Comparative Study On The Quality Of Bowel Preparation For Outpatient Colonoscopy Patients With Related And Non-Related Auricular Point Sticking

Objectives(1)to observe the effect of auricular point sticking on the quality of intestinal preparation,and objectively evaluate the effectiveness,tolerance and safety of auricular point sticking in the management of intestinal preparation of patients undergoing colonoscopy.(2)to observe the effect of ear points related to gastrointestinal function and non related points on the quality of intestinal preparation of outpatients undergoing colonoscopy,and then to determine a better ear point compatibility program.(3)to explore whether the auricular points related to gastrointestinal function have acupoint specificity in improving the quality of intestinal preparation,further promote the study of auricular point specificity,and enhance the dialectical acupoint selection awareness of medical staff.MethodsThis project is a kind of experimental research.From June to October 2019,the researchers conveniently selected 105 outpatients from a third class a hospital in Tianjin to undergo colonoscopy according to the inclusion exclusion criteria.According to the order of appointment,they were divided into blank control group,related auricular point group and non related auricular point group.The blank control group was given routine intestinal nursing intervention;the related ear point group was given "cardiac,stomach,spleen,large intestine,small intestine,sympathetic" pressing intervention and home ear therapy guidance on the basis of the blank control group;the unrelated ear point group was given "wrist,elbow,shoulder,heel,toe,ankle" pressing intervention and home ear therapy guidance on the basis of the blank control group,each group was given intervention The period is 3 days.Observe the changes of relevant measurement indexes before and after intervention of three groups of subjects,and make statistical analysis on the original data of relevant measurement indexes collected.ResultsIn the intervention period,all the patients in the three groups dropped off in varying degrees,including 2 cases in the blank control group,3 cases in the related auricular points group and 2cases in the non related auricular points group.Finally,a total of 98 patients completed the collection of all the data.The baseline data of the three groups were basically the same and comparable.The results show that:(1)Intestinal cleansing score: the blank control group(5.76 ± 1.06),the related ear point group(6.41 ± 0.86)and the non related ear point group(5.61 ± 1.03)had statistically obvious differences(P<0.05).the related auricular points group was notable higher than the other twogroups of subjects(P < 0.05),and the diversity was statistically evident(P < 0.05),There was no sharp difference(P > 0.05)between the white control group and the non related ear point group.(2)Intestinal preparation adequacy rate: the blank control group was 60.6%(20 cases),the related auricular point group was 87.5%(28 cases),the non related auricular point group was63.6%(21 cases),there was no evident diversity between them(P > 0.05).(3)Bowel preparation for defecation: the first defecation time of three groups of subjects was(44.70 ± 11.45)min,(41.25 ± 10.00)min,(41.97 ± 10.30)min,and there was no remarked diversity among the three groups(P > 0.05);the final bowel movement time of three groups of subjects was significantly different(P < 0.05),and the last defecation time of related auricular point group was(254.06 ± 41.10)min was significantly shorter than that of(309.39 ± 37.66)min in the blank control group and(292.12 ± 37.06)min in the non related auricular point group(P <0.05),and there was no obvious difference between the blank control group and the non related auricular point group(P > 0.05).(4)In terms of cecal intubation rate,84.8%(28 cases)in the blank control group,93.8%(30cases)in the related auricular points group,81.8%(27 cases)in the non related auricular points group,there were no remarked difference among the three groups of subjects(P > 0.05);in terms of detection rate of polyps,the normal group was 69.7%(23 cases),the related auricular point group was 53.1%(17 cases),the non related auricular point group was 63.6%(21 cases),and there was no evident diversity between the groups of subjects(P > 0.05).(5)Visual simulation comfort score: the visual simulation comfort scores of the three groups were(5.58 ± 1.30),(3.88 ± 1.16)and(4.61 ± 1.32)respectively,the difference was statistically significant(P < 0.05).Further comparison of the visual simulation comfort scores of the subjects was made,and the results showed that the differences between the groups were statistically obvious(P < 0.05).(6)The incidence of adverse reactions of bowel preparation: in terms of nausea,54.5%(18cases)in the blank control group,21.9%(7 cases)in the related auricular points group and 27.3%(9 cases)in the uncorrelated auricular points group,them have very remarked diversiy(P < 0.05).The generation rate of vomit in the relevant auricular points group and the non related auricular points group was evidently well below than that in the normal control group(P < 0.05).In the perspective of abdominal distention,48.5%(16 cases)in the blank control group,18.8%(6 cases)in the related ear point group and 42.4%(14 cases)in the unrelated auricular point group,the diversity have evidently clear(P < 0.05)The incidence was lower than that of the blank control group and the non related auricular point group(P < 0.05),and there was no obvious difference between the blank control group and the non related auricular point group(P > 0.05);in terms of vomiting and abdominal pain,there was no obvious difference between the three groups(P >0.05).(7)Second intestinal preparation intention: the second intestinal preparation intention rate of the three groups were 57.6%(19 cases),87.5%(28 cases),72.7%(24 cases),Them have very obvious diversity(P < 0.05).Go a step further comparison among groups showed that only the blank control group and the auricular point group had clear difference(P < 0.05).(8)Adverse events of auricular point sticking: there were no adverse events such as hypersensitivity,flush,exudation,ulceration,etc.in group B and group C during the intervention.Conclusions(1)Auricular point sticking therapy can effectively improve the quality of intestinal preparation of patients undergoing colonoscopy,which is worthy of clinical application.(2)The effect of auricular point "cardia,stomach,spleen,large intestine,small intestine and sympathetic sensation" is better than that of auricular point "wrist,elbow,shoulder,heel,toe and ankle".It is a better auricular point compatibility scheme to improve the intestinal preparation quality of patients undergoing colonoscopy.(3)Auricular points "cardia,stomach,spleen,large intestine,small intestine and sympathetic" have relative specificity for improving the quality of intestinal preparation of patients undergoing colonoscopy in outpatient clinic,suggesting that medical staff should enhance the awareness of dialectical acupoint selection and select acupoints reasonably.