Abstract:

Objective　To explore the recovery effect of moxibustion and acupoint application nursing for patients with gastrointestinal dysfunction after craniocerebral trauma. Methods　Eighty patients with gastrointestinal dysfunction after craniocerebral trauma admitted to Department of Brain Surgery, Liangyungang Hospital Affiliated to Nanjing University of Chinese Medicine from January 2020 to April 2022 were selected for the random control trial. They were divided into an observation group and a control group by the random number table method, with 40 cases in each group. There were 20 males and 20 females in the control group who were (43.69±7.64) years old. There were 24 males and 16 females in the observation group who were (45.41±9.45) years old. The control group took routine gastrointestinal nursing. The observation group took moxibustion and acupoint application nursing. The gastrointestinal function recovery, disorder and quality of life of the two groups were compared the next day of admission and 2 weeks after admission. t and χ² tests were applied. Results　The bowel sound recovery time, first exhaust time, and first defecation time in the observation group were shorter than those in the control group, with statistical differences (t=3.091, 3.197, and 3.130; all P<0.05). The total scores of gastrointestinal dysfunction 2 weeks after admission in both groups were lower than those the next day of admission. The total score of gastrointestinal dysfunction 2 weeks after admission in the observation group was lower than that in the control group [(1.91±0.43) vs. (2.25±0.47); t=3.376, P=0.001]. The scores of symptoms, emotion, body function, social function, and medication 2 weeks after admission in both group were higher than those the next day of admission. The scores of symptoms, emotion, body function, social function, and medication 2 weeks after admission in the observation group were higher than those in the control group, with statistical differences (t=3.146, 2.674, 2.725, 2.671, and 3.313; all P<0.05). Conclusion　Moxibustion and application acupoint nursing are conducive to the recovery of patients with gastrointestinal dysfunction after craniocerebral trauma, shorten the time of gastrointestinal ventilation, and improve their quality of life.

Key words:

Moxibustion, Application, Craniocerebral trauma, Gastrointestinal dysfunction

摘要：

目的　探究艾灸、贴敷调理对颅脑损伤患者胃肠功能恢复效果。方法　选取2020年1月至2022年4月南京中医药大学连云港附属医院连云港市中医院脑外科收治的80例颅脑损伤后胃肠功能紊乱患者进行随机对照试验，以随机数表法分为观察组与对照组，每组40例。对照组（予以常规胃肠护理）：男20例、女20例，年龄（43.69±7.64）岁。观察组（予以艾灸、穴位贴敷护理）：男24例、女16例，年龄（45.41±9.45）岁。对比入院次日、入院2周后两组颅脑损伤患者胃肠功能恢复、紊乱情况及生活质量。统计学方法采用t检验、χ²检验。结果　观察组肠鸣音恢复时间、首次排气时间、首次排便时间均低于对照组，两组比较，差异均有统计学意义（t=3.091、3.197、3.130，均P<0.05）；入院2周后，胃肠功能紊乱总分低于入院次日，观察组低于对照组［（1.91±0.43）分比（2.25±0.47）分，t=3.376，P=0.001］；入院2周后症状、情绪、躯体功能、社会功能、药物治疗评分均高于入院次日，观察组均高于对照组，差异均有统计学意义（t=3.146、2.674、2.725、2.671、3.313，均P<0.05）。结论　艾灸、贴敷调理有助于颅脑损伤患者胃肠功能紊乱的恢复，缩短胃肠通气时间，提升生活质量。

关键词:

艾灸, 贴敷, 颅脑损伤, 胃肠功能紊乱