耳穴压豆联合复方桐叶烧伤油对包皮环切术患者围术期焦虑和疼痛的影响  

Auricular pressure beans combined with Compound Tung-Leaf Burn Oil relieve perioperative anxiety and pain in patients undergoing circumcision

作　　者：余华香 李煜[1] 黄伟[1] 龚雅琳 晏卫琴 洪艳艳 甘琴[2] 熊柱凤[3] YU Hua-xiang;LI Yu;HUANG Wei;GONG Ya-lin;YAN Wei-qin;HONG Yan-yan;GAN Qin;XIONG Zhu-feng(Department of Urology,The First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China;Department of Traditional Chinese Medicine,The First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China;Department of Nursing,The First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China)

机构地区：[1]南昌大学第一附属医院,泌尿外科,江西南昌330000 [2]南昌大学第一附属医院,中医科,江西南昌330000 [3]南昌大学第一附属医院,护理部,江西南昌330000

出　　处：《中华男科学杂志》2024年第6期519-524,共6页National Journal of Andrology

基　　金：江西省中医药管理局科技计划项目(2021A300)。

摘　　要：目的:观察耳穴压豆联合复方桐叶烧伤油对包皮环切术患者围手术期焦虑及疼痛的影响。方法:选取2023年8月至2023年11月在我院使用一次性包皮环切吻合器进行包皮环切手术治疗的100例患者作为研究对象,采用随机数字表法将其分为对照组和观察组各50例。对照组予包皮环切常规护理,观察组在常规护理的基础之上予耳穴压豆联合复方桐叶烧伤油干预(术前1 d给予耳穴压豆,术后给予复方桐叶烧伤油纱布包扎)。比较两组患者未采取任何干预前、术前30 min、术后24 h、术后10 d焦虑评分,以及术后24 h疼痛评分、首次换药疼痛评分、睡眠觉醒次数、并发症的发生率、患者满意度等。结果:两组干预前焦虑评分比较,差异无统计学意义(P>0.05)。观察组术前30 min、术后24 h、术后10 d焦虑评分均低于对照组(P均<0.05),术后24 h疼痛评分、首次换药疼痛评分、睡眠觉醒次数均低于对照组,满意度高于对照组,差异有统计学意义(P均<0.05);并发症发生率比较,差异无统计学意义(P>0.05)。结论:耳穴压豆联合复方桐叶烧伤油在包皮环切术患者中的应用能有效缓解患者的焦虑情绪,降低包皮环切术后切口疼痛,提高患者满意度。Objective:To observe the effect of auricular pressure beans(APN)combined with Compound Tung-Leaf Burn Oil(CTBO)on perioperative anxiety and pain in patients undergoing circumcision.Methods:This study included 100 patients undergoing circumcision with the disposable circumcision anastomosis stapler in our hospital from August 2023 to November 2023,of whom 50 received routine circumcision nursing care(the control group)and other 50 APN combined with compound CTBO in addition(the observation group).We compared between the two groups the anxiety scores before any intervention,30 minutes before and 24 hours and 10 days after operation,the pain scores 24 hours postoperatively and at the first change of wound dressing,the frequency of 3-day postoperative sleep awakenings,the incidence of complications,and the satisfaction of the patients.Results:Totally,94 patients completed the study,46 in the observation and 48 in the control group.The anxiety scores exhibited no statistically significant difference between the two groups of patients before any intervention(P>0.05),but were markedly lower in the observation than in the control group at 30 minutes before and 24 hours and 10 days after surgery(P<0.05),and so were the pain scores 24 hours after surgery and at the first change of wound dressing(P<0.05),and the frequency of 3-day postoperative sleep awakenings(P<0.05).The satisfaction rate of the patients was remarkably higher(P<0.05)while the incidence of complications significantly lower in the observation group than in the control(P<0.05).Conclusion:Auricular pressure beans combined with Compound Tung-Leaf Burn Oil can effectively alleviate perioperative anxiety,reduce postoperative pain and improve satisfaction of the patients undergoing circumcision.

关 键 词：耳穴压豆 复方桐叶烧伤油 包皮环切术 焦虑 疼痛 

分 类 号：R699.8[医药卫生—泌尿科学]