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Influence of different uses of Sizi powder on gastrointestinal function recovery after colonoscopy under general anesthesia |
ZHU Peipei, CHEN Linling, JING Shan, JIA Jie, FENG Juan |
Department of Spleen and Stomach Diseases, Nantong Traditional Chinese Medicine Hospital, Nantong, 226000 |
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Abstract Objective To explore the application effect of different uses of Sizi powder on postoperative gastrointestinal function recovery, abdominal pain and abdominal distension symptoms and comfort in patients with colonoscopy under general anesthesia. Methods A total of 150 patients who received general anesthesia colonoscopy in the hospital were selected from February 2022 to February 2024, and were divided into three groups: group A(n=50, conventional basic intervention), group A(n=50, conventional basic intervention + Sizi powder hot compress umbilical intervention) and group C(n=50, conventional basic intervention + Sizi powder Renyanbao meridian acupoint selection intervention). The gastrointestinal function, abdominal distension degree, waist circumference, abdominal pain degree and comfort at different time points and intervention effect were compared among the three groups. Results Finally, 48 patients in group A, group B and group C were enrolled respectively. The complete remission time of abdominal distention in group C and group A was shorter than that in group A, and the time in group C was shorter than that in group A. The number of cases with 0-5 times bowel sounds per minute was higher in group C and group A than that in group A, and the number was higher in group C than that in group A. At 2 h and 4 h after intervention, the abdominal distention degree score in group A and group C was lower than that in group A, and the score was lower in group C than that in group A. There was no significant difference in waist circumference among the three groups before intervention and at 1 h, 2 h and 4 h after intervention. At 2 h and 4 h after intervention, the numerical rating scale (NRS) score in group A and group C was lower than that in group A, and the NRS score in group C was lower than that in group A. At 1 h, 2 h and 4 h after intervention, the general comfort questionnaire (GCQ) score was higher in group A and group C than that in group A, and the GCQ score in group C was higher compared to group A. The abdominal distention intervention effect in group A and group C was better than that in group A, and group C had better abdominal distention intervention effect than group A. Conclusion Sizi powder Renyanbao meridian acupoint selection intervention is an effective traditional Chinese medicine appropriate intervention technique to promote the recovery of gastrointestinal function after general anesthesia colonoscopy, improve the symptoms of abdominal pain and abdominal distension and enhance the comfort.
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Received: 02 August 2024
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[1] 龙楚彦, 何植, 崔伯塔, 等. 结肠途径经内镜肠道植管术的方法学、安全性和用途探讨 (含视频)[J]. 中华消化内镜杂志, 2020, 37(1) : 28-32. [2] 陈建丰, 王文琳, 刘伟, 等. 两种气体用于CT仿真结肠镜检查的效果比较[J]. 中国基层医药, 2021, 28(8) : 1182-1186. [3] COSER RB, DALIO MB, MARTINS LCP, et al.Colonoscopy complications: experience with 8968 consecutive patients in a single institution. Complicações em colonoscopia: experiência uni-institucional com 8968 pacientes[J]. Rev Col Bras Cir, 2018, 45(4) : e1858. [4] 赵桂平, 杨舒悦, 邵琳琳, 等. 无镇静肠镜检查腹痛、腹胀危险因素的多中心临床研究[J]. 中华消化内镜杂志, 2022, 39(7) : 528-533. [5] 蒋桂芬, 华东育. 微视频结合团体集中肠道准备宣教在老年结肠镜检查与患者肠道清洁中的效果[J]. 中国老年学杂志, 2022, 42(3): 581-584. [6] 黄健, 彭琼. 聚乙二醇清肠液联合西 (二) 甲硅油甲硅油乳剂在结肠镜检查肠道准备中的疗效[J]. 湖南师范大学学报 (医学版) , 2017, 14(1) : 117-120. [7] 庄跃, 吴昊, 程艳. 穴位按摩联合放松训练在结肠镜检查患者肠道准备中的应用[J]. 中华现代护理杂志, 2022, 28(25) : 3473-3477. [8] 陈一秀, 曹艳霞, 罗晓颖, 等. 中药热敷护理对结肠镜围检查期患者舒适度和满意度的影响[J]. 中国医药导报, 2023, 20(16): 173-176. [9] 司敏, 刘万里, 孙刚. 加味四逆散结合穴位贴敷治疗腹泻型肠易激综合征肝郁脾虚证临床研究[J]. 国际中医中药杂志, 2021, 43(12): 1194-1198. [10] 王岩, 钱若远, 陈平雁. 样本量估计及其在nQuery和SAS软件上的实现——均数比较 (九)[J]. 中国卫生统计, 2019, 36(02) : 156-162. [11] 中华中医药学会脾胃病分会, 黄穗平, 凌江红, 等. 功能性腹胀中医诊疗专家共识 (2023)[J]. 中国中西医结合消化杂志, 2024, 32(7): 549-555. [12] 中华医学会天津分会呼吸病学会, 卢波卿, 刘昌. 临床病理讨论第59例——腹痛、腹胀、恶心、呕吐、胸痛[J]. 中华结核和呼吸杂志, 1997, 20(4) : 249-250. [13] 尹慧, 胡有力. 胸腔内迷走神经阻滞对肺叶切除术患者术后恶心呕吐的影响[J]. 临床麻醉学杂志, 2024, 40(4) : 384-388. [14] 田恬, 李娟, 吴兆荣, 等. 早期食管癌患者行内镜下黏膜剥离术后不同角度体位对其疼痛的影响[J]. 中国实用护理杂志, 2024, 40(16): 1201-1206. [15] 杨霞, 邹景霞, 娄伦田, 等. 健脾降浊护心汤在冠心病心绞痛的治疗中的应用价值[J]. 世界中医药, 2022, 17(8) : 1118-1121. [16] 沈照峰, 朱磊, 刘亚军, 等. 基于德尔菲法的溃疡性结肠炎患者相关危险因素调查分析[J]. 西部中医药, 2020, 33(4) : 82-86. [17] 鹿志军, 王伟强, 蔡欢, 等. 基于结肠镜检查者结直肠腺瘤危险因素分析[J]. 湖南师范大学学报 (医学版) , 2017, 14(3) : 10-14. [18] 李嘉维, 王玉平, 姬瑞. 普通结肠镜检查中缓解疼痛方法的研究进展[J]. 现代消化及介入诊疗, 2022, 27(5) : 640-644. [19] 史明春, 樊雪梅, 侯静静, 等. 中医适宜技术在产妇分娩疼痛管理中的应用进展[J]. 护理学杂志, 2024, 39(12) : 20-24. [20] 李壮苗, 张佳宇, 刘芳, 等. 四子散蜡疗手三阴经筋对脑卒中偏瘫患者上肢运动功能的效果研究[J]. 中华护理杂志, 2022, 57(19) : 2378-2384. [21] 刘秦宇, 黄惠榕, 刘芳, 等. 四子散热熨对压力性尿失禁患者盆底功能康复的影响[J]. 护理学杂志, 2022, 37(12) : 39-42, 63. [22] 龚建文, 黄永明, 杨海芳. 四子散治疗退行性膝关节炎临床观察[J]. 新中医, 2010, 42(9) : 53-54. [23] 张洁婷, 梁玉婷, 刘旭生, 等. 四子散热敷疗法改善血液透析患者生活质量的临床研究[J]. 世界科学技术-中医药现代化, 2017, 19(9) : 1522-1526. [24] 贾蔷, 阴启明, 李运伦, 等. 莱菔子化学成分及药理作用研究概况[J]. 山东中医药大学学报, 2023, 47(6) : 805-811. [25] 许建秦, 李婷, 祁海燕, 等. 基于中医传承辅助平台的名老中医米烈汉教授治疗肺痿用药规律分析[J]. 陕西中医, 2020, 41(2) : 254-257. [26] 李孟佳, 徐月娥, 肖晓霞, 等. 三伏贴治疗痛经组方选穴规律分析[J]. 山东中医药大学学报, 2022, 46(3) : 357-364. [27] 贾宁, 李杨, 唐艳萍. 吴茱萸汤之方证探析[J]. 中国中西医结合外科杂志, 2023, 29(4) : 541-543. [28] 黄盈, 苏红侠, 李春梅, 等. 中脘穴点按对泌尿外科腹腔镜术后胃肠功能紊乱的治疗效果[J]. 中国内镜杂志, 2020, 26(7) : 47-51. [29] 彭晓洪, 宋棠, 黄永莲, 等. 针药结合疗法对脓毒症患者肠道屏障功能保护作用的临床研究[J]. 中国中西医结合急救杂志, 2023, 30(2) : 142-146. [30] 周梅, 杨硕, 陈日新, 等. 热敏灸联合盐酸托烷司琼治疗化疗相关性恶心呕吐: 随机对照试验[J]. 中国针灸, 2024, 44(5) : 531-536. |
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