小郁子油子午流注穴位贴敷联合中医护理在预防奥施康定致便秘中的应用

廖惠莲



小郁子油子午流注穴位贴敷联合中医护理在预防奥施康定致便秘中的应用

廖惠莲

摘要：[目的]探讨小郁子油子午流注穴位贴敷联合中医护理干预预防奥施康定所致便秘的效果。[方法]将200例晚期肺癌口服奥施康定镇痛治疗病人随机分为两组各100例，对照组给予镇痛药物治疗及常规护理，干预组在其基础上给予小郁子油子午流注穴位贴敷联合中医护理干预，比较两组病人干预7 d、10 d、28 d便秘发生率，干预前后生命质量(QLQ-LC43)评分。[结果]干预组病人干预7 d、10 d、28 d便秘发生率均低于对照组，干预后QLQ-LC43除经济状况外，其余项目评分均优于对照组，两组比较差异有统计学意义(P<0.05)。[结论]小郁子油子午流注穴位贴敷联合中医护理干预有效降低了口服奥施康定止痛治疗肺癌病人便秘的发生，提高病人的生命质量。

关键词：肺癌；奥施康定；便秘；小郁子油；子午流注；穴位贴敷；中医护理干预

Application of acupoint application with Xiao Yuzi oil meridian flowing combined with traditional Chinese medical nursing in prevention of constipation caused by Aoshikangding

Liao Huilian

(TCM Hospital of Shunde District Foshan City,Guangdong 528300 China)

AbstractObjective:To probe into the effect of acupoint application with Xiao Yuzi oil meridian flowing combined with traditional Chinese medical nursing intervention in prevention of constipation caused by AoshiKangding.Methods:A total of 200 patients with advanced lung cancer receiving taking orally Aoshikangding for analgesic therapy were randomly divided into two groups,100 cases in each,the patients in control group received routine nursing and analgesic drug treatment,the patients in intervention group were also given Xiao Yuzi oil meridian flowing acupoint application combined with traditional Chinese medical nursing intervention,the incidence of constipation were compared in two groups for seventh days,tenth days,twenty-eighth day after the intervention,and the quality of life was compared by using the(QLQ-LC43) score before and after intervention.Results:The incidence of constipation for seventh days,tenth days,twenty-eighth day after the intervention was lower than that in control group,in addition to economic performance,the scores of QLQ-LC43 after intervention were better than that in the control group,there was statistically significant difference between two groups(P<0.05).Conclusion:acupoint application with Xiao Yuzi oil meridian flowing combined with traditional Chinese medical nursing intervention could reduce the occurrence of constipation in patients with advanced lung cancer by taking orally Aoshikangding for analgesic therapy and enhance the patient’s quality of life.

Key wordslung cancer;Aoshikangding；constipation;Xiao Yuzi oil;meridian flowing;acupoint application;TCM nursing intervention

晚期癌症病人由于癌痛的原因常需按照世界卫生组织(WHO)癌痛三阶梯治疗指南要求予以阿片类药物止痛，奥施康定(盐酸羟考酮缓释片)是半合成的纯阿片受体纯激动剂，因其良好的镇痛效果和较少的毒副反应在全球广泛应用于中重度疼痛的治疗，便秘是该药的不良反应，随着用药剂量的增加症状逐渐加剧，发生率为40%～100%[1-3]。便秘若得不到控制，可严重影响药物的镇痛效果，导致病人生命质量下降。为预防和改善奥施康定所致的便秘，提高肿瘤病人的生命质量，我院采用小郁子油子午流注穴位贴敷联合中医护理措施对晚期肺癌口服奥施康定镇痛治疗病人实施护理干预，以预防该药所致的便秘，取得良好效果。……