| 万霞.择时穴位热敷联合火龙罐对脓毒症胃肠道功能障碍患者的护理效果[J].上海护理,2025,25(5): |
| 择时穴位热敷联合火龙罐对脓毒症胃肠道功能障碍患者的护理效果 |
| Nursing effect of timing acupoint hot compress combined with fire dragon cupping on patients with sepsis gastrointestinal dysfunction1Wan Xia, 2Cheng xiangJin, 1Liu Lu, 2Bai Rongrong, 2Wang Jingjing, 1Zhang Yuzhu, 3Dong Hongdi(Corresponding author) |
| DOI： |
| 中文关键词: 脓毒症 胃肠道功能障碍 穴位热敷 火龙罐 胃肠道功能 |
| 英文关键词:Sepsis Gastrointestinal dysfunction Acupoint hot compress Fire Dragon cupping Gastrointestinal function |
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| 中文摘要: |
| 目的 探讨择时穴位热敷联合火龙罐对脓毒症胃肠道功能障碍患者的护理效果。方法 回顾性分析,采集于2018年6月-2023年10月在医院经常规护理联合择时穴位热敷的39例脓毒症胃肠道功能障碍患者资料,纳入对照组；采集于2018年6月-2023年10月在医院经常规护理联合择时穴位热敷及火龙罐干预的39例脓毒症胃肠道功能障碍患者资料,纳入观察组,患者病例资料、护理相关资料均保存完整。整理患者资料,记录两组患者肠鸣音恢复正常时间、自主排气时间、排便恢复正常时间,以及干预前、干预7d时的腹腔压力、胃肠黏膜pH值、急性生理与慢性健康评分Ⅱ(APACHE)、匹兹堡睡眠质量指数(PSQI)。结果 相较于对照组,观察组的肠鸣音恢复正常时间、自主排气时间、排便恢复正常时间均较短(P＜0.05)。干预前,两组患者腹腔压力、胃肠黏膜pH值、APACHE-Ⅱ、PSQI评分对比差异无统计学意义(P＞0.05)；经过干预,两组的腹腔压力降低,胃肠黏膜pH值升高,且观察组腹腔压力低于对照组,胃肠黏膜pH值高于对照组(P＜0.05)。经过干预,两组患者的APACHE-Ⅱ评分、PSQI评分均降低,且观察组低于对照组(P＜0.05)。结论 择时穴位热敷联合火龙罐在脓毒症胃肠道功能障碍患者中的应用,能在短时间内帮助患者缓解症状、促进胃肠道功能与病情的改善,且能提高患者睡眠质量。 |
| 英文摘要: |
| Objective: To explore the nursing effect of timing acupoint hot compress combined with fire dragon cupping on patients with sepsis gastrointestinal dysfunction. Method: A retrospective analysis was conducted to collect data from 39 patients with sepsis gastrointestinal dysfunction who received regular nursing care combined with timing acupoint hot compress in hospitals from June 2018 to October 2023, and they were included in the control group. Data from 39 patients with sepsis gastrointestinal dysfunction who received regular nursing care combined with timing acupoint hot compress and fire dragon cupping intervention in the hospital were collected from June 2018 to October 2023, and included in the observation group. Patient case data and nursing related information were all kept intact. The data of patients were collected, and the time of bowel sounds returning to normal, the time of spontaneous exhaust and the time of defecation returning to normal were recorded. The abdominal pressure, gastrointestinal mucosal pH value, acute physiology and chronic health score II (APACHE) and Pittsburgh sleep quality index (PSQI) were recorded before and 7 days after intervention. Results Compared with the control group, the observation group had shorter recovery times for bowel sounds, spontaneous exhaust, and bowel movements (P<0.05). Before intervention, there was no statistical significant difference between the two groups of patients in terms of abdominal pressure, gastrointestinal mucosal pH, APACHE-II, and PSQI scores (P>0.05). After intervention, the abdominal pressure of the two groups decreased, and the pH value of the gastrointestinal mucosa increased. The abdominal pressure of the observation group was lower than that of the control group, and the pH value of the gastrointestinal mucosa was higher than that of the control group (P<0.05). After intervention, the APACHE-II score and PSQI score of both groups of patients decreased, and the observation group was lower than the control group (P<0.05). Conclusion: The application of timing acupoint hot compress combined with fire dragon cupping in patients with sepsis gastrointestinal dysfunction can help alleviate symptoms, promote gastrointestinal function and disease improvement in a short period of time, and improve the quality of sleep for patients. |
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