揿针疗法结合穴位贴压法缓解妇科腹腔镜患者术前焦虑的临床研究  

Clinical study on alleviating preoperative anxiety of gynecological patients with laparoscopy by screw acupuncture combined with acupoint pressure

作　　者：雷波 邓鑫 贺淑君 王云娟 宋晓娟 张思 王雷 Lei Bo;Deng Xin;He Shujun;Wang Yunjuan;Song Xiaojuan;Zhang Si;Wang Lei(Department of Anesthesiology,Haidian Maternal&Child Health Hospital,Beijing 100091,China)

机构地区：[1]北京市海淀区妇幼保健院麻醉手术科,100091

出　　处：《山西医药杂志》2023年第12期903-906,共4页Shanxi Medical Journal

摘　　要：目的探讨揿针疗法缓解妇科腹腔镜患者术前焦虑的疗效。方法选择我院妇科行择期腹腔镜手术患者100例作为研究对象,随机分为试验组和对照组,各50例,术前1 d,选一侧体穴和耳穴共5个穴位,试验组给予揿针疗法,观察组给予安慰针,观察并记录2组患者术前1 d(T0)、入手术室即刻(T1)、术后1 h(T2)状态焦虑量表(S-AI)评分;记录2组患者入室时心率、平均动脉压、呼吸频率;记录2组患者的皮肤发红、发痒、或大面积异常反应以及断针等不良反应。结果试验组较对照组T1时S-AI评分显著降低,差异有统计学意义(P<0.05)。试验组:与T0比较,T1,T2 S-AI评分显著降低,差异具有统计学意义(P<0.05);T1与T2 S-AI评分比较,差异无统计学意义(P>0.05)。对照组:与T0比较,T1 S-AI评分增加,T2 SAI评分降低,差异具有统计学意义(P<0.05);T1与T2 S-AI评分比较,差异具有统计学意义(P<0.05)。入室时心率、平均动脉压试验组与对照组比较,差异具有统计学意义(P<0.05)。2组患者均未出现明显不良反应。结论揿针疗法可以显著缓解妇科腹腔镜患者术前焦虑,且揿针疗法安全无痛、易于操作、不良反应少,适宜临床推广。Objective To explore the efficacy of acupuncture in relieving preoperative anxiety in gynecological patients undergoing laparoscopy.Methods A total of 100 case gynecological patients undergoing elective laparoscopic surgery in our hospital were randomly divided into an experimental group and a control group,50 cases in each group.One day before surgery,a total of 5 acupoints of body point and ear point on one side were selected.The experimental group were given screw acupuncture,and the observation group were given a placebo needle.The S-AI score of patients in both groups were observed and recorded 1 day before surgery(T0),immediately after entering the operating room(T1),and 1 hour after surgery(T2).The heart rate,mean arterial pressure and respiratory rate of the two groups were recorded.Adverse reactions such as skin redness,itching,large-area abnormal reaction and broken needle were recorded in both groups.Results The S-AI score of T1 in the experimental group were significantly lower than that in the control group,and the difference was statistically significant(P<0.05).In the experimental group,compared with T0,the S-AI score of T1 and T2 were significantly decreased(P<0.05),and there was no significant difference in the S-AI score between T1 and T2(P>0.05).In the control group,compared with T0,the S-AI score increased at T1 and decreased at T2(P<0.05),and the S-AI score of T1 and T2 was significantly different(P<0.05).There were statistically significant differences in heart rate and mean arterial pressure between the experimental group and the control group(P<0.05).There were no differences for the adverse reactions in both groups(P>0.05).Conclusion Screw acupuncture can significantly relieve preoperative anxiety in gynecological patients with laparoscopy.It is safe,painless,easy to operate,and has few adverse reactions.Therefore,it is suitable for clinical promotion.

关 键 词：皮内针疗法 腹腔镜 焦虑 揿针 

分 类 号：R246.3[医药卫生—针灸推拿学]