咀嚼运动联合经皮穴位电刺激对自发性蛛网膜下腔出血患者便秘的预防
| 作者: |
1廖招娣,
2,3林征,
1於梅,
1王洪干,
1马建芬,
1仲朦朦
1 南京医科大学附属无锡人民医院神经外科，江苏 无锡 214023 2 南京医科大学护理学院，南京 211103 3 南京医科大学第一附属医院(江苏省人民医院)护理部，南京 210029 |
| 通讯: |
林征
Email: linzheng100@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.10.023 |
| 基金: | 南京医科大学科技发展基金(NMUB2020300)。 |
摘要
目的：探讨咀嚼运动联合经皮穴位电刺激(transcutaneous electrical stimulation，TEAS)预防自发性蛛网膜下腔出血(subarachnoid hemorrhage，SAH)患者便秘的效果。方法：纳入自2019年6月至2020年12月南京医科大学附属无锡人民医院神经外科收治的180例SAH患者，随机分为对照1组、对照2组与实验组，每组各60例，其中对照1组采取常规护理干预，对照2组在对照1组基础上增加咀嚼口香糖运动，实验组在对照2组基础上增加TEAS干预。对比3组患者每周自主排便次数(spontaneous bowel movements，SBMs)、便秘发生率、大便性状及首次排便时间、每次排便耗时、颅内再出血发生率及便秘相关的生活质量情况。结果：研究结束时共6例患者退出，最终纳入174例进行数据分析，其中对照1组58例、对照2组59例、实验组57例。实验组周SBMs多于对照1组、对照2组；实验组便秘发生率低于对照1组、对照2组；实验组大便性状比对照1组、对照2组松软；实验组首次排便时间及每次排便耗时短于对照1组、对照2组；实验组便秘患者生活质量优于对照1组、对照2组，差异均有统计学意义(P<0.05)；3组的颅内再出血发生率相比，差异没有统计学意义(P>0.05)。结论：咀嚼运动联合TEAS实施简单、安全，可以有效预防SAH患者发生便秘，提升患者的便秘相关生活质量。
关键词：
咀嚼；电刺激；自发性蛛网膜下腔出血；便秘
Preventive effect of constipation of patients with subarachnoid hemorrhage by chewing exercise combined with transcutaneous electrical acupoint stimulation
CorrespondingAuthor: LIN Zheng Email: linzheng100@163.com
DOI: 10.3978/j.issn.2095-6959.2021.10.023
Foundation: This work was supported by the Science and Technology Development Fund of Nanjing Medical University, China (NMUB2020300).
Abstract
Objective: To explore the effect of chewing exercise combined with transcutaneous electrical stimulation (TEAS) to prevent constipation in patients with subarachnoid hemorrhage (SAH). Methods: In this study, we enrolled 180 SAH patients who were admitted to the neurosurgery department of a third-class hospital in Wuxi from June 2019 to December 2020. The patients were randomly divided into three groups, with 60 cases in each group. The patients in the control group 1 received routine nursing intervention, the cases in the control group 2 received chewing gum exercises combined routine nursing intervention, and TEAS combined the interventions in the control group 2 were carried out on patients in the experimental group. Compare the differences of weekly spontaneous bowel movements (SBMs), the incidence of constipation, stool characteristics and time to first defecation, time-consuming every bowel movement, the incidence of internal rebleeding and the quality of life related to constipation among the three groups. Results: At the end of the study, a total of 6 patients were dropped, and 174 cases were finally included for data analysis, including 58 cases in the control group 1, 59 cases in the control group 2, and 57 cases in the experimental group. The weekly SBMs of the experimental group were more than those of the control group 1 and 2; the incidence of constipation in the experimental group was lower than that of the control group 1 and 2; the stool characteristics of the experimental group were softer than those of the control group 1 and 2; The defecation time is shorter than that of the control group 1 and 2. The quality of life of patients with constipation in the experimental group is better than that of the control group 1 and 2, and the difference is statistically significant (P<0.05). Comparing the incidence of intracranial rebleeding in the three groups, the difference was not statistically significant (P>0.05). Conclusion: Chewing exercise combined with TEAS is simple and safe to implement, which can effectively prevent SAH patients from constipation and improve their constipation-related quality of life.
Keywords：
chew; electrical stimulation; subarachnoid hemorrhage; constipation