首页|经皮穴位电刺激联合耳穴埋豆对开颅术后患者胃肠道功能的影响

经皮穴位电刺激联合耳穴埋豆对开颅术后患者胃肠道功能的影响

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目的 观察经皮穴位电刺激(TEAS)联合耳穴埋豆干预对开颅术后患者胃肠道功能恢复的影响。方法 选取2021 年1 月至2023 年1 月在海军军医大学第二附属医院行开颅手术的92 例患者进行回顾性分析研究,按数字随机法将其分为观察组(46 例)和对照组(46 例)。对照组患者在术后仅进行常规治疗,观察组患者在此基础上进行TEAS与耳穴埋豆干预。比较2 组患者的术后首次排气和排便时间、肠鸣音恢复时间,视觉模拟评分法(VAS)评分,血浆胃泌素(GAS)、胃动素(MTL)和P物质(SP)水平,以及不良反应发生情况。结果 治疗后,观察组患者的术后首次排气和排便时间、肠鸣音恢复时间均比对照组早(P均<0。05);术后6 h、12 h、24 h和48 h,观察组的VAS评分均低于对照组(P均<0。05);术后48 h,2 组的血浆GAS、MTL和SP水平较术前均有所上升(P均<0。05),但观察组的上述指标均比对照组更低(P均<0。05);观察组在24h内术后恶心呕吐(PONV)的总发生率为 32。61%,低于对照组的54。35%(P<0。05)。结论 对开颅术后患者进行TEAS联合耳穴埋豆干预可加速其胃肠道功能恢复,缓解疼痛,减少胃肠激素的释放,同时还能降低PONV的发生率。
Effect of transcutaneous electrical acupoint stimulation combined with auricular acupoint embedding beans on gastrointestinal function in patients after craniotomy
Objective To observe the effect of transcutaneous electrical acupoint stimulation(TEAS)combined with auricular acupoint embedding beans intervention on the recovery of gastrointestinal function in patients after craniotomy.Methods Ninety-two patients who underwent craniotomy at the Second Affiliated Hospital of Naval Medical University from January 2021 to January 2023 were selected for retrospective analysis.They were divided into an observation group(46 cases)and a control group(46 cases)using a numerical random method.The patients in the control group only received routine treatment after surgery,and the patients in the observation group received TEAS and auricular acupoint embedding beans intervention on this basis.The time of first postoperative exhaust and defecation,recovery time of bowel sounds,Visual Analogue Scale(VAS)score,levels of plasma gastrin(GAS),motilin(MTL),substance P(SP),and incidence of adverse reactions were compared between the two groups.Results After treatment,the first postoperative exhaust and defecation time and bowel sound recovery time in the observation group were earlier than those in the control group(all P<0.05).At 6,12,24,and 48 hours after surgery,the VAS scores of the observation group were lower than those of the control group(all P<0.05).At 48 hours after surgery,the levels of plasma GAS,MTL,and SP in both groups increased compared to before surgery(all P<0.05),but the above indicators in the observation group were lower than those in the control group(all P<0.05).The total incidence of postoperative nausea and vomiting(PONV)within 24 hours in the observation group was 32.61%,lower than 54.35%in the control group(P<0.05).Conclusion TEAS combined with auricular acupoint embedding beans intervention for patients after craniotomy can accelerate the recovery of gastrointestinal function,relieve pain,reduce the release of gastrointestinal hormones,and reduce the incidence of PONV.

craniotomytranscutaneous electrical acupoint stimulationauricular acupoint embedding beansgastrointestinal function

王晨子、尹瑞娟、曹鑫、李渊甫、高媛媛

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海军军医大学第二附属医院,上海,200001

上海禾滨康复医院,上海,201700

开颅手术 经皮穴位电刺激 耳穴埋豆 胃肠道功能

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(1)
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