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Effect of Rhubarb apply umbilical combined with auricular point sticking on intestinal cleaning preparation and abdominal pain and distension during colonoscopy |
JIANG Qian1 XU Yan1 LI Dan1 TAO Yilil DU Ling2▲ |
1.Digestive Disease Diagnosis and Treatment Center of Integrated Traditional Chinese and Western Medicine, Changzhou Hospital of Traditional Chinese Medicine, Jiangsu Province, Changzhou 213000, China;
2.Department of Spleen and Stomach Diseases, Changzhou Hospital of Traditional Chinese Medicine, Jiangsu Province, Changzhou 213000, China |
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Abstract Objective To observe the effect of Rhubarb apply umbilical combined with auricular point sticking on intestinal cleaning preparation and abdominal pain and distension during colonoscopy. Methods A total of 120 patients receiving colonoscopy in Changzhou Hospital of Traditional Chinese Medicine in Jiangsu Province from January 2019 to January 2022 were selected by random number table method. The patients were divided into Rhubarb apply umbilical group (Rhubarb apply umbilical), auricular acupoint sticking magnetic group (auricular point sticking) and combined group (Rhubarb apply umbilical combined auricular point sticking) by random number table method, with 40 cases in each group. All three groups were treated with oral polyethylene glycol electrolyte powder for intestinal preparation, and continued intervention for three days. The intestinal cleaning preparation rate and abdominal pain and abdominal distension were compared among the three groups. Results The scores of Boston intestinal preparation scale and total scores, qualified rate of preparation cleaning, easy observation rate of intestinal bubbles, and detection rate of first polyp in the combined group were higher than those in the Rhubarb apply umbilical group and auricular acupoint sticking magnetic group (P < 0.01). There was no significant difference in the detection rate of polyps among the three groups (P > 0.05). After examination, visual analogue scale scores of abdominal pain and abdominal distention of Rhubard apply umbilical group and aurrcular acupoint sticking magnetic group were higher than before, and visual analogue scale of abdominal pain, abdominal distention and bubble scores of intestinal parts in the combined group were lower than those in the Rhubarb apply umbilical group and auricular acupoint sticking magnetic group (P < 0.01). Conclusion Rhubarb umbilical application combined with auricular acupuncture can improve intestinal preparation for colonoscopy, reduce intestinal bubbles, improve the detection rate of intestinal polyps, and reduce abdominal distension and abdominal pain.
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[1] Ladabaum U,Dominitz JA,Kahi C,et al. Strategies for Colorectal Cancer Screening [J]. Gastroenterology,2020,158(2):418-432.
[2] Montminy EM,Jang A,Conner M,et al. Screening for Colorectal Cancer [J]. Med Clin North Am,2020,104(6):1023-1036.
[3] Millien VO,Mansour NM. Bowel Preparation for Colonoscopy in 2020:A Look at the Past,Present,and Future [J]. Curr Gastroenterol Rep,2020,22(6):28.
[4] 许艺燕,刘继洪,丁慧,等.耳穴金针疗法治疗气虚质慢性疲劳综合征临床研究[J].中国针灸,2019,39(2):19-23.
[5] ?覶elebi D,Y?覦lmaz E,■ahin ST,et al. The effect of music therapy during colonoscopy on pain,anxiety and patient comfort:A randomized controlled trial [J]. Complement Ther Clin Pract,2020,38(5):101084.
[6] Akgul G,Ozgur Yeniova A,Ozsoy Z,et al. Effect and Tolerability of Same-Day Repeat Colonoscopy [J]. J Invest Surg,2020,33(5):459-465.
[7] 周波,彭志,陈再林.不同肠道准备方式对结肠镜检查病人结肠动力学、Boston肠道准备量表评分及应用耐受度影响比较[J].安徽医药,2017,21(3):507-510.
[8] 柴先灯,李伦兰,杨桂芳,等.口服盐酸利多卡因胶浆联合磷酸钠盐在肠镜检查中效果观察[J].中华全科医学,2021,19(8):1411-1414,1432.
[9] 潘鹏,吴佳艺,杨婷,等.利用结肠镜息肉检出率估算腺瘤检出率可行性探索[J].中华消化内镜杂志,2021,38(8):633-637.
[10] MD A,Am B,Fgh C,et al. The Effect of Abdominal Massage on Gastrointestinal Functions:a Systematic Review-ScienceDirect [J]. Complementary Therapies Med,2020,54(1):102553.
[11] 叶宇飞,梅荣,任静霞,等.耳穴贴压对肛肠疾病患者围手术期心理应激的干预研究[J].中国针灸,2019,39(6):39-42.
[12] 颜靖文,徐春巍,周超,等.黄芪汤联合耳穴贴压治疗慢性便秘气虚证临床研究[J].中国中医药信息杂志,2019, 26(1):27-30.
[13] 叶宇飞,梅荣,任静霞,等.耳穴贴压对肛肠疾病患者围手术期心理应激的干预研究[J].中国针灸,2019,39(6):39-42.
[14] 薛莲,沈春勤,陈超.化瘀抗癌汤灌肠联合耳穴贴压对肺癌患者肠道菌群及炎症因子功能的影响[J].中医药学报,2020,48(8):60-63.
[15] 傅亚萍,周美芳,章红燕.耳穴压豆联合纳食护理对慢性乙肝后肝硬化腹胀患者症状及生活质量的影响[J].现代中西医结合杂志,2019,28(6):111-114.
[16] 曹亮,韩娟,金淳民,等.四磨汤加减联合生大黄粉穴位贴敷对功能性便秘的疗效分析[J].中华中医药学刊,2019, 37(10):249-251.
[17] 计莲娣,嵇辉,周建斌.生大黄贴敷神阙穴治疗针刀术后慢性传输型便秘的临床效果[J].中国医药导报,2018, 15(5):148-150,176.
[18] 吕婧,岳辰,温阳阳,等.骨科手术术后便秘防治的研究进展[J].中国医药导报,2019,16(19):54-57.
[19] 黄烨,李洁,张蕾,等.危重症患者耳穴刺激结合西医镇痛镇静的治疗进展[J].中国中西医结合杂志,2020,40(12):119-122.
[20] Liu WN,Zhang YY,Bian XQ,et al. Study on detection rate of polyps and adenomas in artificial-intelligence-aided colonoscopy [J]. Saudi J Gastroenterol,2020,26(1):13-19.
[21] 沙莎,刘佐嘉.低容量聚乙二醇电解质散分次服用时间对儿童结肠镜检查肠道准备影响的前瞻性对比研究[J]. 中华消化内镜杂志,2019,36(1):20-24.
[22] 代秋颖,张书信,刘子号,等.聚乙二醇电解质散联合莫沙必利用于结肠镜检查前肠道准备有效性和安全性的Meta分析[J].中国全科医学,2020,23(14):73-79.
[23] 陈希琳,冯六泉,姜国丹,等.电子乙状结肠镜临床应用专家共识(2020版)[J].实用临床医药杂志,2020,24(16):1-7,11.
[24] 王亚军,杨幼林.结肠镜检查不良事件及处理方法的临床研究进展[J].国际消化病杂志,2019,39(5):325-328,340.
[25] 年媛媛,孟宪梅,栗鹏,等.乳果糖与聚乙二醇电解质在结肠镜肠道准备中的应用比较:随机对照单盲临床研究[J].胃肠病学,2020,25(4):35-39.
[26] 钟小敏,黄春霞,李盼盼,等.耳穴压贴在视网膜脱离围术期疼痛护理中的应用效果[J].中国医药导报,2020, 17(16):179-181,189.
[27] 李祯祥,张春霞,姜涛,等.电针联合耳穴贴压治疗混合痔外剥内扎术后肛门疼痛的临床疗效[J].当代医学,2021, 27(10):108-110. |
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