首页|穴位按摩在电子结肠镜检查前肠道准备中干预效果的研究

穴位按摩在电子结肠镜检查前肠道准备中干预效果的研究

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目的 观察穴位按摩对行电子结肠镜检查前肠道准备的干预效果.方法 选取2021 年7 月至2022 年7月待行电子结肠镜检查者300 例,按照随机数字表法分为2 组,对照组150 例予常规肠道准备干预,研究组150 例在对照组基础上联合穴位按摩干预.比较2 组检查时肠道清洁度情况,比较2 组干预后即刻、肠道准备时及结肠镜检查时舒适度视觉模拟评分法(VAS)评分情况,比较2 组干预前后心理状态焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分情况,比较2 组检查后应激反应指标舒张压(DBP)、收缩压(SBP)及心率(HR)情况.结果 研究组检查时肠道清洁优良率95.33%(143/150),对照组肠道清洁优良率 77.33%(116/150),研究组的肠道清洁优良率高于对照组(P<0.05).研究组干预后即刻、肠道准备时及结肠镜检查时舒适度VAS评分均低于对照组(P<0.05).与本组干预前比较,2 组干预后心理状态SAS评分及SDS评分均降低(P<0.05),且研究组干预后SAS评分及SDS评分均低于对照组(P<0.05).研究组检查后应激反应指标SBP、DBP及HR水平均低于对照组(P<0.05).结论 穴位按摩对行电子结肠镜检查者的肠道准备干预效果显著,可明显提高肠道准备质量,提高患者舒适度,缓解焦虑、抑郁情绪,减轻机体应激反应.
Intervention effect of acupoint massage in bowel preparation before colonoscopy
Objective To analyze the intervention effect of acupoint massage in bowel preparation before colonoscopy.Methods From July 2021 to July 2022,totally 300 patients waiting for colonoscopy were randomly assigned into the research group(n =150)and the control group(n =150).All patients were managed by routine bowel preparation intervention,and those in research group additionally received acupoint massage intervention.The aim was to compare intestinal cleanliness during colonoscopy,visual analogue scale(VAS)of comfort immediately after intervention,during bowel preparation and colonoscopy,psychological state(Self-rating Anxiety Scale[SAS]and Self-rating Depression Scale[SDS])before and after intervention,stress indexes(diastolic blood pressure[DBP],systolic blood pressure[SBP],heart rate[HR])after colonoscopy.Results The excellent rate of intestinal cleanliness during colonoscopy in the research group was better than that in the control group(95.33%[143/150]vs 77.33%[116/150],[P<0.05],respectively).VAS of comfort immediately after intervention,dur-ing bowel preparation and colonoscopy was significantly lower in the research group than in the control group(P<0.05).After intervention,SAS and SDS scores were significantly decreased(P<0.05),which decreased notably in the research group com-pared with the control group(P<0.05).The levels of SBP,DBP and HR after colonoscopy in the research group were research low-er than those in the control group(P<0.05).Conclusion Acu-point massage has a significant intervention effect on bowel prepa-ration before colonoscopy.It can significantly improve the quality of bowel preparation,improve comfort,relieve anxiety and depression,and reduce the body's stress response.

ColonoscopyMassage treatmentCleaning intestine

欧雪群、罗力静、杨锐、韦巍巍、黄浦、潘冰雪、韦月辽

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结肠镜检查 按摩疗法 清利肠道

右江民族医学院2021年度校级科研项目

yy2021sk096

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(1)
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