耳穴贴压对肛肠疾病患者围手术期心理应激的干预研究  

Intervention of auricular point sticking on perioperative psychological stress in patients with anorectal diseases

作　　者：叶宇飞[1] 梅荣[1] 任静霞[1] 韩富连[1] 赵永余[1] 曹科[1] 徐慧岩[1] YE Yu-fei;MEI Rong;REN Jing-xia;HAN Fu-lian;ZHAO Yong-yu;CAO Ke;XU Hui-yan(Department of TCM , Chinese PLA General Hospital, Beijing 100853,China)

机构地区：[1]解放军总医院中医科,北京100853

出　　处：《中国针灸》2019年第6期605-608,共4页Chinese Acupuncture & Moxibustion

基　　金：解放军总医院临床科研扶持基金项目:2016FC-TSYS-2014

摘　　要：目的:探讨并量化评估耳穴贴压疗法对肛肠疾病患者围手术期心理应激的干预作用。方法:将80例拟行肛肠手术患者随机分为观察组和对照组,各40例。对照组采用常规术前指导、术前访视,术后病情告知工作;观察组在对照组基础上,入院后即刻穴取神门、肾、胃、肝、脾、皮质下、额、颞、枕进行耳穴贴压,嘱患者自行按压,每次每穴3～5min,每天按压5次,每2～3天更换对侧耳穴至手术后1周。比较两组患者术前及术后7天汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)及匹兹堡睡眠质量指数量表(PSQI)评分情况。结果:手术后观察组HAMA总分较术前差异无统计学意义(P>0.05),对照组HAMA总分高于术前(P<0.05),术后观察组HAMA总分低于对照组(P<0.05)。两组患者手术前后HAMD总分比较差异均无统计学意义(P>0.05),手术后两组HAMD总分比较差异无统计学意义(P>0.05)。两组患者手术后躯体性焦虑因子评分均高于手术前(均P<0.05),手术后观察组躯体性焦虑因子评分低于对照组(P<0.05);手术后两组精神性焦虑因子评分均低于手术前(均P<0.05),手术后两组间精神性焦虑因子评分比较差异无统计学意义(P>0.05)。两组患者手术后PSQI总分较手术前均有下降(均P<0.05),观察组PSQI总分低于对照组(P<0.05)。结论:耳穴贴压可有效改善肛肠疾病患者围手术期部分心理应激问题。Objective To explore and quantify the intervention effect of auricular point sticking on perioperative psychological stress in patients with anorectal diseases. Methods Eighty patients who underwent anorectal surgery were randomly divided into an observation group(40 cases) and a control group(40 cases). The routine preoperative guidance, preoperative visits, and informed of the postoperative condition were received in the control group. On the basis of the treatment in the control group, auricular point sticking was immediately applied at Shenmen(TF4), Shen(CO10), Wei(CO4), Gan(CO12), Pi(CO13), Pizhixia(AT4), E(AT1), Nie(AT2) and Zhen(AT3) in the observation group.The patients were pressed by themselves, 3 to 5 min per point each time, 5 times a day, and the contralateral auricular points were replaced every 2 or 3 days until 1 week after surgery. The Hamilton anxiety scale(HAMA), Hamilton depression scale(HAMD), and Pittsburgh sleep quality index(PSQI) scores were compared between the two groups before and 7 days after surgery. Results There was no significant difference in the total HAMA scores between after and before surgery in the observation group(P>0.05). The total HAMA score in the control group was higher than that before surgery(P<0.05). The total HAMA score in the observation group after surgery was lower than that in the control group(P<0.05). There was no significant difference in the total HAMD scores between the two groups before and after surgery(P<0.05). There was no significant difference in the total HAMD scores between the two groups after the surgery(P>0.05). The scores of somatic anxiety factor in the two groups were higher than those before surgery(P<0.05). The scores of somatic anxiety factor in the observation group were lower than those in the control group(P<0.05). The scores of psychotic anxiety factors in the two groups were lower than those before surgery(P<0.05). There was no significant difference in the score of psychotic anxiety factors between the two groups(P>0.05). The total

关 键 词：肛肠疾病 心理 耳穴贴压 围手术期 干预研究 

分 类 号：R246.6[医药卫生—针灸推拿学]