首页|经皮穴位电刺激联合音乐疗法对乳腺良性肿瘤手术患者的影响

经皮穴位电刺激联合音乐疗法对乳腺良性肿瘤手术患者的影响

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目的 对乳腺良性肿瘤全麻手术患者行经皮穴位电刺激(TEAS)联合音乐疗法的效果进行分析.方法 选取河南中医药大学第一附属医院 2020 年 3 月至 2023 年 7 月 160 例乳腺良性肿瘤患者为研究对象.运用随机抽样法分组研究,对照组以安慰治疗,TEAS组以TEAS治疗,五音疗法组以五音疗法治疗,联合组组以五音疗法联合TEAS治疗,各 40 例,治疗后对各组患者焦虑抑郁情绪、麻醉用量、疼痛情况、术后恢复等情况进行对比.结果 术前 30 min比较,四组患者汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分,差异无统计学意义(P>0.05),干预30 min后、入手术室时、术后评分经对比,差异均有统计学意义(P<0.05),联合组低于其他三组,对照组最高,差异均有统计学意义(P<0.05);麻醉用量对比,四组差异有统计学意义(P<0.05),以联合组低于五音疗法组、TEAS组、对照组;而不同时间段视觉模拟评分法(VAS)评分对比,拔管时差异无统计学意义(P>0.05),术后 6 h、12 h、24 h经对比差异均有统计学意义(P<0.05),以联合组低于C、T、五音疗法组,对照组VAS评分最高;对比术后恢复质量评估量表(PQRS)评分,术前差异无统计学意义(P>0.05),术后差异有统计学意义(P<0.05),联合组最高,对照组低于其他三组.结论 TEAS联合五行音乐适于乳腺良性肿瘤患者应用,缓解了焦虑、抑郁情绪,减少了麻醉用量同时缓解了疼痛情况,从而有利于术后恢复.
Effect of transcutaneous electrical Acupoint Stimulation combined with music Therapy on Patients undergoing Surgery for benign breast Tumors
Objective To analyze the effect of transcutaneous electrical acupoint stimulation(TEAS)combined with music therapy on patients undergoing general anesthesia surgery for benign breast tumors.Methods A total of 160 patients with benign breast tumors from the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from March 2020 to July 2023 were selected as the research subjects.Randomized sampling was used to group the study.The control group received comfort treatment,the TEAS group received TEAS treatment,the music therapy group received music therapy,and the combination group received a combination of music therapy and TEAS treatment,with 40 cases in each group.After treatment,the anxiety and depression,anesthesia dosage,pain,and postoperative recovery of each group of patients were compared.Results There was no statistically significant difference in the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores among the four groups of patients 30 minutes before surgery(P>0.05).However,there were significant differences in the scores of 30 minutes after intervention,at the time of entering the operating room and after operation(P<0.05).The combined group was lower than the other three groups,and the control group was the highest,with statistically significant differences(P<0.05);The difference in anesthesia dosage among the four groups was statistically significant(P<0.05),with the combination group being lower than the music therapy group,TEAS group,and control group;However,there was no statistically significant difference in visual analogue scale(VAS)scores between different time periods during extubation(P>0.05),after 6,12,and 24 hours of surgery,there were statistically significant differences between the groups(P<0.05).The combination group had lower VAS scores than the combination,TEAS,and music therapy groups,while the control group had the highest VAS score;Compared with the postoperative recovery quality assessment scale(PQRS)scores,there was no statistically significant difference before surgery(P>0.05),but there was a statistically significant difference after surgery(P<0.05).The combination group had the highest score,while the control group was lower than the other three groups.Conclusion TEAS combined with five-elements music is suitable for patients with benign breast tumors,which alleviates anxiety and depression,reduces anesthesia dosage,and relieves pain,thus facilitating postoperative recovery.

benign breast tumorstranscutaneous electrical acupoint stimulationmusic therapyanesthetic effect

王绚、赵庆盼、梁冰

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河南中医药大学第一附属医院 麻醉科,河南 郑州 450000

乳腺良性肿瘤 经皮穴位电刺激 音乐疗法 麻醉效果

河南省中医药科学研究专项

2023ZY3006

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(4)
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