耳揿针埋针对胃癌术后疼痛的影响  

Impact of Auricular Point Thumb-Tack Needle Embedding on Gastric Cancer Patients’Postoperative Pain

作　　者：吴丽红[1] 张园园[1] 王晓庆[1] 孙敏[1] WU Li-hong;ZHANG Yuan-yuan;WANG Xiao-qing;SUN Min(Jiangsu Province Hospital of Chinese Medicine,Nanjing Jiangsu 210029,China)

机构地区：[1]江苏省中医院,江苏南京210029

出　　处：《中医药导报》2021年第11期120-124,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江苏省中医院院级课题南丁格尔基金(Y19074);江苏高校护理学优势学科建设工程资助项目(2019YSHL089)。

摘　　要：目的:探讨耳揿针埋针对胃癌术后疼痛的影响。方法:采用方便抽样的方法,选取90例胃癌手术患者作为研究对象,按照随机数字表法随机分为对照组、试验Ⅰ组及试验Ⅱ组,每组30例。对照组患者采取胃癌术后疼痛治疗护理常规,试验Ⅰ组患者于术后6 h予耳揿针埋针,试验Ⅱ组患者于术前24 h予耳揿针埋针,观察患者术后48 h内活动性疼痛、静息痛、阿片类药物使用量及爆发痛发生情况。结果:所有患者术后不同时间活动性疼痛评分比较,差异有统计学意义(P<0.05),即存在时间效应;对照组患者术后不同时间活动性疼痛评分比较,差异无统计学意义(P>0.05);试验Ⅰ组、试验Ⅱ组患者术后不同时间活动性疼痛评分比较,差异均有统计学意义(P<0.05),两组患者术后活动性疼痛评分均呈先升高后降低的趋势,均在术后12 h达到峰值。3组患者术后活动性疼痛评分整体比较,差异无统计学意义(P>0.05),即不存在分组效应;时间因素与组别因素对活动性疼痛评分的影响不存在交互效应(P>0.05)。所有患者术后不同时间静息痛评分比较,差异有统计学意义(P<0.05),即存在时间效应,3组患者均如此,3组患者术后静息痛评分均呈逐渐降低的趋势。3组患者术后静息痛评分整体比较,差异有统计学意义(P>0.05),即存在分组效应,试验Ⅰ组和试验Ⅱ组术后36 h、48 h静息痛评分均低于对照组(P<0.05)。时间因素与组别因素对静息痛评分的影响不存在交互效应(P>0.05)。3组患者阿片类药物使用量及爆发痛发生次数比较,差异均无统计学意义(P>0.05)。结论:耳揿针埋针对胃癌术后运动痛干预效果不明显,但能一定程度上减轻患者静息痛强度。Objective:To observe the impact of auricular point thumb-tack needle embedding on gastric cancer patients’postoperative pain.Methods:A total of 90 cases of gastric cancer patients were selected as the research objects by convenient sampling,and they were randomly divided into control group,experiment groupⅠand experiment groupⅡaccording to random number table,30 cases in each group.The patients in the control group were given routine pain nursing after gastric cancer operation;the patients in the experiment groupⅠwere treated with auricular point thumb-tack needle 6 h after the operation,while the patients in experiment groupⅡwere treated with auricular point thumb-tack needle 24 h before the operation.The motion pain,rest pain,the amount of opioid drug usage,and the frequency of breakthrough pain of the patients were observed within 48 h after the operation.Results:Through the comparison of patients’motion pain scores at different times after operation,there was statistically significant difference(P<0.05),that is,there existed time effect.Through the comparison of patients’motion pain scores in the control group at different times after operation,the difference was not statistically significant(P>0.05).Through comparison of the motion pain scores of patients in experiment groupⅠand experiment groupⅡat different times after the operation,the difference was statistically significant(P<0.05),and the motion pain scores of the two groups after the operation increased first and then decreased,reached a peak at 12 h after the operation.Through an overall comparison of the motion pain scores of patients in 3 groups,the difference was not statistically significant(P>0.05),that is,there existed no grouping effect.There existed no interaction effect between time factor and group factor on the motion pain scores(P>0.05).There was a statistically significant difference in the rest pain scores of patients in all of the 3 groups at different times after the operation(P<0.05),that is,there existed time effect

关 键 词：胃癌 术后疼痛 揿针 耳穴 镇痛 

分 类 号：R246.5[医药卫生—针灸推拿学]