| 李细娥 龚良金 闵春华.基于子午流注理论的耳穴压豆对老年髋关节置换术后患者胃肠功能恢复的影响[J].江西中医药大学学报,2025,37(5):49-51/55. |
| 基于子午流注理论的耳穴压豆对老年髋关节置换术后患者胃肠功能恢复的影响 |
| Effect of Auricular Acupressure with Seeds Based on the Midnight-Moon Ebb-Flow Theory on Gastrointestinal Function Recovery in Elderly Patients after Hip Replacement |
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| DOI：10.20140/j.2095-7785.2025.05.14 |
| 中文关键词: 老年；髋关节置换术；子午流注理论；耳穴压豆；胃肠道症状；胃肠道不良反应 |
| 英文关键词: Elderly; Hip Replacement; Midnight-Moon Ebb-Flow Theory; Auricular Acupressure; Gastrointestinal Symptoms;
Gastrointestinal Adverse Reaction |
| 基金项目:江西省中医药管理局科技计划项目（2023B0326）。 |
| 作者 | 单位 | | 李细娥 龚良金 闵春华 | 南昌市洪都中医院 南昌 330000 |
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| 中文摘要: |
| 目的：探究基于子午流注理论的耳穴压豆对老年髋关节置换术后患者胃肠功能恢复的影响。方法：选取2023年4月—
2024 年 10 月于南昌市洪都中医院全麻下行髋关节置换术的老年患者 60 例，按随机数字表法分为 2 组，各 30 例。2 组均予
以常规干预，在此基础上，对照组采用常规耳穴压豆，观察组则采用基于子午流注理论的耳穴压豆，均持续干预 7 d。比较 2 组
术后首次肛门排气及排便时间、胃肠道症状积分、胃肠道不良反应发生率。结果：观察组术后首次肛门排气及排便时间均较对
照组短，有统计学差异（P<0.05）；观察组术后 6 d 胃肠道症状积分较对照组低，胃肠道不良反应发生率为 3.33%，较对照组的
20.00% 低，有统计学差异（P<0.05）。 结论：基于子午流注理论的耳穴压豆能够促进老年髋关节置换术后患者胃肠功能恢复，
减少胃肠道不良反应。 |
| 英文摘要: |
| To investigate the effect of auricular acupressure with seeds based on the Midnight-Moon Ebb-Flow Theory
on gastrointestinal function recovery in elderly patients after hip replacement. Methods: A total of 60 elderly patients undergoing hip
replacement at Nanchang Hongdu Hospital of Traditional Chinese Medicine from April 2023 to October 2024 were selected and randomly
divided into two groups using a random number table, with 30 patients in each group. Both groups received conventional interventions. On
this basis, the control group was treated with conventional auricular acupressure, and the observation group received auricular acupressure
based on the Midnight-Moon Ebb-Flow Theory. Interventions were administered for 7 consecutive days. The time to first postoperative anal
exhaust and defecation, gastrointestinal symptom scores, and incidence of gastrointestinal adverse reactions were compared between the two
groups. Results: The time of first postoperative anal exhaust and defecation in the observation group was significantly shorter than those in
the control group (P<0.05). The gastrointestinal symptom scores on the 6th postoperative day in the observation group were lower than those
in the control group, and the incidence of gastrointestinal adverse reactions was 3.33% in the observation group, significantly lower than
the 20.00% in the control group (P<0.05). Conclusion: Auricular acupressure with seeds guided by the Midnight-Moon Ebb-Flow Theory
promotes gastrointestinal function recovery and reduces adverse gastrointestinal reactions in elderly patients after hip replacement. |
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