摘要
目的探讨耳穴贴压联合艾灸在中风后胃肠功能障碍患者盲插鼻肠管置管中的应用效果。方法 80例中风后出现胃肠功能障碍需行鼻肠管置入的患者随机分成观察组和对照组,各40例。对照组采用肌肉注射盐酸甲氧氯普胺后盲插鼻肠管置管,观察组在置管前接受耳穴贴压联合艾灸。比较2组一次置管成功率,记录并发症发生情况。结果观察组一次置管成功率为90.00%(36/40),高于对照组的72.50%(29/40),差异有统计学意义(P<0.05)。观察组发生黏膜损伤渗血2例和频繁呛咳1例,对照组发生黏膜损伤渗血4例、频繁呛咳3例和腹胀1例。结论耳穴贴压联合艾灸干预应用于中风后胃肠功能障碍患者盲插鼻肠管中,可促进胃肠蠕动,对提高置管成功率、减少相关并发症发生具有积极作用。
Objective To evaluate the auricular point sticking combined with moxibustion for patients undergoing straight naso intestinal tube placement for gastrointestinal dysfunction after stroke. Methods Totally 80 patients with gastrointestinal dysfunction after stroke who required naso intestinal tube placement were randomly divided into observation group and control group, with 40 cases in each group. Patients in the experimental group received auricular acupoint sticking combined with moxibustion before naso intestinal tube placement. Patients in the control group received intramuscular injection of metoclopramide hydrochloride before naso intestinal tube placement. The success rate of one-time insertion was compared between two groups. Naso intestinal tube placement-associated complications were recorded. Results The success rate of one-time insertion in the observation group was higher than that in the control group(90.00% vs. 72.50%, P<0.05). Placement-associated complications mainly included mucosal injury(2 cases in observation group and 4 cases in control group) and choking cough(1 case in observation group and 3 cases in control group), and 1 case in control group was found with abdominal distension. Conclusion Application of the auricular point sticking combined with moxibustion before naso intestinal tube placement can a safe and reliable technique, which is potentially effective to improve the success rate of one-time insertion and reduce the risk of tube placement-associated complications.
作者
焦莉敏
唐玲
韩丹丹
裴景秀
JIAO Limin;TANG Ling;HAN Dandan;PEI Jingxiu(Department of Nursing,Beijing Municipal Hui People's Hospital,Beijing,100054;Department of Nursing,Oriental Hospital Affiliated to Beijing University of Chinese Medicine,Beijing,100078)
出处
《中西医结合护理（中英文）》
2020年第5期50-52,共3页
Journal of Clinical Nursing in Practice
关键词
鼻肠管
耳穴贴压
艾灸
胃肠功能障碍
中医适宜技术
naso intestinal tube
auricular point sticking
moxibustion
gastrointestinal dysfunction
Traditional Chinese Medicine nursing technique
