Effect of auricular combined with rhubarb powder acupoint application on improving the quality of bowel preparation in colonoscopy patients
10.3760/cma.j.cn115398-20200407-00053
- VernacularTitle:耳穴压丸结合穴位贴敷提高结肠镜肠道准备质量的应用效果研究
- Author:
Jie LI
1
;
Juan CHENG
;
Yunshan DUAN
;
Huiying LI
;
Jingru LI
;
Yingjuan ZHANG
;
Yeli LU
;
Qian ZHAO
Author Information
1. 北京中医药大学东直门医院护理部 100700
- Keywords:
Auricular plastertherapy;
Acupoint sticking therapy;
Rhei radix et rhizoma;
Colonoscopy;
Intestinal preparation;
Intestinal adverse reactions
- From:
International Journal of Traditional Chinese Medicine
2021;43(7):658-662
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of auricular point pressing pill combined with rhubarb acupoint application on intestinal preparation and prevention of adverse events in colonoscopy.Methods:A total of 220 patients who met the inclusion criteria from May 2019 to February 2020 were randomly divided into 4 groups, 55 in each group. The control group was only given compound polyethylene glycol electrolyte powder. The auricular plaster group was combined with auricular point pressing pill on the basis of the control group. The acupoint sticking group was combined with rhubarb acupoint application on the basis of the control group. The combination group was combined with auricular point pressing pill and rhubarb acupoint application on the basis of the control group. The quality of bowel preparation was evaluated by Boston Bowel Preparation Scale(BBPS), and the adverse events such as perianal discomfort, defecation discomfort, abdominal pain and abdominal distension were observed.Results:After treatment, there was significant difference in BBPS score among the four groups ( F=3.038, P=0.030). The BBPS score in the acupoint sticking group (7.45 ± 1.20 vs. 6.78 ± 1.32) and combination group (7.26 ± 1.11 vs. 6.78 ± 1.32) were significantly higher than those in the control group( P<0.05). After treatment, there were significant differences in abdominal pain and abdominal distension scores among the four groups ( F=2.947, 5.879, P=0.034, 0.001). The scores of perianal discomfort (0.07 ± 0.38 vs. 0.44 ± 1.07), defecation discomfort (0.40 ± 0.81 vs. 0.87 ± 1.32) and abdominal pain (0.93 ± 1.32 vs. 1.69 ± 1.61) in the combination group were significantly lower than those in the control group ( P<0.05), and the abdominal distension score (1.05 ± 1.00 vs. 1.64 ± 0.95) in the acupoint sticking was significantly lower than that of the control group ( P<0.05). Conclusion:Auricular combined with rhubarb powder acupoint application can improve the quality of bowel preparation and reduce intestinal adverse reactions. It can be used with polyethylene glycol electrolyte powder for the intestinal preparation process.