Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2025; 4: (5) ; 10.12208/j.jmnm.20250241 .
总浏览量: 104
中国人民武装警察部队山东总队医院急诊科 山东济南
*通讯作者: 方大正,单位:中国人民武装警察部队山东总队医院急诊科 山东济南;
目的 观察穴位注射治疗急诊非梗阻性肠积气相关腹胀的临床疗效。方法 选取我院2023年度急诊科收治60例非梗阻性肠积气相关腹胀患者,按随机数字表法分为治疗组和对照组各30例。对照组行常规灌肠、促胃肠动力相关治疗,治疗组在上述治疗基础上加用里穴位注射治疗,观察两组在有效率、首次排气、排便时间、VAS评分相关指标的差异。结果 治疗组总有效率高于对照组(P<0.05),首次排气、排便时间短于对照组,VAS评分改善优于对照组(P<0.05)。结论 穴位注射治疗急诊非梗阻性肠积气相关腹胀可缩短首次排气和排便时间,减轻疼痛,提高治疗效果。
Objective To observe the clinical efficacy of acupoint injection therapy for non-obstructive intestinal gas-related abdominal distension in the emergency department. Methods A total of 60 patients with non-obstructive intestinal gas-related abdominal distension admitted to our hospital's emergency department in 2023 were selected and randomly divided into a treatment group and a control group, each with 30 cases. The control group received routine enema and gastrointestinal motility-related treatments, while the treatment group, in addition to the above treatments, underwent acupoint injection therapy. The differences in efficacy rates, time to first flatulence, bowel movement time, and VAS score between the two groups were observed. Results The total effective rate in the treatment group was higher than that in the control group (P<0.05), the time to first flatulence and bowel movement was shorter than in the control group, and the improvement in VAS score was better than in the control group (P<0.05). Conclusion Acupoint injection therapy for non-obstructive intestinal gas-related abdominal distension in the emergency department can shorten the time to first flatulence and bowel movement, alleviate pain, and improve therapeutic effects.
[1] 邓晶晶.针刺对腹部术后胃肠运动功能紊乱的调整作用及机理研究[D].广州中医药大学,2010.
[2] 李桐,王华,吴松,等.针刺足三里、关元对气虚证患者心率变异性的影响——盲法随机对照研宄[J].中医杂志,2022, 63(12):1149-1154.
[3] 梁媛,赵丽,耿秀苹.穴位注射联合红外线治疗对无创通气腹胀患者胃肠功能的影响[J].湖北中医药大学学报, 2023,25(3):92-94.
[4] 丁美祝,胡佩欣,申倩,等.中医外治法缓解腹部术后腹胀有效性的网状Meta分析[J].广州中医药大学学报,2019, 36(7):1039-1044.
[5] 通晴,胡苏.足三里穴位注射新斯的明联合大承气汤对脓毒症患者胃肠功能的影响及其机制探讨[J].中国中医急症,2017,26(6):1052-1055.
[6] 葛凯杰,孟佳,陈建.新斯的明足三里穴位注射治疗危重症患者胃肠功能障碍的临床效果观察[J].南通大学学报(医学版),2020,40(4):345-347.
[7] 崔张霞.新斯的明足三里注射治疗剖宫产术后肠胀气96例临床观察[J].现代中医药,2017,37(2):43-44,54.
[8] 梁陈佳.足三里注射新斯的明治疗腰椎骨折术后腹胀便秘的临床研究[D].福建中医药大学,2021.
[9] 袁国艳,张作洪,任铭新.巨大垂体瘤术后并发肝门静脉积气1例并文献复习[J].重庆医学,2024,53(02):317-320.
[10] 李炯,杨丽.集束化护理联合中医护理干预对骨科卧床患者腹胀、便秘的研究[J].中华养生保健,2024,42(22):100-103.