穴位按压联合心理干预抑制阑尾切除术中牵拉反应的观察  

The observation about the inhibition of visceral dragging reaction during appendectomy with the method of acupressure combined with psychological intervention

作　　者：陈菊香[1] 曹传军[1] 李园珍[1] 黄伟妮[1] 魏豪娜[1] 

机构地区：[1]广州医学院附属深圳市沙井人民医院手术室,广东深圳518104

出　　处：《国际医药卫生导报》2008年第18期69-70,共2页International Medicine and Health Guidance News

摘　　要：目的观察穴位按压联合心理干预抑制阑尾切除术中牵拉反应的有效性。方法将208例阑尾切除术病人随机分为观察组和对照组，每组104例。观察在术者切开腹膜准备找阑尾时，护士用左手握住病人拇指以外的四指，右手拇指尖按压合谷穴和内关穴，每穴位持续1min，两穴交替按压，按压强度以患者局部出现酸麻胀感为度，一直到阑尾切下，腹腔探查完结束，边按压边与病人轻声交谈，让病人深呼吸，以分散病人注意力，放松心身，对照组给予常规护理。结果观察组出现恶心、呕吐、心前区疼痛、恐惧的例数少于对照组，有统计学意义，P〈0.05。结论穴位按压联合心理干预可以有效抑制阑尾切除术中牵拉反应。Objective To observe the inhibition of visceral dragging reaction during appendectomy with the method of acupressure combined with psychological intervention, Methods 208 cases of patient undergoing appendectomy were randomly divided into the observation group（n=104） and the control group（n=104）, /he patients in the observation group was treated with the method of acupressure combined with psychological intervention, and the patients in the observation group was treated with routine nursing. Results The cases of visceral dragging reaction in the observation was lower than those in the control groups. （P〈0. 05） Conclusion The method of acupressure combined with psychological intervention might significantly inhibit visceral dragging reaction during appendectomy.

关 键 词：穴位按压 心理干预 阑尾切除术 牵拉反应 

分 类 号：R473[医药卫生—护理学]