耳穴压贴在视网膜脱离围术期疼痛护理中的应用效果  

Application effect of auricular point pressing on perioperative nursing of retinal detachment

作　　者：钟小敏[1] 黄春霞[1] 李盼盼[1] 洪晓燕[1] ZHONG Xiaomin;HUANG Chunxia;LI Panpan;HONG Xiaoyan(Operating Room,Guangdong Provincial Hospital of Chinese Medicine,Guangdong Province,Guangzhou 510120,China)

机构地区：[1]广东省中医院手术室,广东广州510120

出　　处：《中国医药导报》2020年第16期179-181,189,共4页China Medical Herald

基　　金：广东省中医药局科研项目(20171135)。

摘　　要：目的 探讨耳穴压贴(以下简称"耳贴")对视网膜脱离(RD)围术期疼痛的作用.方法 选择广东省中医院眼科2018年3~12月诊断为RD患者64例,按随机数字表法分为实验组和对照组,每组各32例.对照组给予常规镇痛及护理,实验组在对照组基础上于术前1d给予耳贴,分别于术前、术中及术后1h按压耳穴1次.观察两组患者围术期视觉模拟评分法(VAS)评分、McGill疼痛问卷(SF-MPQ)评分、血压及心率变化.结果 两组患者术后及术中VAS评分、SF-MPQ评分高于术前,且实验组低于对照组,差异有统计学意义(P<0.05);术中收缩压高于术前,术后低于术前,且实验组低于对照组,差异有统计学意义(P<0.05);术中及术后心率低于术前、且实验组术后低于对照组,差异有统计学意义(P<0.05).VAS评分、SF-MPQ评分、收缩压及心率时间及组间存在交互作用(P<0.05).结论 耳贴能缓解RD患者围术期疼痛,维持血压和心率相对稳定,改善患者围术期生活质量.Objective To explore the effect of auricular point pressing(hereinafter referred to as"ear patch")on perioperative pain of retinal detachment(RD).Methods A total of 64 cases of RD were diagnosed in the Department of Ophthalmology,Guangdong Provincial Hospital of Chinese Medicine from March to December 2018,and they were divided into the experimental group and the control group according to the random number table method,with 32 cases in each group.The control group was given routine analgesia and nursing,while the experimental group was given ear stickers 1 d before surgery on the basis of the control group,and the ear points were pressed once before,during and after 1 h.The changes of Visual analogue scale(VAS)score,short-form of McGill pain questionnaire(SF-MPQ)score,blood pressure and heart rate during the perioperative period were observed in the two groups.Results Postoperative and intraoperative VAS scores and SF-MPQ scores of the two groups were higher than those before operation,while the experimental group was lower than the control group,and the differences were statistically significant(P<0.05).The intraoperative systolic blood pressure was higher than preoperative,postoperatively lower than preoperative,and the experimental group was lower than the control group,and the differences were statistically significant(P<0.05).The intraoperative and postoperative heart rate was lower than before operation,while the experimental group was lower than the control group after operation,and the differences were statistically significant(P<0.05).There were interactions between VAS score,SF-MPQ score,systolic blood pressure,heart rate in time and groups(P<0.05).Conclusion Ear patch can relieve perioperative pain in RD patients,maintain blood pressure and heart rate relatively stable,and improve quality of life of patients during perioperative.

关 键 词：耳穴压贴 视网膜脱离 围术期疼痛 护理 McGill疼痛问卷 

分 类 号：R446.63[医药卫生—诊断学]