Hot Ironing Of Radish Seed On Abdominal Distension After Painless Colonoscopy

ObjectiveThe research was to observe the effect of hot ironing with radish seed on relieving abdominal distension after painless colonoscopy,and it was helpful to understand the feasibility,effectiveness and efficiency of this intervention.It proposed a simple and effective method for further studying how to effectively relieve abdominal distension after painless colonoscopy,shortening the duration of complete relief of abdominal distension,reducing postoperative complications,and increasing the postoperative comfort of patients,etc.In addition,relevant data support and guidance were provided by the study.MethodsProspective method and clinical randomized control were adopted in the research.111 patients aged 18 to 65,who were suffering from abdominal distension after painless colonoscopy and in accordance with the inclusion criteria,were randomly divided into routine nursing group,sand hot ironing group and hot ironing group.Routine nursing group received routine nursing including observation,activities,rest and diet guidance,etc.Sand hot ironing group also received heated sand besides routine nursing,while radish seed hot ironing group received radish seed.At the two groups,the patients'middle and lower abdominal were lightly received hot ironing clockwise for 20 minutes,and temperature was controlled between 60? and 70?.Some important indexes,such as complete relief time of abdominal distention,the degree of abdominal distension,the number of bowel sounds per minute,abdominal circumference,digital pain score and comfort score,were observed and recorded at four time points—just before intervention,0.5 hour,1 hour and 2 hours after intervention.Nimodipine integral was used to evaluate the curative effect.Results1.111 cases were initially included,with 10 cases fell off,and 101 cases were finally included for statistical analysis.There was no statistical difference in sex,age,body weight,educational background and gastroenteroscopy type among the groups(P>0.05).2.Both in the number of bowel sounds per minute and abdominal circumference,there was no statistical difference among routine nursing group,hot sand ironing group and radish seed hot ironing group between just before and half hour after intervention(P>0.05).3.Half hour after intervention,there was no statistical difference in the score of abdominal distension among the three groups(P>0.05).One hour after intervention,radish seed hot iron group were with lower score of abdominal distension than the other two groups(P<0.05).Two hour after intervention,radish seed hot ironing group and sand hot ironing group were with lower score than the another.The most effective efficacy was shown at radish seed hot ironing group,and the difference was statistically significant(P<0.05).4.The complete remission time of abdominal distension in radish seed hot ironing group(3.49+2.40 h)was shorter than that in routine nursing group(7.88±5.65 h)and sand hot ironing group(6.57±4.65 h),and the difference was statistically significant(P<0.05).The complete remission time of abdominal distension in sand hot ironing group was shorter than that in routine nursing group,but there was no significant difference(P>0.05).5.At the points of time 0.5h,1h and 2h after intervention,lower score of digital pain was recorded at the radish seed hot iron group than the other two groups(P>0.05).Moreover,the comfort score of radish seed hot ironing group and sand hot ironing group were lower than those of routine nursing group and the lowest score was shown in radish hot ironing group.6.Two hour after intervention,the total score of radish seed hot iron group(0.88±0.73)was lower than that in the sand hot iron group(2.00±1.61)and the routine nursing group(3.53+2.19)(P<0.05),The total score in the sand hot iron group was significantly lower than that in the routine nursing group(P<0.05).7.The total effective rate of abdominal distension relief in radish seed hot ironing group(100%)was significantly higher than that in sand hot ironing group(94.29%)and routine nursing group(81.25%)(P<0.05).ConclusionThe research reveals that hot ironing of radish seed on abdominal acupoints can effectively relieve symptoms of abdominal distension,shorten the time of relieving abdominal distension,and improve the comfort of patients after painless colonoscopy.Additionally,such technique is convenient,simple,easily learnt and effective,and also basically there is no side effects,so it is one term of clinical nursing technique worth spreading.