目的:探究耳穴贴压联合中医五行音乐疗法对外科术后镇痛泵不耐受患者疼痛的缓解效用。方法:选取2021年2月—2022年4月在该院接受治疗的外科术后镇痛泵不耐受患者96例,采用随机数表法分为观察组50例,对照组46例。对照组采用常规围术期干...目的:探究耳穴贴压联合中医五行音乐疗法对外科术后镇痛泵不耐受患者疼痛的缓解效用。方法:选取2021年2月—2022年4月在该院接受治疗的外科术后镇痛泵不耐受患者96例,采用随机数表法分为观察组50例,对照组46例。对照组采用常规围术期干预,观察组在其基础上进行耳穴贴压联合中医五行音乐疗法治疗,比较2组患者术后不同时间点匹兹堡睡眠质量指数(PSQI)评分、视觉疼痛模拟评分法(VAS)评分、心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]。结果:观察组术后72 h PSQI评分低于对照组(P<0.05);术后48、72 h,观察组VAS评分低于对照组;术后72 h,观察组SAS、SDS评分低于对照组(P<0.05)。结论:耳穴贴压联合中医五行音乐疗法可有效缓解外科术后镇痛泵不耐受患者机体疼痛,提高患者的睡眠质量、缓解其焦虑、抑郁情绪,值得在临床中推广应用。展开更多
Objective: To investigate the effects and mechanisms of Gong-tone music on the immunological function in rats with the Chinese medicine syndrome of Liver (Gan)-qi stagnation and Spleen (Pi)-qi deficiency (LSSD)...Objective: To investigate the effects and mechanisms of Gong-tone music on the immunological function in rats with the Chinese medicine syndrome of Liver (Gan)-qi stagnation and Spleen (Pi)-qi deficiency (LSSD). Methods: Twenty five male Wistar rats of SPF grade were randomly divided into 5 groups: normal group, model group, Xiaoyao Powder (逍遥散) group, Gong-tone group and combined group (the combination of Gong-tone and Xiaoyao Powder), with 5 rats in each group. The rat model for the Chinese medicine syndrome of LSSD was induced by chronic bandage and irregular diet. The course of treatment was 21 days. After the treatment, the levels of serum gastrin and IgG were detected by enzyme-linked immunoabsorbent assay (ELISA). Phagocytosis of macrophages was detected by the neutral red uptake assay and T cell proliferation was investigated by 3-(4,5-dimethylthiazolyl)-2,5-diphenyltetrazolium bromide (MTT) assay. Results: The serum gastrin, macrophage phagocytosis, IgG level and proliferation ability of T cells in the model group were significantly decreased compared with those in the normal group (P〈0.05). Compared with those in the model group, the serum levels of gastrin, macrophage phagocytosis, IgG level and proliferation ability of T cells in Gong-tone, Xiaoyao Powder, and combined groups were significantly increased (P〈0.05). The combined group was superior to either Gong-tone group or Xiaoyao Powder group. Conclusion: Gong-tone music may upregulate the immunological function and play a role in adjuvant therapy in the Chinese syndrome of LSSD.展开更多
文摘目的:探究耳穴贴压联合中医五行音乐疗法对外科术后镇痛泵不耐受患者疼痛的缓解效用。方法:选取2021年2月—2022年4月在该院接受治疗的外科术后镇痛泵不耐受患者96例,采用随机数表法分为观察组50例,对照组46例。对照组采用常规围术期干预,观察组在其基础上进行耳穴贴压联合中医五行音乐疗法治疗,比较2组患者术后不同时间点匹兹堡睡眠质量指数(PSQI)评分、视觉疼痛模拟评分法(VAS)评分、心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]。结果:观察组术后72 h PSQI评分低于对照组(P<0.05);术后48、72 h,观察组VAS评分低于对照组;术后72 h,观察组SAS、SDS评分低于对照组(P<0.05)。结论:耳穴贴压联合中医五行音乐疗法可有效缓解外科术后镇痛泵不耐受患者机体疼痛,提高患者的睡眠质量、缓解其焦虑、抑郁情绪,值得在临床中推广应用。
基金Supported by the National Natural Science Foundation of China(No.30701105)Beijing Municipal Educational Fund[(2007) No.20]
文摘Objective: To investigate the effects and mechanisms of Gong-tone music on the immunological function in rats with the Chinese medicine syndrome of Liver (Gan)-qi stagnation and Spleen (Pi)-qi deficiency (LSSD). Methods: Twenty five male Wistar rats of SPF grade were randomly divided into 5 groups: normal group, model group, Xiaoyao Powder (逍遥散) group, Gong-tone group and combined group (the combination of Gong-tone and Xiaoyao Powder), with 5 rats in each group. The rat model for the Chinese medicine syndrome of LSSD was induced by chronic bandage and irregular diet. The course of treatment was 21 days. After the treatment, the levels of serum gastrin and IgG were detected by enzyme-linked immunoabsorbent assay (ELISA). Phagocytosis of macrophages was detected by the neutral red uptake assay and T cell proliferation was investigated by 3-(4,5-dimethylthiazolyl)-2,5-diphenyltetrazolium bromide (MTT) assay. Results: The serum gastrin, macrophage phagocytosis, IgG level and proliferation ability of T cells in the model group were significantly decreased compared with those in the normal group (P〈0.05). Compared with those in the model group, the serum levels of gastrin, macrophage phagocytosis, IgG level and proliferation ability of T cells in Gong-tone, Xiaoyao Powder, and combined groups were significantly increased (P〈0.05). The combined group was superior to either Gong-tone group or Xiaoyao Powder group. Conclusion: Gong-tone music may upregulate the immunological function and play a role in adjuvant therapy in the Chinese syndrome of LSSD.