摘要
目的:探究耳穴埋豆辅助舒芬太尼对腰麻下痔上黏膜环切术(PPH)术后的影响。方法:选取芜湖市中医医院2020年1~6月收治的100例腰麻下PPH术患者作为研究对象,按随机数表法分为对照组和观察组各50例。对照组单纯采用舒芬太尼静脉镇痛,观察组采用耳穴埋豆辅助舒芬太尼静脉镇痛,比较两组术后自控镇痛的使用情况、焦虑自评量表(SAS)评分、视觉模拟量表(VAS)评分、满意度评分、伯格曼舒适度量表(BCS)评分以及术后呕吐、尿潴留等发生率。结果:观察组术后24 h镇痛有效按压次数和舒芬太尼总消耗量均少于对照组(P<0.05)。两组术后SAS评分均低于术前(P<0.05),且观察组下降幅度优于对照组(P<0.05)。观察组术后6、12、24 h VAS评分均低于对照组,而BCS评分均高于对照组(P<0.05)。观察组术后满意度评分高于对照组(P<0.05)。观察组术后恶心呕吐、尿潴留以及插导尿管发生率均低于对照组(P<0.05)。结论:耳穴埋豆辅助舒芬太尼,有减轻腰麻下PPH术后疼痛的趋势,能减少术后舒芬太尼使用量,有利于减少术后恶心呕吐,降低尿潴留发生率,提高患者术后舒适度与满意度,值得推广。
Objective:To observe the effects of auricular points pressing with beans assisting sufentanil on postoperative pain relief in patients undergone procedure for prolapse and hemorrhoids(PPH)under spinal anesthesia.Methods:One hundred patients undergone PPH by spinal anesthesia in our hospital were included between January and June of 2020,and equally allocated to control group and observational group by random table method.Simple sufentanil or auricular points pressing with beans assisting sufentanil was applied respectively to analgesia in patients in the control and observational group.Then the two groups were compared regarding postoperative self-control analgesia,scores on self-rating anxiety scale(SAS),satisfaction with the analgesia,visual analogue scale(VAS),Bruggrmann comfort scale(BCS)and the incidence of postoperative nausea/vomiting and urinary retention.Results:Patients in the observational group had lower number of effective pressing of analgesics and total consumption of sufentanil than those in the control group with 24 hours after operation(P<0.05).Although scores on postoperative SAS were decreased in both groups compared to those before operation(P<0.05),yet the decrease was dominant in the observational group(P<0.05).VAS score was lower and BCS was higher in the observational group than in control group at 6,12,and 24th hour(all P<0.05).Patients in the observational had higher satisfaction with postoperative analgesia,yet lower incidence of postoperative nausea/vomiting and urinary retention as well as urethral catheterization than those in the control group(all P<0.05).Conclusion:Auricular points pressing with beans assisting sufentanil is worthy of recommendation to patients undergoing PPH under lumbar anesthesia,because this protocol can reduce the postoperative pain and dose of postoperative sufentanil,incidence of postoperative nausea/vomiting and urinary retention,and improve the patients′comfort and satisfaction.
作者
屈添平
温佐强
马岚
徐茂奇
QU Tianping;WEN Zuoqiang;MA Lan;XU Maoqi(Department of Anesthesiology,Wuhu Hospital of traditional Chinese Medicine,Wuhu 241000,China)
出处
《皖南医学院学报》
CAS
2023年第2期151-153,173,共4页
Journal of Wannan Medical College
基金
芜湖市科技计划项目(2021cg22)。
关键词
痔上粘膜环切术
耳穴埋豆
舒芬太尼
术后镇痛
并发症
procedure for prolapse and hemorrhoids
auricular points pressing with beans
sufentanil
postoperative analgesia
complications
