构地区：[1]南京中医药大学附属南京市中西医结合医院脾胃病科,江苏南京210018 [2]南京中医药大学附属南京市中西医结合医院护理部,江苏南京210018 [3]南京中医药大学附属南京市中西医结合医院重症医学科,江苏南京210018

出　　处：《现代医学》2024年第11期1681-1687,共7页Modern Medical Journal

基　　金：江苏省中医药科技发展计划项目(YB2020030)。

摘　　要：目的:探讨五行音乐联合中医清肠操在结肠镜检查患者肠道准备中的效果研究。方法:选择146例行结肠镜检查的患者,随机分成两组,对照组73例,观察组73例。对照组采用聚乙二醇电解质散(PEG-ELS)进行肠道准备,观察组联合应用五行音乐和中医清肠操。比较两组患者应激反应、肠道准备质量、不良反应发生情况及肠道准备耐受程度。结果:肠道准备后内镜检查前5 min,观察组患者的收缩压、舒张压、心率低于对照组(t值分别为3.214、3.085、4.216),右半结肠、横结肠、左半结肠、肠道准备质量总分高于对照组(Z值分别为-2.997、-2.338、-2.551、-2.939),恶心、呕吐、腹痛腹胀及不良反应总分低于对照组(Z值分别为-2.392、-2.023、-3.197、-3.368),肠道准备耐受情况高于对照组(χ^(2)值为9.505),差异均有统计学意义(P<0.05),而两组患者全身乏力、心慌、出冷汗差异无统计学意义(P>0.05)。结论:五行音乐联合中医清肠操可以缓解肠道准备患者的应激反应程度,提高肠道准备质量,改善肠道准备耐受性。Objective:To discuss the effects of five-element music&Chinese Medicine gut purging exercise in bowel preparation for patients of colonoscopy.Methods:146 patients preparing for routine colonoscopy are randomly divided into 2 groups:73 patients in observation group,73 patients in control group.Patients in the control group used PEG-ELS for bowel preparation;patients in the observation group used five-element music and Chinese Medicine gut purging exercise.The stress reactions of patients were observed in both groups,as well as the quality of bowel preparation,adverse reactions and patients endurance to bowel preparation.Results:After bowel preparation,and 5 min before endoscopy check,systolic pressure,diastolic pressure and heart rate of patients in observation group were lower than those in control group(t value:3.214,3.085,4.216).Quality score of preparation of right hemicolon,colon transversum,left hemicolon was higher than those of patients in control group(Z value:-2.997,-2.338,-2.551,-2.939).The total scores of nausea,vomiting,abdominal pain,distension and adverse reactions were lower than those of control group(Z value were-2.392,-2.023,-3.197,-3.368,respectively),and bowel preparation endurance was higher than that of control group(χ^(2) value was 9.505),the differences were statistically significant(P<0.05).There was no significant difference in general fatigue,palpitation and cold sweat between the two groups(P>0.05).Conclusion:Five-element music and Chinese Medicine gut purging exercise can reduce the stress response of patients for bowel preparation,improve the quality of bowel preparation and improve patient s tolerance for bowel preparation.

关 键 词：应激反应 清肠操 五行音乐 肠道准备 结肠镜检查 

分 类 号：R248[医药卫生—中医临床基础]