Effect of Acupuncture Combined with Emotional Intervention of Traditional Chinese Medicine on Patients with Pressure sore and Constipation in ICU
针刺联合中医情志干预治疗重症监护室患者并发压疮及便秘效果探究

摘要

对重症监护室患者并发压疮及便秘治疗中针刺联合中医情志干预治疗应用效果进行探讨，同时为临床类似病例治疗提供理论依据。方法 选取我院2021年6月至2023年2月间所收治的100例重症监护室并发症状及便秘患者为研究对象，以数字随机法将两组患者均分为观察组（n=50）及对照组（n=50），对照组患者入院后通过常规护理模式进行干预，观察组患者则额外采取了针刺联合中医情志干预方法进行治疗。对于两组患者经医疗护理干预后压疮及便秘的整体发生率、压疮愈合计分表（PUSH）评分及便秘中医症状评分状况进行对比。结果 观察组患者在实施针刺联合中医情志干预后的压疮治疗有效率达到90%，便秘治疗有效率达到92%，而对照组患者的治疗有效率分别为68%和72%，两组患者相对比，差异显著，P<0.05。两组患者经治疗后，组间相比较，两组患者压疮愈合计分表（PUSH）评分及便秘中医症状评分均有明显提升，差异显著，P<0.05。且与对照组相比较，观察组患者的整体压疮面积、24h渗液量、排便不尽感、腹痛腹胀程度等明显更低，差异显著，P<0.05。结论 重症监护室并发压疮及便秘患者通过应用针刺联合中医情志干预能取得良好治疗效果，临床上具有极大推广价值。

Abstract

To explore the effect of acupuncture combined with emotional intervention of traditional Chinese medicine in the treatment of patients in intensive care unit complicated with bed pressing and constipation, and to provide theoretical basis for the treatment of similar clinical cases.
Methods 100 patients with symptoms and constipation in the intensive care unit admitted to our hospital from June 2021 to February 2023 were selected as the study subjects. The patients in the two groups were divided into the observation group (n=50) and the control group (n=50) by digital random method. The patients in the control group were treated by routine nursing mode after admission, while the patients in the observation group were additionally treated by acupuncture combined with emotional intervention of traditional Chinese medicine. The overall incidence of pressure bed and constipation, the score of pressure sore healing scale (PUSH) and the score of symptoms of constipation in traditional Chinese medicine were compared between the two groups after medical care intervention.
Results The effective rate of pressure bed treatment and constipation treatment in the observation group was 90% and 92% after acupuncture combined with emotional intervention of traditional Chinese medicine, while the effective rate of treatment in the control group was 68% and 72% respectively. The difference between the two groups was significant (P<0.05). After treatment, the scores of pressure sore healing scale (PUSH) and symptoms of constipation in the two groups were significantly improved compared with each other (P<0.05). Compared with the control group, the patients in the observation group had significantly lower overall pressure sore area, 24h exudation, incomplete defecation, abdominal pain and abdominal distension, P<0.05.
Conclusion   Acupuncture combined with emotional intervention of traditional Chinese medicine can achieve good therapeutic effect in patients with pressure ulcers and constipation in intensive care unit, which has great clinical promotion value.