耳穴按压配合芳香疗法对大肠癌手术患者应激反应的影响  

The effect of auricular-plaster therapy combined with aromatherapy on stress responses in patients receiving colorectal surgery

作　　者：王晨霞[1] 王仲兰[1] 庄桂学[1] 金昌德[2] 

机构地区：[1]兰州市甘肃省人民医院呼吸科,甘肃730000 [2]天津中医药大学护理学院

出　　处：《中华护理杂志》2013年第7期623-625,共3页Chinese Journal of Nursing

摘　　要：目的评价耳穴按压配合芳香疗法对缓解大肠癌手术患者应激反应的效果。方法将135例大肠癌手术患者分为A组33例(耳穴按压配合芳香疗法)、B组33例(耳穴按压)、C组34例(芳香疗法)、D组35例(空白对照)。采用焦虑自评量表(SAS)对4组患者不同时间点的焦虑水平进行测试;记录4组患者不同时间点的心率和血压。结果 4组不同测量时间及组间的焦虑评分、血压、心率比较,差异均有统计学意义(P<0.01)。干预后A组焦虑评分、血压、心率低于B、C、D组,差异均有统计学意义(P<0.05)。干预后B组和C组焦虑评分、血压、心率低于D组,差异有统计学意义(P<0.05)。干预后B组焦虑评分、血压、心率与C组比较,差异无统计学意义(P>0.05)。结论耳穴按压配合芳香疗法能有效减轻大肠癌手术患者的焦虑,稳定血压和心率,且效果优于单独采用耳穴按压或芳香疗法。Objective To evaluate the effect of auricular-plaster therapy combined with aromatherapy on stress responses in patients receiving colorectal surgery. Methods Totally 135 patients receiving colorectal surgery were randomly divided into group A （auricular-plaster therapy combined with aromatherapy）, group B （auricular-plaster therapy）, group C （aromatherapy） and group D（blank）. The patients＇ anxiety was assessed by Self-Rating Anxiety Scale（SAS）. Moreover,the patients＇ heart rate（HR） and blood pressure（BP） were recorded at different time. Results A group main effect（P〈0.01）,time main effect（P〈0.01） and interaction effect between time and group was found（P〈0.01）. After intervention,the patients＇ anxiety,BP and HR in group A were significantly lower than group B,C and D（P〈0.05）; the patients＇ anxiety,BP and HR in group B and group C were signif- icantly lower than group D（P〈0.05 ）. Conclusion Auricular-plaster therapy combined with aromatherapy can effectively alleviate anxiety and stabilize BP and HR in patients with colorectal surgery, and the effect is better than that of auricular-plaster therapy or aromatherapy.

关 键 词：耳穴贴压 芳香疗法 肠肿瘤 应激 

分 类 号：R248[医药卫生—中医临床基础]