[1]邵安民,翁建东,俞灵,等.耳穴贴压对全麻妇科腹腔镜术患者镇痛效果及胃肠功能的影响[J].西部中医药,2018,31(10):102-105.
　SHAO Anmin,WENG Jiandong,YU Ling,et al.Effects of Auricular Pressure on Gastrointestinal Function and Analgesic Effects of the Patients Undergoing Gynecological Laparoscopy Under General Anesthesia[J].Western Journal of Traditional Chinese Medicine,2018,31(10):102-105.
点击复制

耳穴贴压对全麻妇科腹腔镜术患者镇痛效果及胃肠功能的影响()
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年10期
页码:
102-105
栏目:
出版日期:
2018-10-15

文章信息/Info

Title:
Effects of Auricular Pressure on Gastrointestinal Function and Analgesic Effects of the Patients Undergoing Gynecological Laparoscopy Under General Anesthesia
文章编号:
1004-6852(2018)10-0102-04
作者:
邵安民1，翁建东1，俞灵1，孙贺斌1，赵赢1，陈俊东2
1 昆山市中医医院麻醉科，江苏 昆山 215300； 2 江苏省麻醉医学研究所
Author(s):
SHAO Anmin1, WENG Jiandong1, YU Ling1, SUN Hebin1, ZHAO Ying1, CHEN Jundong2
1 Department of Anesthesiology, Kunshan Municipality TCM Hospital, Kunshan 215300, China; 2 Jiangsu Provincial Institute for Anesthetic Medicine
关键词:
腹腔镜术; 耳穴贴压; 全麻; 镇痛效果; 胃肠功能
Keywords:
laparoscopy;  auricular pressure;  general anesthesia;  analgesic effects;  gastrointestinal function
分类号:
R271.1
文献标志码:
B
摘要:
目的：观察耳穴贴压对全麻妇科腹腔镜术患者镇痛效果及胃肠功能的影响。方法：将104例患者按随机数字表法分为观察组和对照组，每组52例。观察组采用耳穴贴压法，于耳穴神门、胃、交感及皮质下用胶布粘住王不留行籽贴在耳穴处，按压3～5 min，连续2天。对照组采用安慰疗法，只在相应耳穴上粘贴外观相同的胶布，但不进行王不留行籽粘贴及按压，连续2天。于术后1 、24、48 小时，采用疼痛视觉模拟量表(VAS)评估2组患者疼痛程度。观察2组首次肛门排气时间、排便时间、肠鸣音恢复时间、术后24 小时内恶心呕吐发生率。结果：术中麻醉时间、手术时间、气腹压力及异丙酚和舒芬太尼用量2组比较，差异均无统计学意义(P＞0.05)。VAS评分随着时间的增长，2组患者均持续降低(P＜0.05)；各时间点观察组均低于同期对照组(P＜0.05)。术后首次肛门排气时间、排便时间及肠鸣音恢复时间观察组均少于对照组(P＜0.05)。恶心呕吐发生率观察组为19.23%，低于对照组48.08%(P＜0.05)。结论：耳穴贴压对于全麻妇科腹腔镜术患者可明显缓解其疼痛，改善其胃肠功能，降低恶心呕吐发生率。
Abstract:
Objective: To survey the effects of auricular pressure on analgesic effects and gastrointestinal function of the patients undergoing gynecological laparoscopy under general anesthesia. Methods: All 104 patients were allocated to the observation group and the control group according to random number table method, 52 cases each group. The observation group adopted auricular pressure, sticking the seed of cowherb to the ear points including Shenmen, Wei, Jiaogan and Pizhixia, pressing for three to five minutes, for two days consecutively. The control group accepted placebo therapy, sticking the same rubber cloth to the same ear points, but no pressing for two days consecutively. Pain degrees of the patients in both groups were assessed by VAS in one hour, 24 hours and 48 hours, initial anal exhaust time, defecation time and the recovery time of bowel sound of both groups were observed, and the incidence of nausea and vomiting within 24 hours after the operation were compared between both groups. Results: The difference had no statistical meaning in the comparisons of intraoperative anesthesia time, surgical time, pneumoperitoneum pressure and the dose of Propofol and sulfentanyl between both groups (P＞0.05). VAS scores decreased gradually as the time increased (P＜0.05); the observation group was lower than the control group at different times(P＜0.05). The observation group was less than the control group in initial anal exhaust time, defecation time and the recovery time of bowel sound (P＜0.05). The incidence of nausea and vomiting of the observation group was 19.23%, lower than 48.08% of the control group (P＜0.05). Conclusion: Auricular pressure could relieve the pain obviously, improve gastrointestinal function and decrease the incidence of nausea and vomiting of the patients undergoing gynecological laparoscopy under general anesthesia.

相似文献/References:

[1]王延玲,指导：裴建.耳穴贴压干预糖尿病前期糖代谢水平的临床观察[J].西部中医药,2014,27(11):4.
[2]穆云霞,吴宇锋.葛根素联合耳穴贴压治疗小儿近视并发斜弱视32例[J].西部中医药,2015,28(12):106.
[3]刘君奇.针刺、拔罐联合耳穴贴压治疗痤疮68例临床观察[J].西部中医药,2012,25(07):81.
　LIU Jun-qi.Clinical Observation on Acupuncture and Cupping Combined with Auricular Plaster Therapy in Treating 68 Cases of Acnes[J].Western Journal of Traditional Chinese Medicine,2012,25(10):81.
[4]尚亚婷,蒋花,徐彦龙,等.中频拔罐耳压配合针刺治疗单纯性肥胖疗效观察*[J].西部中医药,2013,26(11):109.
　SHANG Yating,JIANG Hua,XU Yanlong,et al.Curative Effects of Midband, Cupping, Auricular Pressure and Needling in the Treatment for Simple Obesity[J].Western Journal of Traditional Chinese Medicine,2013,26(10):109.
[5]刘金华,瞿燕平△.中医综合护理干预慢性鼻炎效果观察[J].西部中医药,2017,30(01):106.
　LIU Jinhua,QU Yanping.Observation on the Effects of Comprehensive Nursing Intervention for the Patients with Chronic Rhinitis[J].Western Journal of Traditional Chinese Medicine,2017,30(10):106.
[6]高明周,张浩,杨焕新,等.经前期综合征针灸学辨治思路及其疗效评价[J].西部中医药,2018,31(10):152.
　GAO Mingzhou,ZHANG Hao,YANG Huanxin,et al.Thinking on Syndrome Differentiation and Treatment for Premenstrual Syndrome by Acupuncture and Its Clinical Effects Evaluation[J].Western Journal of Traditional Chinese Medicine,2018,31(10):152.
[7]王文丽,要慧萍△.耳穴贴压治疗腹腔镜术后胃肠功能障碍50例[J].西部中医药,2019,32(06):114.
　WANG Wenli,YAO Huiping.Treating 50 Cases of Gastrointestinal Dysfunction after Laparoscopy by Auricular Acupoints Pressing[J].Western Journal of Traditional Chinese Medicine,2019,32(10):114.
[8]王丽均,王士兵.耳穴贴压联合艾灸对肠癌手术患者术后疼痛及胃肠功能恢复的影响[J].西部中医药,2021,34(07):131.[doi:10.12174/j.issn.2096-9600.2021.07.34]
　WANG Lijun,WANG Shibing.Influence of Auricular Acupoints Pressing Joined with Moxibustion on Postoperative Pain and the Recovery of Gastrointestinal Function of the Patients Undergoing the Surgery of Colon Cancer[J].Western Journal of Traditional Chinese Medicine,2021,34(10):131.[doi:10.12174/j.issn.2096-9600.2021.07.34]
[9]许久玲.引阳入阴推拿联合耳穴贴压改善ICU清醒患者睡眠障碍疗效观察[J].西部中医药,2023,36(02):90.[doi:10.12174/j.issn.2096-9600.2023.02.20]
　XU Jiuling.Observation on Clinical Effects of Massage of Introducing Yang into Yin and Auricular Point Sticking in Improving Sleep Disorders in ICU Patients Staying Awake[J].Western Journal of Traditional Chinese Medicine,2023,36(10):90.[doi:10.12174/j.issn.2096-9600.2023.02.20]

备注/Memo

备注/Memo:
收稿日期：2018-02-01 *基金项目：江苏省自然科学基金项目(编号BK2012582)。 作者简介：邵安民(1963—)，男，主任医师。研究方向：临床麻醉。
更新日期/Last Update: 2018-08-15