| 【Objective】By stimulating the ear points of patients after colorectal cancer surgery,monitoring the recovery time of bowel sounds,the first anal exhaust,the time of defecation,and assessing the incidence of postoperative nausea,vomiting and flatulence,it is clear that this method is effective for the stomach.The influence of intestinal function recovery is expected to promote the early recovery of gastrointestinal function after colorectal cancer surgery and to provide a reference for the selection of clinical rehabilitation nursing methods.【Method】In this study,a randomized controlled trial was used to randomly assign 66 patients with colon or rectal cancer admitted to the General Surgery and Oncology Surgery Department of the Second Affiliated Hospital of Hainan Medical University into two groups,32 in the experimental group,34 in the control group,and control group.Give the current ERAS nursing care in the department.Based on this basic nursing care,the researcher himself performed 6 auricular acupoint pressing interventions on the first day before the operation.Pressed 3 times a day after the operation,each acupoint 30s,6 Each acupuncture point needs 3 minutes,the specific pressing time for the patient is08:00,14:00,20:00,and the intervention time is 7 days.Monitor the recovery time of bowel sounds,the time of first anal exhaust and defecation in the two groups,assess the incidence of nausea,vomiting and flatulence,and understand the comfort and acceptance of the patients in the test group,and clarify the effect of ear acupoint pressing on the colorectal The impact of gastrointestinal function in patients after cancer surgery.【Result】1.The statistical analysis of the demographic data and disease-related data of the two groups of patients showed no statistically significant difference(P>0.05).2.Comparison of the recovery time of bowel sounds in the two groups:The recovery time of bowel sounds in the test group was 20.34(15.80,24.88)h,which was significantly less than 38.25(31.25,48.06)h in the control group,and the difference was statistically significant(Z=-5.083,P<0.05).3.The recovery time of the first anal exhaust of the two groups of patients:the first recovery time of the test group(36.90±15.80)h was significantly earlier than the control group(62.65±20.81)h,the difference was statistically significant(t=-5.634,P<0.05).4.The recovery of the first anal defecation time of the two groups of patients:the time to recover defecation in the test group was 50.05(44.50,64.98)h significantly earlier than the control group 85.58(69.00,96.63)h,the difference was statistically significant(Z=-4.844,P<0.05).5.Compare the nausea and vomiting of the two groups from the day after surgery to the third day after surgery:the incidence of nausea and vomiting on the day of surgery in the experimental group was 12.5%,and that in the control group was 17.65%.There was no statistically significant difference between the two groups(P>0.05).On the first day after surgery,the incidence of nausea and vomiting was 28.13%in the test group and 32.35%in the control group.There was no statistically significant difference between the two groups(P>0.05).Over time,the number of patients with nausea and vomiting in the two groups increased compared with the first day after surgery,but on the second day after surgery,the test group was 21.88%and the control group was50.00%.There was a statistical difference between the two groups.Academic significance(P<0.05).On the third day after surgery,the incidence of nausea and vomiting was 3.13%in the experimental group and 14.71%in the control group.The difference between the two groups was statistically significant(P<0.05).By comparing the difference in the total number of patients with nausea and vomiting from the day of surgery to the third day after surgery,the results show that the total number of patients with nausea and vomiting in the test group is significantly less than that in the control group(?~2=77.694,P<0.001),and the difference is significant.Statistical significance.6.Compare the abdominal distension between the two groups from the day of surgery to the third day after surgery:On the day of surgery,the incidence of abdominal distension in the test group was 3.13%and that of the control group was 8.82%.There was no statistically significant difference between the two groups(P>0.05).Over time,on the first day after surgery,the incidence of abdominal distension was 21.88%in the test group and 50.00%in the control group.The difference between the two groups was statistically significant(P<0.05).On the second day after surgery,the test group’s nausea and vomiting was 28.13%,and the control group was 50.00%.The difference between the two groups was statistically significant(P<0.05).On the third day after surgery,the incidence of abdominal distension in both groups decreased,21.88%in the test group and 26.47%in the control group.There was no statistically significant difference in the incidence of abdominal distension between the two groups(P>0.05).By comparing the total number of abdominal distension from the day after surgery to three days after surgery,the results showed that the number of abdominal distension in the experimental group was significantly lower than that in the control group(?~2=65.054,P<0.001),and the difference was statistically significant.7.Ear comfort of the patients in the test group:The score of the ear comfort of the patients in the test group is:(2.125±1.100)points,which are displayed between comfort and mild discomfort.8.The acceptance of the ear-point pressing of the patients in the experimental group:84.38%of the patients did not feel obvious discomfort during the auricular point pressing intervention;15.62%of the patients felt a little discomfort during the auricular point pressing,but all said that they had suffered from it.Scope;71.85%of patients expressed their willingness to continue to receive auricular pressure bean therapy after discharge.Patients in the experimental group believed that the method was easy to learn and master and economical and safe;84.38%of patients expressed their willingness to recommend this method to people with gastrointestinal disorders nearby method.【Conclusion】1.Ear-point pressing beans can shorten the recovery time of bowel sounds,the time of first anal exhaust and defecation after colon cancer and rectal cancer surgery,and reduce the number of abdominal distension on the first and second days after surgery,and the second and third days after surgery.The number of people with nausea and vomiting,the patients did not have obvious discomfort during the process of pressing beans at auricular points,and they had a good comfort score and acceptance.2.Auricular pressure bean therapy is simple to operate,easy to learn and master,safe,economical,and convenient.The patient’s acceptance is good and it is worthy of clinical promotion and use. |
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