穴位贴敷复合耳穴疗法对气管插管全麻患者术后咽痛疗效的临床观察

发布时间：2019-02-12 23:03

【摘要】：目的:探讨醋调吴茱萸薄荷粉穴位贴敷天突、内关、合谷联合耳穴疗法对气管插管全麻术后咽痛临床疗效。方法:将符合条件的2016年11月-2017年3月于广东省中医院施行气管插管全麻的患者100例按随机数字表法分为观察组和对照组,各50例。观察组于术前1d进行耳穴贴压取穴位:神门、交感、咽喉、屏间前,并于手术当天麻醉开始前给予吴茱萸薄荷贴敷天突、双侧内关、双侧合谷穴,观察比较两组术后清醒(0h)及术后24h患者的咽痛及伴随症状疗效。结果:观察组患者全麻术后清醒时(0h)及术后24h恶心、呕吐次数明显少于对照组,24h咽痛评分低于对照组,术后舒适评分高于对照组(P0.01,P0.05)。结论:醋调吴茱萸薄荷粉穴位贴敷联合耳穴疗法有利于缓解气管插管全麻术后患者的咽痛及咽喉伴随症状,增加术后舒适感,对全麻术后咽痛患者有预防及干预效果。
[Abstract]:Objective: to investigate the clinical effect of vinegar-adjusted Evodia rutaecarpa menthol powder on pharynx pain after tracheal intubation after general anesthesia. Methods: 100 patients with tracheal intubation under general anesthesia were divided into observation group and control group according to random digital table method from November 2016 to March 2017 in Guangdong Provincial Hospital of traditional Chinese Medicine, 50 cases in each group were divided into two groups: control group (n = 50) and control group (n = 50). In the observation group, auricular acupoints were applied and pressed 1 day before operation: Shenmen, sympathetic, pharynx, interscreen, and on the day of anesthesia, Evodia rutaecarpa menthol was applied to Tianjie, Neiguan on both sides and Hegu on both sides. To observe and compare the curative effect of pharynx pain and associated symptoms between the two groups. Results: the number of nausea and vomiting in the observation group was significantly lower than that in the control group at the time of waking up (0 h) and 24 h after general anesthesia, and the score of pharynx pain at 24 h was lower than that in the control group, and the postoperative comfort score was higher than that in the control group (P 0.05). Conclusion: the application of vinegar to Evodia rutaecarpa mint powder and auricular point therapy is beneficial to relieve the pharynx pain and the associated symptoms of pharynx and larynx after tracheal intubation general anesthesia, increase the postoperative comfort, and have the effect of prevention and intervention for the patients with pharynx pain after general anesthesia.
【作者单位】：广州中医药大学第二附属医院麻醉科;广州中医药大学第二临床医学院;
【基金】：广东省中医药管理局项目(No.20151225)~~
【分类号】：R614

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