探析穴位按摩联合情志护理对腹腔镜腹股沟疝修补术患者治疗预后的效果。

抽取安徽省中医药大学第二附属医院2018年1月至2020年12月收治的腹股沟疝修补术60例患者作为研究对象。所有患者均采取腹腔镜手术进行治疗。按照随机数字把所有患者分为对照组和观察组，每组30例。对照组采取常规护理措施进行干预，观察组在对照组的基础上采取穴位按摩联合情志护理措施进行干预。对比2组患者胃肠功能恢复时间、腹胀程度、Kolcaba舒适状况量表（GCQ）评分、抑郁自评量表（SDS）以及焦虑自评量表（SAS）。

观察组患者的肠鸣音恢复时间、肛门排气时间、首次排便时间明显短于对照组（P<0.05）；观察组和对照组重度腹胀发生率分别为3.33%、23.33%，观察组患者重度腹胀的发生率明显高于对照组（P<0.05）；观察组患者术后1、2、7 d的GCQ评分明显高于对照组（P<0.05）；观察组患者的SAS评分和SDS评分明显低于对照组（P<0.05）。

腹腔镜腹股沟疝修补术患者采取穴位按摩联合情志护理措施进行干预可加快胃肠功能的恢复速度，减轻重度腹胀的发生率，还可提升患者术后的舒适程度，降低患者发生负面情绪，对改善患者治疗预后有着积极的作用，应全面推广应用。

To explore the effect of acupoint massage combined with emotional nursing on improving the prognosis of patients with laparoscopic inguinal hernia.

60 patients with inguinal hernia repair admitted from the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2018 to December 2020 were selected as the research subjects. All of the patients were treated with laparoscopic surgery. All patients were divided into control and observation groups by random numbers, with 30 cases each. The control group took conventional nursing measures for intervention, and the observation group took acupoint massage combined with emotional nursing measures on the basis of the control group to intervene. The gastrointestinal function recovery time, abdominal distension and Kolcaba comfort condition scale (GCQ) score, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were compared between the two groups.

The recovery time of bowel sounds, anal exhaust time, and first defecation time of the observation group were significantly shorter than those of the control group (P<0.05); the incidence of severe abdominal distension in the observation group and the control group were 3.33%, and 23.33%, respectively. Compared with the control group, the observation group had a significantly higher incidence of severe abdominal distension (P<0.05); the observation group had significantly higher GCQ scores on the 1st, 2nd, and 7th days after the operation (P<0.05); compared with the control group, the SAS score and SDS score of the observation group were significantly lower (P<0.05).

Intervention of acupoint massage combined with emotional nursing measures for patients with laparoscopic inguinal hernia can speed up the recovery of gastrointestinal function, reduce the incidence of severe abdominal distension, improve the comfort level of patients after surgery, and reduce the occurrence of negative emotions. It has a positive effect on improving the prognosis of patients' treatment and should be fully promoted and applied.