耳穴埋豆联合穴位贴敷对择期妇科腹腔镜手术患者术前焦虑的影响
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R248.3

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温州市科技局项目(Y20180811)


Effect of Auricular Point Pressing with Beans Combined with Point Application on Preoperative Anxiety of Patients Undergoing Elective Gynecological Laparoscopic Surgery
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    摘要:

    目的:探讨耳穴埋豆联合穴位贴敷对择期腹部妇科腹腔镜手术患者术前焦虑的影响。方法:将择期妇科腹腔镜手术的120 例患者随机分为耳穴埋豆组、穴位贴敷组、耳穴埋豆联合穴位贴敷(记为联合组),3 组各40 例,均接受常规围手术期干预,耳穴埋豆组术前1 d 给予王不留行籽耳穴埋豆治疗,穴位贴敷组于术前1 d 给予医院自制中药膏穴位贴敷治疗,联合组于术前1 d 给予耳穴埋豆联合穴位贴敷治疗,观察3 组术前1 d、30 min 的状态特质焦虑(STAI) 量表得分情况,比较3 组术前30 min 和入室5 min 时的心率(HR)、收缩压(SBP) 和舒张压(DBP) 水平,比较3 组术后住院恢复情况。结果:3 组术前1 d时STAI 量表评分比较,差异无统计学意义(P>0.05),与术前1 d 比较,3 组术前30 min 时STAI 量表评分均有显著下降(P<0.05);与耳穴埋豆组和穴位贴敷组比较,联合组术前30 min 时STAI 量表评分显著较低,差异有统计学意义(P<0.05);耳穴埋豆组和穴位贴敷组术前30 min 时STAI 量表评分比较,差异无统计学意义(P>0.05)。联合组术前30 min、入室5 min 时HR、SBP、DBP 均低于耳穴埋豆组和穴位贴敷组,差异有统计学意义(P<0.05);与本组术前30 min 比较,耳穴埋豆组和穴位贴敷组入室5 min 后HR、SBP、DBP 均有明显升高(P<0.05),而联合组虽略有升高,差异无统计学意义(P>0.05)。联合组术后胃肠功能恢复时间分别短于耳穴埋豆组和穴位贴敷组,差异有统计学意义(P<0.05),3 组住院时间比较,差异无统计学意义(P>0.05)。结论:耳穴埋豆联合穴位贴敷能有效减轻择期妇科腹腔镜手术患者术前焦虑和应激状态,促进术后胃肠功能恢复。

    Abstract:

    Abstract: Objective: To discuss the effect of auricular point pressing with beans combined with point application on preoperative anxiety of patients undergoing elective gynecological laparoscopic surgery. Methods: A total of 120 cases of patients undergoing elective gynecological laparoscopic surgery were randomly divided into the auricular point pressing with beans group,the point application group,and the combination group(auricular point pressing with beans combined with point application), 40 cases in each group. All groups were given routine perioperative intervention. The auricular point pressing with beans group was given auricular point pressing with seeds of Semen Vaccariae one day before surgery. The point application group was given point application with hospital self-made Chinese medicine plaster one day before surgery. The combination group was given auricular acupoint pressing with beans combined with point application one day before surgery. Scores of the State-trait Anxiety Inventory(STAI) one day and 30 minutes before surgery were observed in the three groups. The levels of heart rate(HR),systolic blood pressure(SBP),and diastolic blood pressure(DBP) 30 minutes before surgery and 5 minutes after entering the operating room were compared among the three groups. The postoperative recovery during hospitalization was compared among the three groups. Results: There was no significant difference being found in the comparison of STAI scores one day before surgery among the three groups(P>0.05);STAI scores 30 minutes before surgery in the three groups were significantly decreased when compared with those one day before surgery(P<0.05); STAI score 30 minutes before surgery in the combination group was significantly lower than those in the other two groups, the difference being significant(P<0.05); there was no significant difference being found in the comparison of STAI scores 30 minutes before surgery between the auricular point pressing with beans group and the point application group(P>0.05). In the combination group, HR, SBP, and DBP at 30 minutes before surgery and five minutes after entering the operation room were lower than those in the other two groups,the difference being significant(P<0.05). When compared with those in the same group at 30 minutes before surgery,HR,SBP,and DBP at 5 minutes after entering the operation room in the auricular point pressing with beans group and the point application group were both significantly increased(P<0.05);the three indexes in the combination group were increased slightly,and there was no significance being found in the difference(P>0.05). The postoperative recovery time of gastrointestinal function in the combination group was shorter than those in the auricular point pressing with beans group and the point application group,the difference being significant(P<0.05). There was no significant difference being found in the comparison of hospitalization time among the three groups(P>0.05). Conclusion: The intervention of auricular point pressing with beans combined with point application can effectively relieve preoperative anxiety and stress of patients undergoing elective gynecological laparoscopic surgery, and promote the postoperative recovery of gastrointestinal function.

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周佳,薛晓静,王芯芯,郑贤,郭秀婷.耳穴埋豆联合穴位贴敷对择期妇科腹腔镜手术患者术前焦虑的影响[J].新中医,2021,53(14):169-172

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  • 在线发布日期: 2021-07-24
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