麻醉前穴位贴敷联合耳穴压豆对全麻腹腔镜下全结肠切除患者苏醒期的影响
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Effect of Point Application Combined with Auricular Point Pressing with Beans Before Anesthesia on Recovery Period in Patients Undergoing Laparoscopic Total Colectomy
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    摘要:

    目的:观察麻醉前穴位贴敷联合耳穴压豆对全麻腹腔镜下全结肠切除患者苏醒期的影响。方法:选取80 例腹腔镜下全结肠切除患者,依据入院顺序单双号分为治疗组和对照组,每组45 例。对照组术前给予耳穴压豆治疗,治疗组在对照组基础上加用穴位贴敷治疗。比较2 组恢复自主呼吸时间、拔管时间及麻醉苏醒室(PACU) 停留时间;比较2 组进入PACU 后30 min(T1)、进入PACU 后60 min(T2) 及出PACU 时(T3) 的Ramsay 镇静评分,以及肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、皮质醇(Cor) 和去甲肾上腺素(NE) 水平。结果:治疗组恢复自主呼吸时间、拔管时间及PACU 停留时间均短于对照组(P<0.05)。T1、T2、T3 时刻,治疗组Ramsay 镇静评分均低于同期对照组(P<0.05)。T1、T2、T3 时刻,2 组TNF-α、IL-6、Cor、NE 水平均较麻醉前(T0) 时刻升高(P<0.05),治疗组TNF-α、IL-6、Cor、NE 水平均低于对照组同期(P<0.05)。结论:在腹腔镜下全结肠切除术麻醉前进行穴位贴敷联合耳穴压豆治疗,能缩短患者术后麻醉苏醒时间,降低其躁动程度,并减轻炎症反应及应激反应。

    Abstract:

    Abstract:Objective:To observe the effect of point application combined with auricular point pressing with beans before anesthesia on recovery period in patients undergoing laparoscopic total colectomy. Methods:A total of 80 cases of patients undergoing laparoscopic total colectomy were selected and divided into the treatment group and the control group according to the odd- even number of their order of admission,with 45 cases in each group. Before surgery,the control group was treated with auricular point pressing with beans, and the treatment group was additionally treated with point application based on the treatment of the control group. The recovery time of spontaneous breathing, the extubation time and the residence time at Anesthesia and Post- Anesthesia Care Units(PACU),the scores of Ramsay Sedation Scale at 30 minutes after entering PACU(T1),60 minutes after entering PACU(T2) and coming out of PACU(T3),and the levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),cortisol(Cor) and norepinephrine(NE) in the two groups were compared. Results:The recovery time of spontaneous breathing,the extubation time and the residence time at PACU in the treatment group were shorter than those in the control group(P<0.05). At T1, T2 and T3, the scores of Ramsay Sedation Scale in the treatment group were lower than those in the control group at the same period(P<0.05). At T1,T2 and T3,the levels of TNF-α,IL-6, Cor and NE in the two groups were increased when compared with those at T0(P<0.05),and the levels of TNF- α,IL- 6, Cor and NE in the treatment group were lower than those in the control group at the same period(P<0.05). Conclusion:Point application combined with auricular point pressing with beans before anesthesia of laparoscopic total colectomy can shorten the postoperative anesthesia recovery period,reduce the degree of agitation,and relieve inflammatory responses and stress

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仰筱旺,蓝玉仙.麻醉前穴位贴敷联合耳穴压豆对全麻腹腔镜下全结肠切除患者苏醒期的影响[J].新中医,2022,54(12):210-213

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  • 在线发布日期: 2022-06-22
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