腕踝针联合耳穴贴压在急性胰腺炎伴腹痛患者中的应用效果

Effect of Wrist-Ankle Acupuncture Combined with Auricular Acupressure in Patients with Acute Pancreatitis and Bellyache

摘要: 目的：评价腕踝针配合耳穴贴压治疗急性胰腺炎腹痛的疗效。方法：本研究共纳入56名急性胰腺炎患者，所有患者均符合既定纳入标准，选自成都中医药大学附属医院急诊科。通过随机分组方法，受试者被分配至试验组与对照组，每组最终各纳入28例。对照组实施常规治疗、护理及耳穴贴压，试验组则在对照组干预方案上增用腕踝针。两组干预周期均为7天。研究比较了双方的腹部疼痛评估量表(NVPS)与焦虑自评量表(SAS)评分差异，为评估肠麻痹的改善状况，研究重点监测了临床症状的恢复时间，包括首次排气、首次排便及肠鸣音恢复时间。此外，腹痛与腹胀的缓解程度亦被纳入统计观测范围。结果：对两组数据的整体分析揭示，NVPS与SAS评分在组别、时间点以及交互作用方面的比较，均呈现出显著的统计学差异(P < 0.05)。随后的进一步分析表明：首先，在干预后24小时与28小时，两组的NVPS和SAS评分均较干预前显著降低；而至干预后48小时，这两项评分又较24小时进一步下降，该趋势具有统计学意义(P < 0.05)。其次，在干预后24小时与48小时，试验组的NVPS和SAS评分均显著低于同期对照组(P < 0.05)。最后，在临床症状改善方面，在各项临床观察指标中，试验组所记录的时间均显著短于对照组。具体而言，腹胀减轻、腹痛缓解、肠鸣音恢复，以及首次排气、首次排便和住院时间均呈现出一致的缩短趋势。上述所有差异均经统计分析确认具有统计学意义(P < 0.05)。结论：本研究结果表明，采用腕踝针结合耳穴贴压的综合干预方案，能显著减轻急性胰腺炎患者的腹痛与焦虑，并有效促进肠麻痹状态的恢复。

Abstract: Objective: To evaluate the efficacy of wrist-ankle acupuncture combined with auricular acupressure in treating bellyache associated with acute pancreatitis. Methods: This study enrolled 56 patients with acute pancreatitis, all meeting predetermined inclusion criteria, from the Emergency Department of Chengdu University of Traditional Chinese Medicine Affiliated Hospital. Participants were randomly assigned to either the experimental group or the control group, with 28 patients in each group. The control group received conventional treatment, nursing care, and auricular acupressure, while the experimental group additionally underwent wrist-ankle acupuncture alongside the control group’s intervention protocol. Both groups underwent a 7-day intervention period. Differences in the Nausea and Vomiting Pain Scale (NVPS) and Self-Rating Anxiety Scale (SAS) scores were compared between groups. To assess improvements in intestinal paralysis, the study focused on monitoring the recovery time of clinical symptoms, including the time to first flatus, first bowel movement, and return of bowel sounds. Additionally, the degree of relief from abdominal pain and bloating was included in statistical observations. Results: Comprehensive analysis of both groups revealed statistically significant differences (P < 0.05) in NVPS and SAS scores across group comparisons, time points, and their interactions. Subsequent further analysis indicated: Firstly, at 24 and 28 hours post-intervention, both groups exhibited significantly reduced NVPS and SAS scores compared to pre-intervention levels; by 48 hours post-intervention, these scores had further decreased from the 24-hour mark, demonstrating a statistically significant trend (P < 0.05). Secondly, at 24 and 48 hours post-intervention, the NVPS and SAS scores in the trial group were significantly lower than those in the control group during the same periods (P < 0.05). Finally, regarding clinical symptom improvement, the time recorded for all clinical observation indicators was significantly shorter in the trial group than in the control group. Specifically, consistent trends towards shorter durations were observed for the alleviation of abdominal distension, relief of abdominal pain, restoration of bowel sounds, first flatus, first bowel movement, and hospitalisation duration. All these differences were confirmed as statistically significant through statistical analysis (P < 0.05). Conclusion: The findings of this study indicate that the combined intervention of wrist-ankle acupuncture with auricular acupressure significantly alleviates abdominal pain and anxiety in patients with acute pancreatitis, while effectively promoting recovery from intestinal paralysis.