Application of acupoint application of Chinese medicine to relieve abdominal pain and distension after colonoscopy under general anesthesia
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摘要:
目的 全麻结肠镜检查后的腹痛、腹胀现象需予以重视，本研究探讨中药穴位贴敷对腹痛、腹胀的缓解效果。 方法 选取2022年2月—2023年4月在温州市中西医结合医院拟进行全麻结肠镜检查的受检者共340例，采用随机数表法分为对照组和观察组各170例。对照组检查后给予常规护理，观察组在常规护理的基础上给予中药穴位贴敷，比较2组检查后腹痛、腹胀缓解情况、肛门首次排气时间、胃肠道症状评定量表(GSRS)评分和护理满意度。 结果 2组检查后腹痛、腹胀VAS评分均呈下降趋势(P＜0.05)，观察组检查6 h、12 h的腹痛、腹胀VAS评分均低于对照组，差异有统计学意义(P＜0.05)。观察组肛门首次排气时间[(17.14±5.60)min vs. (25.26±7.43)min]、检查后2 d的GSRS量表评分[(6.51±2.03)分vs. (7.72±2.25)分]均低于对照组(P＜0.05)，检查后12 h的腹痛、腹胀缓解率及护理满意度[96.75%(149/154) vs. 91.28%(136/149)]均高于对照组，差异有统计学意义(P＜0.05)。 结论 全麻结肠镜检查后给予中药穴位贴敷，能有效促进腹痛、腹胀缓解和缩短肛门排气时间，提高结肠镜检查的舒适性和安全性，也有利于提高护理满意度。 Abstract:Objective The phenomenon of abdominal pain and distension after colonoscopy under general anesthesia should be paid more attention to. This study discussed the effect of acupoint application of Chinese medicine on relieving abdominal pain and distension. Methods A total of 340 patients who planned to undergo general anesthesia colonoscopy in Wenzhou of Integrated Traditional Chinese and Western Medicine Hospital from February 2022 to April 2023 were selected and divided into a control group and an observation group by random number table method, with 170 cases in each group. The control group was given routine nursing after examination, and the observation group was given acupoint application of traditional Chinese medicine based on routine nursing. The relief of abdominal pain and distension, the time of first anal exhaust, gastrointestinal symptoms rating scale (GSRS), and nursing satisfaction were compared between the two groups after the examination. Results The VAS scores of abdominal pain and abdominal distension in both groups showed a downward trend after examination (P < 0.05). The VAS scores of abdominal pain and abdominal distension in the observation group at 6 h and 12 h were lower than those in the control group, with statistical significance (P < 0.05). The first anal exhaust time [(17.14±5.60) min vs. (25.26±7.43) min] and GSRS score [(6.51±2.03) points vs. (7.72±2.25) points] of the observation group were lower than those of the control group (P < 0.05), the remission rates of abdominal pain, abdominal distension and nursing satisfaction 12 h after examination were higher than those of control group [96.75% (149/154) vs. 91.28% (136/149)], and the difference was statistically significant (P < 0.05). Conclusion Acupoint application of Chinese medicine after general anesthesia colonoscopy can effectively relieve abdominal pain and distension, shorten the time of anal exhaust, improve the comfort and safety of colonoscopy, and improve nursing satisfaction. -
表 1 2组全麻结肠镜受检者一般资料比较
Table 1. Comparison of general information between two groups of colonoscopy patients under general anesthesia
组别 例数 性别(男/女, 例) 年龄(x ± s, 岁) 受检原因(例) 镜检时间(x ± s, min) 腹部隐痛 便秘 腹泻 其他 对照组 149 71/78 57.42±8.42 57 41 31 20 22.64±3.87 观察组 154 69/85 56.87±8.31 61 38 32 23 22.53±4.05 统计量 0.247a 0.572b 0.392a 0.242b P值 0.619 0.568 0.942 0.809 注：a为χ2值，b为t值。 
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表 2 2组全麻结肠镜受检者检查后腹痛VAS评分比较(x±s, 分)
Table 2. Comparison of abdominal pain VAS scores between two groups of colonoscopy subjects under general anesthesia (x±s, points)
组别 例数 检查后1 h 检查后6 h 检查后12 h F值 P值 对照组 149 3.41±1.12 2.32±0.71a 1.56±0.47a 14.372 ＜0.001 观察组 154 3.26±1.06 1.87±0.54a 1.06±0.34a 17.561 ＜0.001 F值 1.198 6.168 10.635 P值 0.232 ＜0.001 ＜0.001 注：与同组检查后1 h比较，aP＜0.05。
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表 3 2组全麻结肠镜受检者检查后腹胀VAS评分比较(x±s, 分)
Table 3. Comparison of abdominal distension VAS scores between two groups of colonoscopy subjects under general anesthesia (x±s, points)
组别 例数 检查后1 h 检查后6 h 检查后12 h F值 P值 对照组 149 3.47±1.15 2.43±0.75a 1.65±0.51a 16.041 ＜0.001 观察组 154 3.28±1.10 1.92±0.58a 1.20±0.38a 14.383 ＜0.001 F值 1.470 6.634 8.728 P值 0.143 ＜0.001 ＜0.001 注：与同组检查后1 h比较，aP＜0.05。
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表 4 2组全麻结肠镜受检者肛门首次排气时间和检查后12 h腹痛、腹胀缓解情况比较
Table 4. Comparison of the time to first flatus and the alleviation of abdominal pain and distension 12 hours post-examination between two groups of colonoscopy patients under general anesthesi
组别 例数 肛门首次排气时间(x±s, min) 检查后12 h腹痛缓解[例(%)] 检查后12 h腹胀缓解[例(%)] 对照组 149 25.26±7.43 134(89.93) 137(91.95) 观察组 154 17.14±5.60 148(96.10) 150(97.40) 统计量 10.747a 4.471b 4.508b P值 ＜0.001 0.034 0.034 注：a为t值，b为χ2值。
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