穴位按摩解除妇科腹腔镜术后患者非切口疼痛效果观察  

The Pain-Relieving Effect of Acupressure on Pain not Related to Incision After Gynecological Laparoscopy

作　　者：黄丽红 伍春兰[2] 彭文湃 何妙东 尹碧姚[2] 钟翠芳 

机构地区：[1]深圳市罗湖区妇幼保健院,广东深圳518001 [2]深圳市第五人民医院护理部

出　　处：《护理学杂志》2007年第24期7-9,共3页

基　　金：广东省深圳市科技局立项项目(200404169)

摘　　要：目的探讨穴位按摩解除妇科腹腔镜术后患者与气腹相关的非切口疼痛的效果。方法随机将138例行腹腔镜妇科手术患者分为按摩组和常规组,各69例。按摩组术后采用穴位按摩,即双手掌侧置于患者双肩部,用拇指带动鱼际肌压住患者的阿是穴,呈旋转式按摩,持续5～30s,间歇3s,连续15～20min,同时配以腹腔镜康复操。常规组行常规术后护理。观察两组术后肩痛、上腹膈肌疼痛及切口疼痛情况。结果按摩组患者术后24h、72h肩痛程度,术后24h、48h上腹膈肌疼痛程度,术后7～24h切口疼痛程度显著轻于常规组(均P<0.05)。结论穴位按摩可显著缓解妇科腹腔镜术后非切口疼痛,安全易行。Objective To examine the pain-relieving effect of acupressure on aeroperitoneum-related pain not related to in- cision after gynecological laparoscopy. Methods A total of 138 patients undergoing gynecological laparoscopy were divided into two groups （an acupressure group and a control group）, with each group having 69 subjects. In acupressure group, acupressure was given after the operation by massaging the Ashi acupoint for 5-30 s with an interval of 3 s for a total time of 15-20 min until the symptoms were relieved or the patients felt comfortable. And the patients were asked to take rehabilitation exercise designed for patients undergoing laparoscopy. The routine care was given in control group. Comparison was made between the two groups in terms of the pain in shoulder, ventral diaphragm and incisions. Resuls The pain in shoulder was significantly relieved 24 h and 72 h after the operation in the accupressure group, pain in ventral diaphragm was significantiy less severe 24 h and 48 h after the operation, and pain in the incision was significantly relieved （P〈0.05 for all）. Conclusion Acupressure can effectively relieve the pain not related to incision after gynecological laparoscopy and is safe and easy to use.

关 键 词：妇科腹腔镜手术 非切口疼痛 穴位按摩 腹腔镜康复操 

分 类 号：R473.71[医药卫生—护理学]