穴位贴敷联合耳穴压豆应用于腹腔镜子宫肌瘤剔除术后患者中的效果  

The Effect of Acupoint Application Combined With Auricular Point Pressing on Patients After Laparoscopic Myomectomy

作　　者：石丽君 陈莉霞 任贵娟 SHI Lijun;CHEN Lixia;REN Guijuan(Department of Gynecology,Women and Children′s Hospital,School of Medicine,Xiamen University,Xiamen Fujian 361001,China)

机构地区：[1]厦门大学附属妇女儿童医院/厦门市妇幼保健院妇科,福建厦门361001

出　　处：《中国卫生标准管理》2025年第4期161-165,共5页China Health Standard Management

摘　　要：目的 探讨穴位贴敷联合耳穴压豆应用于腹腔镜子宫肌瘤剔除术(laparoscopically assisted myomectomy,LM)后患者中的效果。方法 选取2022年11月—2023年11月厦门大学附属妇女儿童医院100例LM后患者,采用随机数字表法分为对照组(n=50)与观察组(n=50)。对照组采用常规治疗,观察组采用穴位贴敷联合耳穴压豆治疗。对比2组治疗后的腹胀程度、肠胃功能恢复情况、炎症水平、心理应激状态。结果 观察组治疗后1、2、3天的腹胀评分为(2.61±0.46)分、(1.72±0.59)分、(1.32±0.75)分,均低于对照组的(2.92±0.24)分、(2.44±0.56)分、(2.11±0.88)分,差异有统计学意义(P <0.001)。观察组的肠蠕动恢复时间、肛门排气时间为(12.64±2.95)h、(25.66±2.55)h,均短于对照组的(18.35±3.66)h、(38.86±5.19)h;每分钟的肠鸣音次数为(4.24±1.35)次,高于对照组的(3.66±0.79)次,差异有统计学意义(P <0.05)。治疗后,观察组肿瘤坏死因子-α(tumornecrosisfactor-α,TNF-α)、白细胞介素-8(interleukin-8,IL-8)、白细胞介素-6(interleukin-6,IL-6)为(15.12±2.28)ng/mL、(5.48±0.22)ng/mL、(4.58±1.88)ng/mL,均低于对照组的(25.09±2.66)ng/mL、(6.12±0.42)ng/mL(、6.06±1.41)ng/mL,差异有统计学意义(P<0.001)。治疗后观察组焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分为(45.76±6.48)分、(48.32±6.15)分,均低于对照组的(51.55±10.31)分、(53.25±9.65)分,差异有统计学意义(P <0.001)。结论 穴位贴敷联合耳穴压豆治疗能够缓解LM后患者的腹胀程度,促进肠胃功能恢复,调节炎症水平,改善患者的心理应激状态。Objective To explore the effects of acupoint application combined with auricular acupressure in patients undergoing laparoscopically assisted myomectomy (LM). Methods A total of 100 patients with post-LM in Women and Children′s Hospital, School of Medicine, Xiamen University from November 2022 to November 2023 were selected and divided into control group (n =50) and observation group (n =50) using random number table method. The control group was treated with routine treatment, and the observation group was treated with acupoint application combined with ear point pressure bean. The degree of abdominal distension, the recovery of gastrointestinal function, the level of inflammation and the state of psychological stress were compared between the two groups after treatment. Results The abdominal distension scores in the observation group were (2.61±0.46) points, (1.72±0.59) points, (1.32±0.75) points, which were lower than those [(2.92±0.24) points, (2.44±0.56) points, (2.11±0.88) points ] at 1, 2 and 3 days after treatment of the control group, and the differences were statistically significant (P < 0.001). The peristalsis recovery time and anal exhaust time of observation group were (12.64±2.95) h, (25.66±2.55) h, which were shorter than that (18.35±3.66) h, (38.86±5.19) h of the control group, and the number of intestinal sounds per minute was (4.24±1.35) times, which was higher than (3.66±0.79) times of the control group, the differences were statistically significant (P < 0.05). Tumor necrosis factor-α (TNF-α), interleukin-8 (IL-8), interleukin-6 (interleukin-6) in the observation group after treatment IL-6 levels were (15.12±2.28) ng/mL, (5.48±0.22) ng/mL and (4.58±1.88) ng/mL, which were lower than those [(25.09±2.66) ng/mL, (6.12±0.42) ng/mL and (6.06±1.41) ng/mL] of the control group , and the differences were statistically significant (P < 0.001). After treatment, the scores of self-rating anxiety scale (SAS) and self- rating depression scale (SDS) in the observation group were (45.7

关 键 词：穴位贴敷 耳穴压豆 腹腔镜子宫肌瘤剔除术 炎症因子 肠胃功能 心理应激 

分 类 号：R259[医药卫生—中西医结合]