李娜　　余炳取　　王雨静　　陈怡

[摘要] 目的 探討穴位贴敷联合耳穴压豆在肠息肉内镜下摘除术后中的应用。 方法 选择2019年1月至12月在我院内镜下摘除术治疗的肠息肉患者240例为研究对象，随机分为干预组与对照组各120例。对照组采用常规护理，干预组在此基础上给予穴位贴敷联合耳穴压豆干预。比较两组术后并发症、恢复情况、住院时间，以及治疗前年后生活质量等。 结果 ①干预组术后腹泻（1.7%）、腹痛（0.8%）、发热（1.7%）发生率及总并发症（7.5%）发生率较对照组低（P<0.05）。②治疗后，干预组排气时间（18.3±3.1）h、排便时间（31.6±4.0）h显著早于对照组，住院时间（7.2±0.6 h）显著短于对照组，术后12 h VAS评分（2.8±0.7）h显著低于对照组，护理满意度评分（89.9±5.5）显著高于对照组，差异有统计学意义（P<0.05）。③两组生活质量在治疗后均较治疗按显著改善（P<0.05）;干预组在治疗后1周（76.8±9.5）分、治疗后4周（88.5±8.3）分，生活质量均优于对照组（P<0.05）。 结论 穴位贴敷联合耳穴压豆干预应用于肠息肉内镜下摘除可显著降低术后并发症，促进术后恢复，提高术后生活质量。

[关键词] 穴位贴敷;耳穴压豆;肠息肉;内镜下摘除术

[中图分类号] R657.1          [文献标识码] B          [文章编号] 1673-9701（2021）13-0177-04

Research on the application of acupoint patching combined with auricular points plaster after endoscopic resection of intestinal polyps

LI Na   YU Bingqu   WANG Yujing   CHEN Yi

Department of Gastroenterology， Wenzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine， Wenzhou   325003， China

[Abstract] Objective To investigate the application of acupoint patching combined with auricular points plaster after endoscopic resection of intestinal polyps. Methods A total of 240 patients with intestinal polyps treated with endoscopic resection in our hospital from January to February were selected as the research objects， and they were randomly divided into the intervention group （n=120） and the control group （n=120）. The control group was treated with conventional nursing， while the intervention group was treated with acupoint patching combined with auricular points plaster intervention. The incidence of postoperative complications， recovery， hospitalization time and quality of life before and after treatment were compared between the two groups. Results ①The incidences of postoperative diarrhea （1.7%）， abdominal pain（0.8%）， fever （1.7%） and total complications（7.5%） in the intervention group were lower than those in the control group（P<0.05）. ②After treatment， in the intervention group， the anal exhaust time was （18.3±3.1 h） and the defecation time was （31.6±4.0 h）， significantly earlier than those in the control group. The hospitalization time was （7.2±0.6 h）， significantly shorter than that in the control group. VAS score after 12 hours of operation was（2.8±0.7 h）， significantly lower than that in the control group. Nursing satisfaction score was （89.9±5.5） points， significantly higher than that in the control group. All the differences were statistically significant. ③The qualities of life in both groups were significantly improved after treatment （P<0.05）. The score in the intervention group was （76.8±9.5） points after 1 week of treatment and （88.5±8.3） points after 4 weeks of treatment. The qualities of life in the intervention group were both superior to those in the control group（P<0.05）. Conclusion Application of acupoint patching combined with auricular points plaster intervention in endoscopic resection of intestinal polyps can significantly reduce incidence of postoperative complications， promote postoperative recovery and improve postoperative quality of life.

[Key words] Acupoint patching; Auricular points plaster; Intestinal polyps; Endoscopic resection

肠息肉是从黏膜表面突出到肠腔的隆起性病变，狭义的息肉一般指良性病变，但有恶变的风险。肠息肉一般无明显症状，但较大的息肉可出现消化道症状，出现大便带血、粘液血便等。随着内镜技术的发展，内镜下肠息肉摘除术称为治疗肠息肉的主要方法，具有创伤小、痛苦小、恢复快的优点[1]。但仍然有部分患者术后会出现不同的并发症情况，如迟发性出血、腹泻、腹痛、发热、溃疡、穿孔等，影响患者的康复[2]。近年来，中医护理在临床上的应用越来越广泛，其具有无痛苦、不良反应小、效果确切等优势。穴位贴敷是选择相应的治疗穴位，将药物研磨成细末，根据需要用不同的溶液调成糊状或者软膏装等，贴敷于穴位上，发挥药物的治疗作用，是一种无创无痛的穴位治疗方法[3]。穴位压豆是选择相应的耳穴，将药豆粘贴在耳穴处，给予相应的揉、按、捏、压等刺激，达到治疗的目的。……