首页|穴位按摩联合离床活动对重症急性胰腺炎患者胃肠功能的影响

穴位按摩联合离床活动对重症急性胰腺炎患者胃肠功能的影响

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目的 探讨穴位按摩联合离床活动对重症急性胰腺炎(SAP)患者胃肠功能的影响.方法 采用类试验研究方法,选取2023年1至12月在遵义医科大学附属医院综合ICU接受治疗的64例重症急性胰腺炎患者作为研究对象,根据患者住院时间,将2023年7至12月的32例SAP患者作为试验组,2023年1至6月的32例SAP患者作为对照组.试验组给予穴位按摩联合离床活动,对照组给予早期活动.比较两组SAP患者腹内压及胃肠功能恢复情况.结果 试验组29例、对照组30例完成研究.与对照组相比,试验组在干预后3、5、7 d腹内压降低更明显,差异有统计学意义(P<0.05);试验组胃肠功能恢复时间均低于对照组,差异有统计学意义(P<0.05).结论 穴位按摩联合离床活动与早期活动均可降低SAP患者肠内压以及改善其胃肠功能,但是穴位按摩联合离床活动效果更佳,能够更好地促进SAP患者的康复.
The effect of acupoint massage combined with limb movements on gastrointes-tinal function in patients with severe acute pancreatitis
Objective To explore the effect of acupoint massage combined with limb movements on gastrointesti-nal function in patients with severe acute pancreatitis(SAP).Methods Convenience sampling was used to select 64 patients with severe acute pancreatitis who received treatment in a comprehensive ICU of Affiliated Hospital of Zunyi Medical University from January to December 2023 as the study subjects.According to the length of hospi-tal stay,32 SAP patients from July to December 2023 were selected as the experimental group,and 32 SAP pa-tients from January to June 2023 were selected as the control group.The experimental group received acupoint massage combined with limb movements,while the control group received early activity.The intra-abdomi-nal pressure and gastrointestinal function recovery between the two groups of SAP patients were compared.Results Twenty-nine cases in the experimental group and 30 cases in the control group completed the study.Compared with the control group,the experimental group had a more significant reduction in internal abdominal pressure at 3,5 and 7 days after intervention,with statistical significance(P<0.05).The recovery time of gas-trointestinal function in experimental groups was lower than that in control group,and the difference was statisti-cally significant(P<0.05).Conclusion Acupoint massage combined with off-bed activity and early activity can reduce intestinal pressure and improve gastrointestinal function in SAP patients,but acupoint massage combined with off-bed activity is more effective and can better promote the recovery of SAP patients.

ICUsevere acute pancreatitisacupoint massageoff-bed mobilitygastrointestinal function

吴龙、刘秀、杨静、詹炜丽、王勇、向黔灵、胡容、权明桃

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遵义医科大学护理学院,贵州遵义 563006

遵义医科大学附属医院护理部,贵州遵义 563000

贵州茅台医院护理部,贵州仁怀 564500

ICU 重症急性胰腺炎 穴位按摩 离床活动 胃肠功能

贵州省科技计划项目遵义市科技计划项目

黔科合成果-LC2024039遵市科合HZ字2022283

2024

遵义医科大学学报
遵义医科大学

遵义医科大学学报

CSTPCD
ISSN:2096-8159
年,卷(期):2024.47(9)