磁珠耳穴压贴联合艾灸治疗对改善妇科腹腔镜术后疲劳综合征的运用评价  

Application of magnetic beads auricular plaster combined with Moxibustion in improving the postoperative fatigue syndrome after gynecologic laparoscopic surgery

作　　者：罗瑜[1] 张晓丽 黄宇摇 叶淑华[1] LUO Yu;ZHANG Xiaoli;HUANG Yuyao;YE Shuhua(Department of Gynaecology in Fangcun Branch,Guangdong Province Traditional Chinese Medical Hospital,Guangzhou 510000,China;Department of Cardiology,Guangdong Province Traditional Chinese Medical Hospital,Guangzhou 510000,China)

机构地区：[1]广东省中医院芳村分院妇科,广州510000 [2]广东省中医院心血管科,广州510000

出　　处：《临床与病理杂志》2019年第5期990-995,共6页Journal of Clinical and Pathological Research

基　　金：2015年广东省中医药局课题(2015KT1032)~~

摘　　要：目的:探讨磁珠耳穴压贴联合艾灸治疗对改善妇科腹腔镜术后疲劳综合征的运用效果。方法:将2017年7月至2018年7月在广东省中医院妇科接受腹腔镜手术治疗的154例患者随机分为常规组(50例)、耳穴组(52例)及联合组(52例),其中常规组采用常规护理干预方案,耳穴组在对照组的基础上采用磁珠耳穴压贴的干预方案,联合组在对照组的基础上采用磁珠耳穴压贴联合艾灸治疗的干预方案,比较3组干预前后视觉模拟疲劳评分(Visual Analogue Scale,VAS)、睡眠质量(Pittsburgh sleep quality index,PSQI)、首次下地活动时间、肛门排气时间以及住院天数等。结果:干预后3组VAS评分对比差异具有统计学意义(P<0.05),且联合组<耳穴组<常规组,两两比较差异均具有统计学意义(P<0.05);3组PSQI各维度评分及总分均有明显差异(P<0.05),且联合组<耳穴组<常规组,两两比较差异均具有统计学意义(P<0.05);3组在首次下地活动时间、肛门排气时间和住院天数对比均具有统计学差异(P<0.05),且联合组<耳穴组<常规组。结论:单一使用磁珠耳穴压贴或联合艾灸治疗均能够降低妇科腹腔镜术后患者的疲劳综合征症状,但联合作用效果优于单一使用磁珠耳穴压贴,值得进一步临床推广。Objective:To investigate the effect of magnetic bead auricular point pressing combined with Moxibustion on improving fatigue syndrome after gynecological laparoscopic surgery.Methods:From July 2017 to July 2018, 154 patients with gynecological laparoscopic surgery in our hospital were randomly divided into three groups:a routine group (n=50),an ear acupoint group (n=52) and a combined group (n=52).The routine group adopted routine nursing intervention scheme,the ear acupoint group used magnetic bead ear acupoint pressing dryer on the basis of the control group,and the combined group was treated with magnetic beads and auricular point pressing combined with moxibustion.The Visual Analogue Scale (VAS),Pittsburgh sleep quality index (PSQI),the first time of ambulation,time of anal exhaust and days of hospitalization were compared among the three groups.Results:After the intervention,there were significantly different among the VAS scores of the three groups (P<0.05),and the combined group < the ear acupoint group < the routine group,the difference between the two groups was statistically significant (P<0.05).There were significantly differences among each dimension and total scores of the PSQI in the three groups (P<0.05),and the combined group < the ear acupoint group < the routine group.The difference between any two groups was statistically significant.There were significant differences in the first time of ambulation,the time of anal exhaust,and the days of hospitalization among the three groups (P<0.05),and the combined group < the ear acupoint group < the routine group.Conclusion:Single use of magnetic bead auricular point pressing or combined moxibustion can reduce the symptoms of postoperative fatigue syndrome in patients after gynecological laparoscopic surgery,and the combined effect is better than single use of magnetic bead auricular point pressing,which is worthy of further promotion in clinical practice.

关 键 词：磁珠 耳穴压贴 艾灸 妇科腹腔镜手术 术后疲劳综合征 

分 类 号：R246.3[医药卫生—针灸推拿学]