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目的:观察穴位注射八髎穴对肠瘘患者留置导尿管的疗效。方法:选择肠瘘患者200例,随机分为实验组和对照组各100例,对照组按常规方法留置导尿管,试验组先将0.75%布比卡因注射液5ml+2%利多卡因注射液5ml+生理盐水20ml混合后取药25ml,取双侧上髎穴、次髎穴、中髎穴、下髎穴,采取垂直进针,进针约1～1.5寸,反复提插得气后回抽无血液和脑脊液后8个穴位分别注入药物2～3ml,2～5min后按常规方法留置尿管,观察两组患者插管时和插管后舒适度。结果:试验组患者在接受穴位注射后,插管时及插管后12h内舒适度与对照组比较,差异有统计学意义(P<0.05或P<0.01)。结论:八髎穴穴位注射能明显提高肠瘘患者留置尿管时和留置尿管后的舒适度。
Objective: To observe the curative effect of acupoint injection of Ya-acupoint on indwelling catheter in patients with intestinal fistula. Methods: A total of 200 patients with intestinal fistula were randomly divided into experimental group and control group with 100 cases in each group. The control group was catheterized by conventional method. The experimental group received 0.75% bupivacaine injection 5ml + 2% lidocaine Injection of 5ml + 20ml saline mixture after taking medicine 25ml, take the bilateral Shang acupoints, secondary acupuncture points, the acupoints, lower acupoints, to take the vertical needle, the needle is about 1 to 1.5 inches, Blood was drawn back and cerebrospinal fluid after 8 points were injected into the drug 2 ~ 3ml, 2 ~ 5min after conventional catheter indwelling, two groups of patients intubation and intubation comfort. Results: The comfort of patients in test group after receiving acupoint injection, intubation and 12h after intubation was significantly different from that of control group (P <0.05 or P <0.01). Conclusion: Acupoint injection can significantly improve intestinal catheter fistula indwelling catheter and indwelling catheter comfort.