[1]李感梅,王晓斌,黄海荣,等.中药烫熨结合静默疗法对缓解电子结肠镜检查患者生理应激反应及不良反应的影响[J].西部中医药,2025,38(07):158-161.[doi:10.12174/j.issn.2096-9600.2025.07.32]
　LI Ganmei,WANG Xiaobin,HUANG Hairong,et al.Impacts of Herbal Ironing Joined with Silent Treatment on Psychological Stress Response and Adverse Reaction in Patients Undergoing Electronic Colonoscopy[J].Western Journal of Traditional Chinese Medicine,2025,38(07):158-161.[doi:10.12174/j.issn.2096-9600.2025.07.32]
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中药烫熨结合静默疗法对缓解电子结肠镜检查患者生理应激反应及不良反应的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年07期
页码:
158-161
栏目:
特色医疗
出版日期:
2025-07-15

文章信息/Info

Title:
Impacts of Herbal Ironing Joined with Silent Treatment on Psychological Stress Response and Adverse Reaction in Patients Undergoing Electronic Colonoscopy
作者:
李感梅1, 王晓斌1, 黄海荣1, 秦颖1, 莫金烨1, 龚璇1, 李先尧2
1.桂林市中西医结合医院，广西 桂林 541004
2.梧州市中医医院，广西 梧州 543002
Author(s):
LI Ganmei1, WANG Xiaobin1, HUANG Hairong1, QIN Ying1, MO Jinye1, GONG Xuan1, LI Xianyao2
1.Guilin Hospital of Integrated Traditional Chinese and Western Medicine, Guilin 541004, China
2.Wuzhou Hospital of Traditional Chinese Medicine, Wuzhou 543002, China
关键词:
中药烫熨; 电子结肠镜检查; 焦虑; 应激指标; 腹痛; 腹胀
Keywords:
herbal ironing; electronic colonoscopy; anxiety; stress indexes; abdominal pain; abdominal distension
分类号:
R248.2
DOI:
10.12174/j.issn.2096-9600.2025.07.32
文献标志码:
B
摘要:
目的研究中药烫熨结合静默疗法在电子结肠镜检查患者中的应用效果。 方法选取100例行电子结肠镜检查的患者，按随机数字表法分为对照组和观察组，每组50例。对照组予常规干预，观察组在对照组基础上予四味止痉散中药烫熨联合静默疗法干预。比较两组焦虑情绪及进镜时间、生理应激水平、疼痛程度及配合度、不良反应发生率。 结果对照组检查时与入院时状态-特质焦虑量表（state-trait anxiety inventory，STAI）评分比较，差异无统计学意义（P＞0.05），出院时STAI评分降低（P＜0.05）；观察组STAI评分出院时＜检查时＜入院时（P＜0.05）；检查时、出院时，观察组STAI评分低于对照组（P＜0.05）。观察组进镜时间短于对照组（P＜0.05）。对照组检查时1 h收缩压（systolic blood pressure，SBP）、心率（heart rate，HR）、肾上腺素水平高于入院时，检查后1 h略有下降，但仍高于入院时（P＜0.05）。观察组入院时、检查时、检查后及SBP、HR、肾上腺素水平比较，差异无统计学意义（P＞0.05）；检查时、检查后1 h，观察组SBP、HR、肾上腺素水平低于对照组（P＜0.05）。两组疼痛程度、检查配合度及不良反应发生率比较，差异有统计学意义（P＜0.05）。 结论将中药烫熨、静默疗法联合应用于电子结肠镜检查患者，可提高其检查配合度，缓解焦虑情绪、疼痛程度、应激反应，降低不良反应发生率。
Abstract:
ObjectiveTo study the application effects of herbal ironing and silent treatment on patients undergoing electronic colonoscopy. MethodsA total of 100 patients who underwent electronic colonoscopy were allocated to the control group and the observation group according to random number table method with 50 cases in each group. The control group accepted routine intervention, and the observation group was intervened with herbal ironing with four-flavor spasm-relieving powder combined with silent treatment. To compare anxiety, the time of endoscope entering the body, the levels of physiological stress, pain degrees and degree of adaptability, and the incidence of adverse reaction between the two groups. ResultsThe difference had no statistical meaning in STAI scores between the time of performing colonoscopy and the admission time within the control group (P>0.05), STAI scores were lowered when leaving the hospital (P<0.05); STAI scores ranked in the descending order of when leaving the hospital<the time of performing colonoscopy<the admission time in the observation group (P<0.05); STAI scores of the observation group were lower than these of the control group when performing colonoscopy and leaving the hospital (P<0.05). The observation group was lower than the control group in the time of endoscope entering the body (P<0.05). 1h SBP, HR and the levels of adrenalin in the control group when performing colonoscopy were higher than these at the admission time, these indexes were lowered in one hour after the examination, while still higher than these at the admission time (P<0.05). The difference showed no statistical meaning in the levels of SBP, HR and the levels of adrenalin at the admission time, when performing colonoscopy and after the examination within the observation group (P>0.05); 1h SBP, HR and the levels of adrenalin of the observation group were lower than these of the control group when performing the colonoscopy and in one hour after the examination (P<0.05). The difference presented statistical meaning in pain degrees, degree of adaptability, and the incidence of adverse reaction between both groups (P<0.05). ConclusionHerbal ironing and silent treatment applied to the patients with electronic colonoscopy could improve the degree of adaptability, relieve anxiety and pain degree and stress, and decrease the incidence of adverse reaction.

相似文献/References:

[1]纪海燕.中药烫熨联合康复护理对中风后肩痛的影响[J].西部中医药,2019,32(06):136.
　JI Haiyan.Effects of Herbal Ironing Combined with Rehabilitation Nursing on Post-stroke Shoulder Pain[J].Western Journal of Traditional Chinese Medicine,2019,32(07):136.

备注/Memo

备注/Memo:
李感梅（1976—），女，副主任护师。研究方向：中药烫熨在预防常规结肠镜检查患者肠道痉挛中的应用研究。广西中医药适宜技术开发与推广项目（GZSY22-84）；广西壮族自治区中医药管理局自筹经费科研课题（GXZYZ20210393，GXZYC20240692）。
更新日期/Last Update: 2025-07-15