耳穴压豆联合子午流注穴位贴敷对腰椎间盘突症术后患者胃肠道功能、心理情绪和疼痛影响
Effect of Auricular Acupoint Pressure Combined with Ziwuliuzhu Acupoint Application on Gastrointestinal Function, Psychological Emotion and Pain in Patients with Lumbar Disc Protrusion after Surgery

目的：观察耳穴压豆联合子午流注穴位贴敷对腰椎间盘突症术后患者胃肠道功能、心理情绪和疼痛的影响。方法：收集2020年1月~2022年2月在我院门诊或住院腰椎间盘突症术后患者60例，按照就诊顺序编号，采用随机数字表按照随机原则，随机分为2组各30例。对照组给予常规护理，包括环境护理、生活起居护理、时间护理、饮食护理、功能锻炼及心理护理等，同时给予耳穴压豆，于皮质下腰骶部取交感、神门穴，于患者术后2 h内给予耳穴压豆按压3~5 min/次，5次/d。观察组在对照组基础上给予子午流注穴位贴敷。依据子午流注法，取穴时辰为大肠经最旺盛的卯时(05:00~07:00)；选取胃经的天枢及足三里穴，取穴时辰为胃经最旺盛的辰时(07:00~09:00)。选茴香枳术汤为敷贴药物，准确取穴后进行穴位敷贴，贴敷2 h/次，1次/d。2组均连续干预2周观察患者胃肠功能情况、心理情绪评分和疼痛评分情况。结果：与对照组比较，观察组腹胀时间、排气时间和排便时间均明显缩短。干预后，2组SAS、SDS评分均下降(P < 0.05)；且观察组SAS、SDS评分下降明显低于对照组。干预后，2组VAS评分均下降(P < 0.05)；且观察组VAS评分下降明显低于对照组。结论：耳穴压豆联合子午流注穴位贴敷能改善腰椎间盘突症术后患者胃肠道功能、降低心理负面情绪和疼痛程度，值得临床推广借鉴。
Objective: To observe the effect of auricular acupoint pressing bean combined with Ziwuliuzhu ac-upoint application on gastrointestinal function, psychological emotion and pain in patients with lumbar disc protrusion after surgery. Methods: A total of 60 outpatients or inpatients with lumbar disc protrusion after surgery in our hospital from January 2020 to February 2022 were collected and randomly divided into 2 groups with 30 cases in each group according to the random number table according to the random principle. The control group was given routine nursing, including en-vironmental nursing, daily life nursing, time nursing, diet nursing, functional exercise and psycho-logical nursing, etc. At the same time, the patients were given auricular acupoint pressing beans, and sympathetic and Shenmen acupoints were taken from the lower back and sacral part of the cortex. The patients were given auricular acupoint pressing beans 3~5 min/ time, 5 times/day within 2 hours after operation. On the basis of the control group, the observation group was given Ziwuliuzhu acupoint application. Tianshu and Zusanli points of the stomach meridian were selected, and the time of acupoint selection was the most vigorous hour of the stomach meridian (07:00~ 09:00). Fennel Zhishu decoction was selected as the application drug, and acupoint application was carried out after accurate acupoint selection, 2 h/time, once/day. The gastrointestinal function, psychological and emotional scores and pain scores of patients in both groups were observed for 2 weeks. Results: Compared with the control group, the abdominal distension time, exhaust time and defecation time were significantly shortened in the observation group. After intervention, the scores of SAS and SDS in the two groups were decreased (P < 0.05). The decline of SAS and SDS in the observation group was significantly lower than that in the control group. After intervention, the VAS scores of the two groups were decreased (P < 0.05).