摘要
目的:观察中医情志护理联合耳穴揿针对椎间孔镜手术患者焦虑的影响。方法:择期局麻下椎间孔患者60例,随机数字表法分组,每组30例,传统护理组(对照组)和中医情志护理联合耳穴揿针组(治疗组),对照组采用一般护理法,治疗者组采用在一般护理的基础上采用耳穴揿针,取穴神门、交感、皮质下、心区,观察揿针对患者术前1 d、局麻时及术后2 d焦虑情况,观察患者血压、心率变化情况,并记录各时点患者数字评分法(Numerical Rating Scale,NRS)疼痛评分和焦虑自评量表(Self-Rating Anxiety Scale,SAS)焦虑评分。结果:与术前比较,对照组在局麻时、术后第2天最高值NRS评分均升高(P<0.05),局麻时焦虑指数升高,术后第2天降低(P<0.05);与术前比较,治疗组在局麻时NRS、SAS均升高,术后第2天均降低。与对照组比较,治疗组在局麻时、术后第2天NRS、SAS均降低(P<0.05)。结论:采用中医情志护理联合耳穴揿针对行椎间孔镜患者进行护理,能够降低患者焦虑,提高患者围术期舒适度,值得在临床中推广和应用。
Objective:To observe the effect of traditional Chinese medicine(TCM)emotion-thought nursing combined with auricular point acupuncture on Self-Rating Anxiety Scale(SAS)of patients with transforaminal endoscopic surgery.Methods:Sixty patients with transforaminal endoscopic surgery undergoing local anesthesia were randomly divided into two groups,with 30 cases in each group,the traditional nursing group(the control group)and the TCM emotional nursing combined auricular acupuncture group(the treatment group).The control group received general nursing method.On the basis of general nursing,the treatment group was treated with auricular acupuncture at Shenmen,sympathetic,subcortical,heart area acupoints.SAS was observed for preoperative day,local anesthesia time and the changes of blood pressure and heart rate 2 days after operation were also observed.The Numerical Rating Scale(NRS)and SAS were recorded at each time point.Results:Compared with preoperation,the highest NRS in the control group increased at local anesthesia and 2 days after surgery(P<0.05),whereas,SAS increased at local anesthesia(P<0.05),and decreased 2 days after surgery(P<0.05).Compared with preoperation,NRS and SAS were increased in the treatment group during local anesthesia,and yet decreased during 2 days after surgery.Compared with the control group,NRS and SAS were decreased in the treatment group during local anesthesia and 2 days after surgery(P<0.05).Conclusion:The TCM emotion-thought nursing combined with auricular acupuncture can reduce patients'SAS and improve the comfortability of patients undergoing transforaminal endoscopic surgery.Therefore,it is worthy of promotion and application in clinical practice.
作者
张亚兰
杨军
Zhang Yalan;Yang Jun
出处
《中医临床研究》
2020年第3期41-43,共3页
Clinical Journal Of Chinese Medicine
基金
甘肃省卫生行业科研计划项目,编号:GSWSKY2017-61。
关键词
耳穴
揿针
椎间孔镜手术
焦虑
疼痛
Auricular acupoints
Acupuncture
Transforaminal endoscopic surgery
Anxiety
Pain
