四关穴电针刺激应用于甲状腺手术后镇痛的疗效观察

发布时间：2018-08-12 18:58

【摘要】：目的:通过本次研究,评价四关穴电针刺激应用于甲状腺手术后镇痛的疗效性及安全性,为其广泛应用于甲状腺术后镇痛的临床治疗提供科学依据,更好地指导中西医临床实践。方法:参照纳入标准在广州中医药大学第一附属医院收集自2016年7月至2017年3月期间住院行甲状腺外科手术后发生疼痛的患者60例,运用系统随机分为实验组(四关穴电针刺激组)和对照组(常规对照组),各30例。在常规外科术后护理的基础上,实验组患者在手术结束安返病房后给予第1次针刺四关穴加电(疏密波,频率:2Hz/100Hz)治疗,时间为30分钟,8h后给予第2次治疗,2次为1疗程。对照组则予常规外科术后护理。所有组患者于术后当天(即麻醉清醒后首次诉疼痛时)、术后4h、12h、24h进行疼痛VAS模拟评分;于术后当天(即麻醉清醒后首次诉疼痛时)与术后24h行布氏舒适度评分;全部数据结果采用SPSS 20.0统计软件进行分析。结果:1.实验组患者术后各观察时点的疼痛VAS模拟评分均低于常规对照组,经统计学检验,差别有显著意义;此外,实验组患者经治疗愈显率为80.76%,显著高于对照组的53.57%,经统计学检验,差异有显著意义。上述表明:电针四关穴可有效缓解患者甲状腺术后的疼痛症状。2.实验组患者在治疗结束后BSC评分为2.55±0.51,而对照组则为1.21 ±0.57,经统计学检测,差异有显著的统计学意义,提示电针四关穴可有效提高患者甲状腺术后的舒适状态。结论:四关穴电针刺激在甲状腺术后镇痛管理中疗效显著,其治疗过程安全、不良反应少,值得在临床推广应用。
[Abstract]:Objective: to evaluate the efficacy and safety of electroacupuncture stimulation at Siguan point for postoperative analgesia after thyroid surgery, and to provide scientific basis for its wide application in the clinical treatment of postoperative analgesia of thyroid gland. Better guide the clinical practice of traditional Chinese and western medicine. Methods: according to the inclusion criteria, 60 patients with postoperative pain after thyroid surgery were collected from July 2016 to March 2017 in the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. The experimental group (Siguan acupoint electroacupuncture stimulation group) and the control group (conventional control group) were randomly divided into two groups: 30 cases each. On the basis of routine postoperative nursing care, the patients in the experimental group were treated with the first acupuncture at Siguan point plus electricity (density wave, frequency: 2 Hz / 100 Hz) at the end of the operation, and the second treatment was given twice as a course of treatment after 8 hours for 30 minutes. The control group was given routine postoperative nursing care. All the patients in all groups were assessed with VAS on the day after operation (i.e. the first complaint of pain after anaesthesia), and with Brinell comfort score on the day of operation (that is, the first complaint of pain after anaesthesia) and 24 hours after the operation, 4 hours after the operation, 12 hours after the operation and 24 hours after the operation. All the data were analyzed by SPSS 20.0 software. The result is 1: 1. The VAS analogue score of pain in the experimental group was lower than that in the control group after operation, and the difference was statistically significant. In addition, the curative effect rate of the patients in the experimental group was 80.76g, which was significantly higher than that in the control group (53.57g). The difference was significant. The above results indicate that electroacupuncture at Siguan points can effectively relieve the pain symptoms. 2. 2. The BSC score of the experimental group was 2.55 卤0.51 after treatment, while that of the control group was 1.21 卤0.57.The difference was statistically significant, suggesting that electroacupuncture at Siguan point could effectively improve the comfort state of the patients after thyroidectomy. Conclusion: electroacupuncture stimulation at Siguan point is effective in postoperative analgesia management of thyroid, and its treatment process is safe and has less adverse reactions, so it is worth popularizing in clinic.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R653

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