药枕联合耳穴压豆在缓解结肠癌患者围手术期焦虑、抑郁中的应用研究  

Application Study on Medical Pillow Combined with Ear Acupoint Sticking in Relieving Anxiety and Depression in Perioperative Colon Cancer Patients

作　　者：符梅华[1] 黄丽娜[1] 蔡美君[1] 曾碧娇[1] 陈燕云 姚任 FU Mei-Hua;HUANG Li-Na;CAI Mei-Jun;ZENG Bi-Jiao;CHEN Yan-Yun;YAO Ren(Section No.2 of Surgery,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一附属医院二外科,广东广州510405

出　　处：《广州中医药大学学报》2020年第6期1076-1081,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药管理局资助项目(编号:20182035)

摘　　要：【目的】观察药枕联合耳穴压豆在缓解结肠癌患者围手术期焦虑与抑郁中的应用效果。【方法】将120例择期行结肠癌根治术术前焦虑、抑郁患者随机分为常规组、药枕组、耳穴组和联合组,共4组,每组各30例。常规组在常规治疗的基础上,给予情志调理;药枕组在常规组治疗的基础上增加解郁安神中药药枕治疗;耳穴组在常规组治疗的基础上,给予耳穴贴压;联合组在常规组治疗的基础上,联合使用药枕及耳穴压豆方法治疗。治疗均从术前3 d开始至术后7 d。比较4组患者治疗前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分的变化情况,观察术后并发症、药物不良反应情况,并统计患者满意度。【结果】(1)治疗后,4组患者的SAS与SDS评分均明显改善(P<0.01),且联合组在改善SAS与SDS评分方面明显优于其余3组,差异均有统计学意义(P<0.05)。(2)常规组、药枕组、耳穴组、联合组4组患者治疗后不良反应发生率分别为40.00%(12/30)、26.67%(8/30)、23.33%(7/30)、6.67%(2/30)。其中,联合组不良反应发生率最低,与常规组比较,差异有统计学意义(P<0.05)。(3)常规组、药枕组、耳穴组、联合组4组患者术后并发症总发生率分别为13.33%(4/30)、6.67%(2/30)、10.00%(3/30)、3.33%(1/30)。联合组术后并发症发生率最低,但是各组之间比较,差异无统计学差异(P>0.05)。(4)常规组、药枕组、耳穴组、联合组患者满意度分别为73.33%、83.33%、86.67%、96.67%,其中,联合组患者满意度最高,与常规组比较,差异有统计学意义(P<0.05)。【结论】药枕联合耳穴压豆可有效改善患者围手术期焦虑与抑郁状态,减少药物不良反应及术后并发症的发生率,提高患者满意度。Objective To observe the application effect of medical pillow combined with ear acupoint sticking for relieving anxiety and depression in perioperative colon cancer patients. Methods A total of 120 cases of patients with anxiety and depression before radical operation of colon carcinoma were randomly divided into 4 groups,namely conventional group,medical pillow group,ear acupoint sticking group and combination group,30 cases in each group. The 4 groups received routine treatment,additionally,the conventional group received emotion regulation,medical pillow group received treatment with pillow containing Chinese herbs with actions of relieving depression to tranquilize mind,ear acupoint sticking group received ear acupoint sticking,and combination group received medical pillow treatment combined with ear acupoint sticking. The treatment lasted from day 3 before operation to day 7 after operation. The changes in scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the 4 groups were compared. The postoperative complications and drug adverse reactions were observed,and the satisfaction for patients was evaluated. Results After treatment,the scores of SAS and SDS in the 4 groups were significantly improved(P<0.01),and the improvement in scores of SAS and SDS of the combination group was superior to that of the other 3 groups,the difference being significant(P<0.05).(2)The incidence rate of adverse reactions in the conventional group,medical pillow group,ear acupoint sticking group and combination group was 40.00%(12/30),26.67%(8/30),23.33%(7/30) and 6.67%(2/30),respectively.In which,the incidence rate of adverse reactions in the combination group was lowest,and the difference was significant as compared with that in the conventional group(P<0.05).(3)The incidence rate of postoperative complications in the conventional group, medical pillow group, ear acupoint sticking group and combination group was 13.33%(4/30),6.67%(2/30),10.00%(3/30) and 3.33%(1/30),respectively. The incidence rate of po

关 键 词：药枕 耳穴压豆 结肠癌 围手术期 焦虑 抑郁 

分 类 号：R246.9[医药卫生—针灸推拿学]