耳穴贴压不同起始时间预防阿片相关性便秘效果比较  

The therapeutic effect of auricular-plaster therapy at a different start time on opioid-induced constipation

作　　者：杨丽华[1] 段培蓓[2] 侯庆梅[1] 梅思娟[1] 王晓庆[3] 芮丹 李静[1] 

机构地区：[1]江苏省中医院肿瘤内科,江苏南京210029 [2]江苏省中医院护理部,江苏南京210029 [3]江苏省中医院肿瘤外科,江苏南京210029

出　　处：《护理学杂志》2016年第5期34-37,共4页Journal of Nursing Science

基　　金：江苏省人力资源和社会保障厅2013年度"六大人才高峰"D类资助项目(2013-WSN-046)

摘　　要：目的比较不同时间耳穴贴压预防阿片相关性便秘的效果。方法将首次使用且观察期间持续应用强阿片类镇痛药物的85例恶性肿瘤患者随机分为对照组(28例)、试验Ⅰ组(29例)、试验Ⅱ组(28例)。各组均给予常规治疗护理方案,试验Ⅰ组、Ⅱ组在对照组基础上分别于患者首次使用阿片时、使用阿片3d后给予耳穴贴压,观察三组便秘发生率及严重程度。结果试验Ⅰ组、Ⅱ组及对照组阿片类便秘发生率分别为24.1%、39.3%、57.1%,三组差异有统计学意义(P<0.05),试验Ⅰ组便秘严重程度显著优于试验Ⅱ组和对照组。结论耳穴贴压可有效预防阿片类便秘,且于患者首次使用阿片时干预为最佳起始时间。Objective To explore the effect of auricular-plaster therapy at a different start time on prevention of opioid-induced constipation.Methods Eighty five patients who initially used opioid analgesics were enrolled and randomized into three groups：control group（n=28）,test group 1（n=29）and test group 2（n=28）.All groups were given routine treatment and nursing care,and the two test groups additionally received auricular-plaster therapy either at the first use of opioid medication or three days after the use of opioid analgesics respectively.The incidence and severity of constipation were measured.Results The incidence rate of constipation was 24.1%in the test group 1,39.3%in the test group 2,and 57.1%in the control group,with significant difference among the 3groups（P〈0.05）.The severity of constipation in test group 1was milder than the other two groups.Conclusion Auricularplaster therapy can effectively prevent opioid-induced constipation,and the best start time was since initial use of opioids.

关 键 词：阿片 便秘 耳穴贴压 预防 

分 类 号：R248[医药卫生—中医临床基础] R472.91[医药卫生—中医学]