穴位按摩联合穴位贴敷预防妇科腹腔镜全麻术后寒战的效果研究
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R473.71;R244

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Effect Study of Point Massage Combined with Point Application on Prevention of Post⁃ operative Shivering of Gynecological Laparoscopic Operation with General Anesthesia
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    摘要:

    目的:观察穴位按摩联合涌泉穴穴位贴敷在预防妇科腹腔镜全麻术后寒战中的效果。方法:将62例行妇科腹腔镜全麻手术患者按随机数字表法分为对照组和观察组各31例。对照组实施常规护理措施,观察组在对照组基础上实施穴位按摩联合涌泉穴穴位贴敷。比较2组患者寒战发生情况,以及手术前后心率、血氧饱和度、平均动脉压、足部皮肤温度。结果:观察组寒战发生率低于对照组,差异有统计学意义(P<0.05)。术后,2 组心率均较术前升高(P<0.05),但观察组患者变化幅度较小(P<0.05);2组血氧饱和度、平均动脉压与术前比较,差异均无统计学意义(P>0.05)。术后,2组足部皮肤温度均较术前降低(P<0.05),但观察组患者变化幅度较小(P<0.05)。结论:穴位按摩联合涌泉穴穴位贴敷有助于预防妇科腹腔镜全麻术后寒战,促进足温恢复。

    Abstract:

    Abstract:Objective:To study the application value of point massage combined with point application at Yongquan(KI 1) in the prevention of postoperative shivering of gynecological laparoscopic operation with general anesthesia. Methods:A total of 62 cases of patients undergoing gynecological laparoscopic operation with general anesthesia were divided into the control group and the observation group according to the random number table method,31 cases in each group. The control group was given routine nursing measures,and the observation group was additionally given point massage combined with point application at Yongquan(KI 1). The occurrence of shivering,as well as the heat rate,blood oxygen saturation,mean arterial pressure and the skin temperature of foot before and after operation were compared between the two groups. Results: The occurrence rate of shivering in the observation group was lower than that in the control group, the difference being significant(P<0.05). After operation, the heart rate in the two groups was increased when compared with that before operation(P<0.05), but the change in the observation group was smaller(P<0.05); when compared the blood oxygen saturation and mean arterial pressure in the two groups before and after operation,there was no significance in differences (P>0.05). After operation,the skin temperature of foot in the two groups was decreased when compared with that before treatment(P<0.05), but the decrease in the observation group was smaller(P<0.05). Conclusion: The application of point massage combined with point application at Yongquan(KI 1) is conductive to preventing postoperative shivering of gynecological laparoscopic operation with general anesthesia,and promoting the recovery of temperature of foot.

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李会敏.穴位按摩联合穴位贴敷预防妇科腹腔镜全麻术后寒战的效果研究[J].新中医,2020,52(12):184-186

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  • 在线发布日期: 2020-06-15
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