特定电磁波治疗仪联合穴位敷贴改善腹腔镜肝切除术后肩痛的临床研究  

Clinical study on specific electromagnetic wave therapy combined with acupoint application to improve shoulder pain after laparoscopic liver resection

作　　者：黄秀菊[1] 卢小倩 卢舒雨 陈湘[1] 蔡小勇[1] 李季 李晓曦 罗素梅 李磊[1] HUANG Xiuju;LU Xiaoqian;LU Shuyu;CHEN Xiang;CAI Xiaoyong;LI Ji;LI Xiaoxi;LUO Sumei;LI Lei(Department of General surgery,the Second Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,530007,China)

机构地区：[1]广西医科大学第二附属医院普通外科,广西南宁530007

出　　处：《蛇志》2024年第2期226-230,共5页Journal of Snake

基　　金：广西壮族自治区中医药局自筹经费科研课题(项目名称:穴位敷贴联合特定电磁波治疗器用于普外腹腔镜手术后患者肩背部疼痛的研究,项目编号:GZZC2019030)。

摘　　要：目的观察特定电磁波(TDP)照射联合穴位敷贴在腹腔镜肝切除术后肩痛患者中的应用效果。方法选择2020年1月至2023年12月在我院进行腹腔镜肝切除术后肩痛患者160例作为研究对象,按随机数字表法分为观察组和对照组,每组80例。对照组给予常规护理,观察组在对照组的基础上给予TDP联合穴位敷贴干预,比较两组患者干预前及干预后1、3 d时的疼痛程度[视觉模拟评分法(VAS)]评分、疼痛介质[P物质(SP)、前列腺素E2(PGE2)]、临床疗效及护理满意度结果观察组干预后各个时间点的VAS评分均低于对照组,差异有统计学意义(均P<0.05)。观察组干预后1、3 d时的血清SP、PGE2水平均低于对照组,差异均有统计学意义(均P<0.05)。两组的治疗效果比较,观察组的治疗总有效率为93.8%,对照组为73.8%,两组比较差异具有统计学意义(P<0.05)。观察组的护理满意度评分高于对照组,差异具有统计学意义(P<0.05)。结论TDP联合穴位敷贴可有效减轻腹腔镜肝切除术后肩痛程度,降低疼痛介质水平,提高临床疗效和护理满意度。Objective To observe the application effect of specific electromagnetic wave(TDP)irradiation combined with acupoint application in patients with shoulder pain after laparoscopic liver resection.Methods A total of 160 patients with shoulder pain after laparoscopic liver resection were included in this study.According to the random number table method,the patients were evenly divided into an observation group and a control group,each containing 80 patients.The control group received routine care,while the observation group received TDP combined with acupoint application intervention on the basis of the control group.The pain level(visual analog scale,AS),pain mediators(serum SP and PGE 2 levels),therapeutic effect,and nursing satisfaction of the two groups of patients were compared before intervention,1 day of intervention,and 3 days of intervention.Results The VAS scores corresponding to each time after intervention in the observation group were lower than those in the control group(P<0.05).The serum SP and PGE 2 levels in the observation group were lower than those in the control group after 1 day and 3 days of intervention(P<0.05).The total effective rate of the observation group reached 93.8%,while the total effective rate of the control group was 73.8%.The treatment effect of the observation group was significantly better than that of the control group(P<0.05).The nursing satisfaction score of the observation group was higher than that of the control group(P<0.05).Conclusion TDP combined with acupoint application can effectively alleviate shoulder pain after laparoscopic liver resection,reduce pain mediator levels,and improve therapeutic efficacy and nursing satisfaction.

关 键 词：术后肩痛 穴位敷贴 特定电磁波 腹腔镜 肝切除术 

分 类 号：R244[医药卫生—针灸推拿学] R575[医药卫生—中医临床基础]