穴位按摩联合热敏灸缓解肝癌术后患者气滞型呃逆的效果观察

doi:10.16460/j.issn1008-9969.2019.09.060

摘要/Abstract

摘要： 目的探讨穴位按摩联合热敏灸对肝癌术后气滞型呃逆患者呃逆缓解有效率及缓解时间的影响。方法抽取2014年1月—2018年1月本院肝胆胰外科病房因肝癌行腹腔镜或开腹手术术后2 h麻醉清醒后出现呃逆,经常规处理1 h无效的患者作为研究对象。采用简单随机数字表法分为对照组（n=23）及观察组（n=25）,对照组在穴位按摩基础上予盐酸甲氧氯普胺注射液10 mg肌内注射,观察组予穴位按摩联合热敏灸,1次/d,3 d为1个疗程,干预1个疗程。观察2组患者干预3 d末呃逆缓解有效率、呃逆缓解起效时间及起效后4 h内呃逆复发率。结果干预3 d末,观察组肝癌术后气滞型呃逆患者呃逆缓解有效率为92%,对照组为70%,差异有统计学意义（χ²=6.873,P<0.05）;对照组干预后呃逆症状缓解起效时间为90（60,120）min;起效后4 h内呃逆复发率为69%,观察组干预后呃逆症状缓解起效时间为30（22,35）min,起效后4 h内呃逆复发率为17%,2组间比较,差异均有统计学意义（P<0.05）。结论穴位按摩联合热敏灸可有效缓解肝癌术后患者气滞型呃逆,缩短症状缓解的起效时间及起效后4 h内呃逆复发率。

关键词: 热敏灸, 肝癌, 肝切除术, 呃逆

Abstract: Objective To explore the effective rate and remission time of acupoint massage combined with heat-sensitive moxibustion in treating Qi-stagnation-type hiccup in patients after surgery for hepatocellular carcinoma. Methods From January 2014 to January 2018, in department of hepatopancreatobiliary surgery, 48 patients had hiccups after the surgery for hepatocellular carcinoma and could not be alleviated by routine treatment were randomly assigned to the control group (n=23) and the observation group (n=25). The observation group was treated with acupoint massage combined with heat-sensitive moxibustion once a day, three days as a course of treatment and the control group with acupoint massage and 10mg metoclopramide hydrochloride intramuscular injection. After one course of treatment, the effective rate of relieving hiccups, onset time and 4-hour recurrence rate were compared between the two groups. Results The effective rate was 92% in the observation group and 70% in the control group (χ²=6.873, P<0.05). The onset time of relieving hiccup was 90 (60,120) minutes in the control group and 30(22,35) minutes in the observation group and the 4-hour recurrence rate was 69% and 17% respectively. All the differences had statistical significance(P<0.05). Conclusion Acupoint massage combined with heat-sensitive moxibustion can effectively alleviate the Qi-stagnation-type hiccup after the surgery for hepatocellular carcinoma with short onset time and lower recurrence rate in 4 hours.

Key words: heat-sensitive moxibustion, hepatocellular carcinoma, hepatectomy, hiccup

中图分类号:

R248

林丽君, 周春姣, 何军明, 彭建新, 喻志敏. 穴位按摩联合热敏灸缓解肝癌术后患者气滞型呃逆的效果观察[J]. 护理学报, 2019, 26(9): 60-63.

LIN Li-jun, ZHOU Chun-jiao, HE Jun-ming, PENG Jian-xin, YU Zhi-min. Effect of Acupoint Massage Combined with Heat-sensitive Moxibustion on Patients with Qi- stagnation-type Hiccup after Surgery for Hepatocellular Carcinoma[J]. Journal of Nursing, 2019, 26(9): 60-63.

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