摘要
目的探讨耳穴揿针对全身麻醉(简称“全麻”)下行腹腔镜下取石保胆术患者麻醉苏醒期躁动的影响。方法选取2018年11月至2020年11月在徐州市中医院行腹腔镜下取石保胆术治疗的118例胆囊结石患者为研究对象,按照随机数字表法分为对照组(n=59)和观察组(n=59)。对照组患者接受常规护理,观察组患者在常规护理的基础上接受耳穴揿针。比较2组患者的苏醒情况、麻醉苏醒期躁动和疼痛情况以及应激指标水平。结果观察组的气管拔管时间、术后自主呼吸恢复时间和定向力恢复时间均显著早于对照组(P均<0.05)。2组进入苏醒室后30min、进入苏醒室后1h和离开苏醒室时的视觉模拟评分法(VAS)和躁动评分(RS)均显著高于同组麻醉前(P均<0.05),观察组在上述时间点的VAS评分和RS评分均显著低于同期对照组(P均<0.05)。麻醉前,2组间去甲肾上腺素和皮质醇水平的差异均无统计学意义(P均>0.05);离开苏醒室时,2组的去甲肾上腺素和皮质醇水平均显著高于同组麻醉前(P均<0.05),但观察组的去甲肾上腺素和皮质醇水平均显著低于对照组(P均<0.05)。结论对全麻下行腹腔镜下取石保胆术的患者实施耳穴揿针,能够有效改善其苏醒情况,缓解麻醉苏醒期躁动和疼痛情况,减轻应激反应。
Objective To explore the effect of auricular acupoint pressing needle on the restlessness during recovery from general anesthesia in patients undergoing laparoscopic gallbladderpreserving cholecystolithotomy.Methods A total of118patients with gallstones who underwent laparoscopic gallbladder-preserving cholecystolithotomy at Xuzhou City Hospital of Traditional Chinese Medicine from November2018to November2020were selected as the research objects.They were divided into a control group(n=59)and an observation group(n=59)according to the random number table method.Patients in the control group received routine nursing,and patients in the observation group received auricular acupoint pressing needle on the basis of routine nursing.The recovery status,restlessness and pain during recovery from anesthesia,and levels of stress indicators were compared between the two groups.Results The tracheal extubation time,spontaneous breathing recovery time and orientation recovery time of the observation group were significantly earlier than those of the control group(all P<0.05).At30min and1hr after entering the recovery room and when leaving the recovery room,the visual analogue scale(VAS)scores and restlessness(RS)scores of the two groups were significantly higher than those before anesthesia(all P<0.05).The VAS scores and RS scores of observation group at the above time points were significantly lower than those of the control group(all P<0.05).Before anesthesia,there were no statistically significant differences in the levels of norepinephrine and cortisol between the two groups(both P>0.05).When leaving the recovery room,the levels of norepinephrine and cortisol in the two groups were significantly higher than those before anesthesia(all P<0.05),and the levels of norepinephrine and cortisol in the observation group were significantly lower than those in the control group(both P<0.05).Conclusion Auricular acupoint pressing needle for patients undergoing laparoscopic gallbladder-preserving cholecystolithotomy under general ane
作者
魏萍
WEI Ping(Operating Room,Xuzhou City Hospital of Traditional Chinese Medicine,Xuzhou,Jiangsu,221003,China)
出处
《中西医结合护理（中英文）》
2021年第6期49-52,共4页
Journal of Clinical Nursing in Practice
关键词
腹腔镜下取石保胆术
耳穴揿针
麻醉苏醒期躁动
laparoscopic gallbladder-preserving cholecystolithotomy
auricular acupoint pressing needle
restlessness during recovery from anesthesia
