首页|揿针联合耳穴压豆在外科腹部术后疼痛护理中的应用

揿针联合耳穴压豆在外科腹部术后疼痛护理中的应用

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目的 观察揿针联合耳穴压豆在腹腔镜下腹部术后疼痛护理中的应用效果。方法 选取2019年3月至12月期间行腹部腔镜术后疼痛患者90例,采用随机表法分为观察组和对照组,每组各45例,对照组采用帕瑞昔布钠40 mg肌肉注射镇痛,观察组在对照组治疗基础上加用揿针联合耳穴压豆的治疗方法。比较术后干预前全身麻醉清醒后第一次疼痛、干预措施后0。5 h、6 h、12 h、24 h疼痛VAS评分,以及干预后0。5 h、12 h、24 h帕瑞昔布钠注射总次数以评价两组的临床疗效。结果 观察组干预前全身麻醉清醒后的第一次疼痛、实施干预措施后0。5 h、6 h疼痛情况与对照组相比,两组差异无统计学意义(P>0。05),观察组实施干预措施后12 h、24 h VAS评分低于对照组且差异有统计学意义(P<0。05);干预后24 h观察组帕瑞昔布钠注射液总次数低于对照组且差异有统计学意义(P<0。05)。结论 揿针联合耳穴埋豆能有效缓解腹部术后疼痛,加快术后患者快速康复,减轻患者经济负担,提高其术后生活质量,同时可降低医疗支出、节约社会资源,提升护理工作在广大患者中的影响力与关注度。
Objective To observe the application effect of thumbtack needle combined with auricular point pressing in pain nursing after laparoscopic abdominal surgery.Methods From March 2019 to December 2019,90 patients with postoperative pain after abdominal endoscopy were randomly divided into the observation group and the control group,45 cases in each group.The control group was treated with parecoxib sodium needle 40 mg intramuscular injection analgesia,and the observation group was treated with press needle combined with auricular point pressing beans on the basis of the control group.The first pain after general anesthesia before postoperative intervention,the pain visual analogue scale(VAS)scores at 0.5 h,6 h,12 h and 24 h after intervention,and the total number of parecoxib sodium injection at 0.5 h,12 h and 24 h after intervention were compared to evaluate the clinical efficacy of the two groups.Results There was no significant difference between the two groups in the first pain after general anesthesia before intervention,the pain at 0.5 h and 6 h after intervention in the observation group and the control group(P>0.05).The VAS scores at 12 h and 24 h after intervention in the observation group were lower than those in the control group(P<0.05).The total number of parecoxib sodium injection in the observation group was lower than that in the control group at 24 h after intervention and the difference was statistically significant(P<0.05).Conclusion Thumb-tack needle combined with auricular acupoint embedding can effectively relieve postoperative pain after abdominal surgery,accelerate the rapid recovery of postoperative patients,reduce the economic burden of patients,and improve their postoperative quality of life.At the same time,it can reduce medical expenditure,save social resources,and enhance the influence and attention of nursing work in the majority of patients.

Press needleEar buried beansPostoperative painGeneral anesthesiaLaparoscopy

周伟伟、林昌永、朱千三、陈优、卢韵琦

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325000 浙江中医药大学附属温州市中医院

揿针 耳穴埋豆 术后疼痛 全身麻醉 腹腔镜

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(10)