耳穴压豆对普通肠镜检查患者疼痛及应激性机制研究
Research on the mechanism of pain and stress in non regular colonoscopy patients by ear acupoint pressure bean
沈新凤 1何春华1
作者信息
- 1. 嘉兴大学附属第二医院外科,嘉兴 314000
- 折叠
摘要
目的 观察耳穴压豆对普通肠镜检查患者疼痛评分及应激性相关反应指标的影响.方法 收集嘉兴大学附属第二医院2023年1月至2023年7月共110例检查患者,随机数字法分为干预组56例和对照组54例,其中干预组男37例,女19例,年龄(54.19±14.55)岁,对照组男40例,女14例,年龄(52.11±15.73)岁.干预组在常规准备基础上,插镜前依次压豆耳部神门、交感、大肠、直肠、皮质下5个穴位.对照组给予常规检查前宣教、评估.比较两组患者丙二醛、氧化物歧化酶血清应激指标;比较两组患者在结肠镜操作前以及结肠镜至回肠末端时的心率和血压值;检查结束后采用疼痛视觉模拟评分法(VAS)进行腹部疼痛程度评分并统计疼痛持续时间,并评估进镜时长.两组间比较行t检验,多组间比较行方差分析.结果 干预组患者丙二醛、氧化物歧化酶血清应激指标显著低于对照组[(4.37±0.12)、(5.02±0.24)µmol/g 比(8.35±0.59)、(6.01±0.43)µmol/g,t=4.052、0.751,P＜0.05].干预组腹痛 VAS 分值为(1.71±1.00)分,疼痛时长为(1.62±0.94)min,心率为(80.64±6.60)次/分钟,收缩压为(127.55±15.74)mmHg,进镜时长为(3.85±1.39)min;对照组腹痛VAS分值为(3.01±0.83)分,疼痛时长为(3.18±1.11)min,心率为(85.31±6.80)次/分钟,收缩压为(134.48±19.26)mmHg,进镜时长为(5.20±2.41)min;两者比较差异有统计学意义(P＜0.05).结论 耳穴压豆可有效减轻普通肠镜检查患者的应激反应、疼痛的程度和时长,稳定患者心率及收缩压,值得临床推广应用.
Abstract
Objective Observe the effect of ear acupressure on pain scores and stress-related response indicators in patients undergoing regular colonoscopy.Methods Collect a total of 110 patients who underwent examinations at the Second Affiliated Hospital of Jiaxing University from January 2023 to July 2023,the participants were randomly divided into an intervention group(n=56)and a control group(n=54)using a random number method.In the intervention group,there were 37 males and 19 females with an average age of(54.19±14.55)years,while in the control group,there were 40 males and 14 fe-males with an average age of(52.11±15.73)years.On the basis of routine preparation,the intervention group sequentially pressed the acupoints of the ear canal,sympathetic nervous system,large intestine,rec-tum,and subcortical area for 1 minute each before inserting the endoscope,lasting for 5 min.The control group received education and evaluation before routine examinations.compare the serum stress indicators of malondialdehyde and oxide dismutase between two groups of patients;Compare the heart rate and blood pressure values of two groups of patients before colonoscopy and when colonoscopy reaches the terminal ile-um;After the examination,the pain visual analog scale(VAS)was used to score the degree of abdominal pain,and the duration of pain was recorded and evaluated for the duration of the procedure.A t-test for comparison between two groups and an ANOVA for comparison between multiple groups.Results The serum stress indicators of malondialdehyde and oxide dismutase in the intervention group were significantly lower than those in the control group[(4.37±0.12),(5.02±0.24)μmol/g vs.(8.351±0.59),(6.01±0.43)µmol/g,t=4.052,0.751,P＜0.05].The VAS score for abdominal pain in the interven-tion group was(1.71±1.00)points,with a duration of(1.62±0.94)min,a heart rate of(80.64±6.60)beats per minute,a systolic blood pressure of(127.55±15.74)mmHg,and a duration of(3.85±1.39)min;The VAS score for abdominal pain in the control group was(3.01±0.83)points,with a dura-tion of(3.18±1.11)min,a heart rate of(85.31±6.80)beats per minute,a systolic blood pressure of(134.48±19.26)mmHg,and a duration of(5.20±2.41)min;The difference between the two is statis-tically significant(P＜0.05).Conclusion Ear acupressure can effectively reduce the stress response,degree and duration of pain in patients undergoing regular colonoscopy,stabilize their heart rate and systol-ic blood pressure,and is worthy of clinical promotion and application.
关键词
耳穴压豆/应激反应/普通肠镜/疼痛/进镜时长Key words
Ear acupressure/Stress response/Regular colonoscopy/Pain/Mirror entry duration引用本文复制引用
出版年
2024
NETL
NSTL
万方数据