耳穴压豆对吸入麻醉下乳房癌根治术后苏醒质量的影响  

Effect of Ear Acupoint Pressing with Cowherb Seeds on Breast Cancer Patients after Radical Mastectomy Using Inhalation Anaesthesia

作　　者：詹欢乐[1] 黄香妹[1] 徐韶怡[1] 

机构地区：[1]浙江中医药大学附属温州中医院,浙江温州32500

出　　处：《中华中医药学刊》2013年第4期886-888,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：温州市科技局科技计划资助项目(Y20110225)

摘　　要：目的:探讨耳穴压豆对吸入麻醉下乳房癌根治术病人术后苏醒质量的影响。方法:将60例吸入麻醉下乳房癌根治术病人随机分组,干预组30例,行常规护理及耳穴压豆治疗;对照组30例,只进行常规护理。结果:干预组患者于吸痰时的平均压(MAR)明显低于对照组(P<0.01)。患者术后苏醒评分(改良Aldrete评分)到达9分时间、PACU停留时间明显短于对照组组的时间(P<0.01)。干预组不良反应明显低于观察组,差异有统计学意义(P<0.05)。结论:中医耳穴压豆有降低麻醉苏醒期不良反应,稳定血压,缩短苏醒时间,提高吸入麻醉下乳房癌根治术后苏醒质量。Objective ： To evaluate the effect of ear acupoint pressing with cowherb seeds on breast cancer patients after radical mastectomy using inhalation anaesthesia during analepsia period. Methods ：60 cases of breast eancer patients after radical mastectomy using inhalation anaesthesia were enrolled according to the order of inpatients generated by randomnumber table. Patients were divided into two groups with observation group 30 cases and control group 30 cases. Observa- tion group used ear acupoint pressing with cowherb seeds and ruler nursing,while control group only used ruler nursing. Results：Patients in the observation group in the sputum aspiration of mean pressure （MAR）was significantly lower than that in the control group（P 〈 0.01 ）. The time of the observation group patient analepsia score（reforming Aldrete score） reaching 9 points and PACU dwell time was significantly shorter than that in the control group（ P 〈 0.01 ）. The incidence rate in the observation group was significantly lower than that in the control group （ P 〈 0. 05 ）. Conclusion ： Ear aeupoint pressing with cowherb seeds can help to stabilize the blood pressure, shorten awakening time, reduce incidence rate during analepsia period and improve the analepsia quality of breast cancer patients after radical mastectomy using inhalation anaesthesia.

关 键 词：耳穴压豆 乳房癌根治术 苏醒质量 

分 类 号：R655.8[医药卫生—外科学]