耳穴揿针对功能性鼻内镜手术患者术后疼痛和睡眠质量影响  

Effect of Thumb-tack Needle for Subcutaneous Embedding at Auricular Points on Pain and Sleep Quality After Functional Endoscopic Sinus Surgery

作　　者：陈璐璐 熊琦[1] 陈沛[1] CHEN Lulu;XIONG Qi;CHEN Pei(Huazhong University of Science and Technology Tongji School of Medicine Wuhan Hospital of Traditional Chinese and Western Medicine,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属武汉市中西医结合医院,武汉430022

出　　处：《上海针灸杂志》2022年第3期264-267,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察耳穴揿针对功能性鼻内镜手术患者术后疼痛和睡眠质量的影响。方法选择择期行功能性鼻内镜手术患者60例作为研究对象,采用随机数字表法将患者分为对照组和观察组,每组30例。两组均采取常规治疗和护理措施,对照组给予假耳穴揿针治疗,观察组给予耳穴揿针治疗。观察两组术后的疼痛评分和深睡眠质量评分,记录相关的不良反应发生情况。结果与对照组比较,观察组患者术后24 h、48 h、72 h疼痛视觉模拟量表(VAS)评分显著降低(P<0.05)。与对照组比较,观察组患者术后2 d和术后3 d的深睡眠质量评分显著降低(P<0.05)。两组患者均未见明显治疗相关的不良反应。结论耳穴揿针疗法可以显著降低功能性鼻内镜手术患者术后疼痛程度,改善术后睡眠质量。Objective To observe the effect of thumb-tack needle for subcutaneous embedding at auricular points on pain and sleep quality after functional endoscopic sinus surgery.Method Sixty patients who would undergo elective functional endoscopic sinus surgery were enrolled as subjects and allocated,using a random number table,to control and observation groups,with 30 cases in each group.The two groups both received conventional treatment and nursing.In addition,the control group was given sham intradermal needle therapy at auricular points,and the observation group was given intradermal needle therapy at auricular points.The pain score and the deep sleep quality score were recorded and the related adverse reactions were observed in the two groups after surgery.Result The pain VAS score decreased significantly at 24,48 and 72 hrs after surgery in the observation group compared with the control group(P<0.05).The deep sleep quality score decreased significantly at two and three days after surgery in the observation group of patients compared with the control group(P<0.05).No obvious treatment-related adverse reaction occurred in both groups of patients.Conclusion Thumb-tack needle for subcutaneous embedding at auricular points can markedly reduce postoperative pain severity and improve postoperative sleep quality in patients with functional endoscopic sinus surgery.

关 键 词：皮内针疗法 揿针 耳穴 鼻外科手术 疼痛 睡眠 

分 类 号：R246.2[医药卫生—针灸推拿学]