浮针镇痛在肠镜检查中的运用研究

发布时间：2018-04-01 23:24

本文选题：浮针　切入点：针刺麻醉　出处：《南京中医药大学》2017年硕士论文

【摘要】：研究背景:肠镜检查是诊断下消化道疾病的金指标,然而作为一种侵入式检查,不可避免的会给受检者带来生理和心理上的痛苦。传统的药物麻醉存在诸多限制及缺陷。临床上正不断地探寻新的更安全、更便捷的肠镜镇痛方式。研究目的:将浮针镇痛疗法运用到肠镜检查中,减少患者痛苦、提高患者的依从性与恶性疾病的检出率;使传统中医诊疗技术更广泛的服务于现代医学。研究方法:共选取60例来自南京市中医院的肠镜受试者,随机分成对照组与实验组,每组各30例。检查前记录各组指标包括受试者的性别、年龄、肥胖程度、焦虑程度等一般情况;肠镜史、腹部手术史等可能影响肠镜检查的因素;肠镜检查前的心率。实验组在检查前接受浮针镇痛处理,对照组进行常规非麻醉肠镜检查。检查后对受试者进行VAS评分,记录不良反应、肠镜检查后心率、肠镜检查结果及受检者的复检意向。通过科学统计,比较两组数据的差异。研究结果:1.对照组与实验组相比,两组受试者的年龄、性别及平静状态下的心率均无明显差异。[见表:1-1]2.对照组与实验组相比,两组受试者可能影响到肠镜检查的个体因素均无明显差异。[见表:1-2]3.对照组与实验组相比,两组受试者的肠镜检查结果[见表:2-2]及肠镜完成度[见表:2-3]无明显差异。4.对照组与实验组相比,对照组的心率变化情况[见表:2-1]、VAS评分[见表:3-1]、高分事件发生率[见表:3-2]及不良反应发生率[见表:3-3]均明显低于实验组。5.与对照组相比,实验组的肠镜复检愿意率[见表:3-4]明显高于对照组。结论:浮针镇痛疗法可有效缓解肠镜检查中的痛苦,降低不良反应的发生率,提高患者的依从性及复检率。
[Abstract]:Background: endoscopy is a gold marker for the diagnosis of lower gastrointestinal diseases, however, as an invasive examination, Inevitably, it will bring physical and psychological pain to the subjects. There are many limitations and defects in traditional drug anaesthesia. Objective: to apply floating acupuncture analgesia to endoscopy to reduce the pain of patients and to improve the compliance of patients and the detection rate of malignant diseases. Methods: a total of 60 enteroscopy subjects from Nanjing traditional Chinese Medicine Hospital were selected and randomly divided into two groups: the control group and the experimental group. There were 30 cases in each group. The indexes of each group before examination included sex, age, obesity, anxiety and other general conditions, the history of colonoscopy, history of abdominal surgery, etc. Heart rate before endoscopy. The experimental group was treated with floating acupuncture analgesia before examination, and the control group with routine non-anesthetic enteroscopy. After examination, the subjects were scored with VAS, adverse reactions were recorded, heart rate after endoscopy was recorded. Through scientific statistics, the differences between the two groups of data were compared. The result of the study was: 1.The age of the two groups of subjects in the control group was compared with that in the experimental group. There was no significant difference in sex and heart rate in calm state. [see Table: 1-1] 2.There was no significant difference between the two groups in the individual factors that might affect the colonoscopy. [see Table: 1-2] 3.The comparison between the control group and the experimental group, There was no significant difference between the two groups in endoscopy results [see Table: 2-2] and the degree of endoscopy completion [see Table: 2-3] .4. the control group was compared with the experimental group. The changes of heart rate in the control group [see table: 2-1] VAS score [see table: 3-1], the incidence of high score events [see table: 3-2] and the incidence of adverse reactions [see table: 3-3] were significantly lower than those in the experimental group .5.Compared with the control group, The willingness rate of reexamination in the experimental group [see Table: 3-4] was significantly higher than that in the control group. Conclusion: floating acupuncture analgesia therapy can effectively relieve the pain, reduce the incidence of adverse reactions, and improve the compliance and reexamination rate of the patients.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.2

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