PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to determine the effects of acupressure on the intestinal function of patients undergoing Coronary Artery Bypass Graft (CABG) surgery.
UNASSIGNED: Studies indicated that cardiovascular patients are prone to constipation. Acupressure is one of the therapeutic and palliative approaches that can be used by doctors, nurses, and even patients themselves.
UNASSIGNED: The present three-group randomized clinical trial study was conducted on 90 patients undergoing CABG surgery. In the intervention group, 48 hours after surgery the patients received acupressure points LI4 and ST25 twice a day (10 am and 6 pm) for three sequential days. In the sham group, the patients received acupressure at a 1.5 cm distance from the LI4-ST25 points, and the patients in the control group received only the usual care. This research used a demographic and medical information questionnaire, Rome IV scale, Bristol stool scale, symptom registration checklist, and daily excretion assessment checklist. The intestinal function indices were completed 24 hours after surgery (before intervention), 48, 72, 96, and 120 hours after surgery.
UNASSIGNED: All three intervention, sham, and control groups were without defecation in 24 hours (before intervention) and 48 hours after surgery. There was a significant difference between the three intervention, sham, and control groups in the number of stools after 72 hours, 96 hours, and 120 hours after the intervention (p<0.001). Also, a significant difference was observed among the three groups in terms of stool consistency 96 hours after the start of the intervention (p=0.032) and 120 hours after the start of the intervention (p<0.001).
UNASSIGNED: The results showed that patients had a significant improvement in the number of bowel movements and stool consistency in the intervention group. In acute conditions, acupressure on LI4-ST25 points can positively affect intestinal function when patients are hospitalized in the intensive care unit.
UNASSIGNED: Studies indicated that cardiovascular patients are prone to constipation. Acupressure is one of the therapeutic and palliative approaches that can be used by doctors, nurses, and even patients themselves.
UNASSIGNED: The present three-group randomized clinical trial study was conducted on 90 patients undergoing CABG surgery. In the intervention group, 48 hours after surgery the patients received acupressure points LI4 and ST25 twice a day (10 am and 6 pm) for three sequential days. In the sham group, the patients received acupressure at a 1.5 cm distance from the LI4-ST25 points, and the patients in the control group received only the usual care. This research used a demographic and medical information questionnaire, Rome IV scale, Bristol stool scale, symptom registration checklist, and daily excretion assessment checklist. The intestinal function indices were completed 24 hours after surgery (before intervention), 48, 72, 96, and 120 hours after surgery.
UNASSIGNED: All three intervention, sham, and control groups were without defecation in 24 hours (before intervention) and 48 hours after surgery. There was a significant difference between the three intervention, sham, and control groups in the number of stools after 72 hours, 96 hours, and 120 hours after the intervention (p<0.001). Also, a significant difference was observed among the three groups in terms of stool consistency 96 hours after the start of the intervention (p=0.032) and 120 hours after the start of the intervention (p<0.001).
UNASSIGNED: The results showed that patients had a significant improvement in the number of bowel movements and stool consistency in the intervention group. In acute conditions, acupressure on LI4-ST25 points can positively affect intestinal function when patients are hospitalized in the intensive care unit.
摘要：
■本研究旨在确定指压对接受冠状动脉旁路移植术（CABG）手术的患者肠功能的影响。
■研究表明，心血管患者容易发生便秘。穴位按压是医生可以使用的治疗和姑息治疗方法之一，护士,甚至病人自己。
■本三组随机临床试验研究是对90名接受CABG手术的患者进行的。在干预组中，手术后48小时，患者每天两次（上午10点和下午6点）接受穴位按压LI4和ST25，连续三天。在假小组中，患者在距离LI4-ST25点1.5厘米的地方接受穴位按压，对照组患者仅接受常规护理。这项研究使用了人口统计学和医学信息问卷，罗马四世的规模，布里斯托尔粪便垢，症状登记检查表，和每日排泄评估清单。术后24小时（干预前）完成肠功能指标，术后48、72、96和120小时。
■所有三个干预，sham,对照组术后24小时(干预前)和48小时不排便。三种干预措施之间存在显着差异，sham,和对照组在72小时后的大便次数,96小时,和干预后120小时（p<0.001）。此外，在干预开始后96小时(p=0.032)和干预开始后120小时(p<0.001),三组的大便稠度有显著差异.
■结果显示，干预组患者的排便次数和大便稠度均有显着改善。在急性条件下,当患者在重症监护病房住院时，对LI4-ST25点进行穴位按摩可以对肠道功能产生积极影响。
■研究表明，心血管患者容易发生便秘。穴位按压是医生可以使用的治疗和姑息治疗方法之一，护士,甚至病人自己。
■本三组随机临床试验研究是对90名接受CABG手术的患者进行的。在干预组中，手术后48小时，患者每天两次（上午10点和下午6点）接受穴位按压LI4和ST25，连续三天。在假小组中，患者在距离LI4-ST25点1.5厘米的地方接受穴位按压，对照组患者仅接受常规护理。这项研究使用了人口统计学和医学信息问卷，罗马四世的规模，布里斯托尔粪便垢，症状登记检查表，和每日排泄评估清单。术后24小时（干预前）完成肠功能指标，术后48、72、96和120小时。
■所有三个干预，sham,对照组术后24小时(干预前)和48小时不排便。三种干预措施之间存在显着差异，sham,和对照组在72小时后的大便次数,96小时,和干预后120小时（p<0.001）。此外，在干预开始后96小时(p=0.032)和干预开始后120小时(p<0.001),三组的大便稠度有显著差异.
■结果显示，干预组患者的排便次数和大便稠度均有显着改善。在急性条件下,当患者在重症监护病房住院时，对LI4-ST25点进行穴位按摩可以对肠道功能产生积极影响。
