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(x2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.
Abstract
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(x2value 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.
维普
万方数据