经皮穴位电刺激联合耳穴压豆对老年患者髋关节术后失眠、负性情绪及5-HT、DA、β-EP的影响  

The Effects of Transcutaneous Electrical Acupoint Stimulation Combined with Ear Acupoint Pressure Beans on Insomnia,Negative Emotions,5-HT,DA andβ-EP in Elderly Patients after Hip Joint Surgery

作　　者：徐贤亮 汪文琴[1] 郭善亮[2] 黄仙保 余奕军 严志文 XU Xianliang;WANG Wenqin;GUO Shanliang;HUANG Xianbao;YU Yijun;YAN Zhiwen(Department of Anesthesiology,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China;不详)

机构地区：[1]江西中医药大学附属医院麻醉科,江西南昌330006 [2]江西省人民医院麻醉科,江西南昌330006 [3]江西中医药大学附属医院针灸科,江西南昌330006

出　　处：《中国医学创新》2024年第31期28-32,共5页Medical Innovation of China

基　　金：江西省中医药管理局科技计划项目(2023B0727)。

摘　　要：目的:探讨经皮穴位电刺激联合耳穴压豆对老年患者髋关节术后失眠、负性情绪及5-HT、DA、β-EP的影响。方法:选取2022年1月—2023年11月江西中医药大学附属医院收治的105例髋关节术后患者作为研究对象,采用随机数字表法,将患者分为对照组、观察1组、观察2组,每组35例。对照组实施常规术后治疗,观察1组选择经皮穴位电刺激治疗,观察2组选择经皮穴位电刺激联合耳穴压豆治疗。观察对比三组患者睡眠质量、负性情绪程度、血清5-羟色胺(5-HT)、多巴胺(DA)、β-内啡肽(β-EP)水平和视觉模拟评分法(VAS)评分。结果:术前第1天,三组患者睡眠质量、负性情绪程度、5-HT、DA、β-EP水平和VAS评分比较,差异均无统计学意义(P>0.05)。术后第3天与第6天,三组患者睡眠质量、负性情绪程度、5-HT、DA、β-EP水平和VAS评分均有所改善,进一步比较,观察2组患者各指标均优于观察1组与对照组,差异均有统计学意义(P<0.05)。结论:经皮穴位电刺激联合耳穴压豆可改善老年髋关节患者术后失眠、负性情绪,并提高机体术后5-HT、DA、β-EP的水平。Objective:To explore the effects of transcutaneous electrical acupoint stimulation combined with ear acupoint pressure beans on insomnia,negative emotions,5-HT,DA,β-EP in elderly patients after hip joint surgery.Method:A total of 105 patients with hip joint surgery admitted to the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2022 to November 2023 were selected as the research objects.The patients were divided into control group,observation group 1 and observation group 2 according to the random number table method,with 35 cases in each group.The control group was treated with conventional postoperative treatment,the observation group 1 was treated with transcutaneous electrical acupoint stimulation,and the observation group 2 was treated with transcutaneous electrical acupoint stimulation combined with auricular point pressure beans.The sleep quality,negative emotions,serum 5-HT,DA,β-EP levels and visual analogue scale(VAS)scores of the three groups were observed and compared.Result:On the first day before operation,there were no significant differences in sleep quality,negative emotions,5-HT,DA,β-EP levels and VAS scores among the three groups(P>0.05).On the 3rd and 6th day after operation,the sleep quality,negative emotions,5-HT,DA,β-EP levels and VAS scores of the three groups were improved,and further comparison showed that the indicators of the observation group 2 were better than those of the observation group 1 and the control group,with statistically significant differences(P<0.05).Conclusion:Transcutaneous electrical acupoint stimulation combined with auricular point pressure beans can improve postoperative insomnia and negative emotions in elderly patients with hip joint surgery,and increase the levels of 5-HT,DA andβ-EP.

关 键 词：经皮穴位电刺激 耳穴压豆 老年髋关节手术 术后失眠 抑郁 

分 类 号：R246.2[医药卫生—针灸推拿学]