肩颈部推拿对甲状腺术后疲劳综合征患者的临床疗效研究

发布时间：2019-06-17 09:46

【摘要】：目的：本课题通过对肩颈部推拿对甲状腺术后疲劳综合征患者的临床疗效观察,了解甲状腺术后患者的疲劳状况及肩颈部推拿对此部分患者的临床疗效,可为促进甲状腺术后疲劳综合征患者快速恢复的治疗方法提供参考,进一步形成有中医特色的甲状腺围手术期快速康复方案。方法：于广州中医药大学第一附属医院收集2015年7月-2016年3月收治的中医诊断为瘿瘤、甲状腺术后7天内符合西医POFS诊断标准的患者60例,采取随机对照方法,分为：常规治疗对照组、推拿治疗组。对两组所有患者于术前1天,术后第1到4天给予疲劳评分；A组：按我科甲状腺术后常规治疗计划、对症处理。B组：在术后常规治疗基础上给予推拿治疗：于术后第1-4天对患者行床边推拿治疗,每次推拿时间15分钟。对两组患者进行术前1天、术后第1到4天疲劳状态的评价及分析(测量工具包括视觉模拟量表、Chalder疲劳量表)。采用SPSS 19.0统计软件对数据进行处理。结果：1.两组甲状腺疾病患者术后第1-4天疲劳评分均高于术前,并有逐渐下降,说明甲状腺患者术后出现疲劳。2.常规治疗对照组患者在术后1-4天的VAS、FS-14量表疲劳评分均比推拿治疗组患者同期的疲劳评分高,说明肩颈部推拿可有效减轻患者甲状腺术后疲劳症状。结论：甲状腺患者术后出现疲劳。肩颈部推拿可有效减轻患者疲劳症状。
[Abstract]:Objective: to observe the clinical effect of shoulder and neck massage on patients with fatigue syndrome after thyroid surgery, to understand the fatigue status of patients after thyroid surgery and the clinical effect of shoulder and neck massage on this part of patients, so as to provide reference for the treatment of rapid recovery of patients with fatigue syndrome after thyroid surgery, and to further form a rapid perioperative rehabilitation scheme of thyroid with characteristics of traditional Chinese medicine. Methods: from July 2015 to March 2016, 60 patients with gall tumor diagnosed as gall tumor were collected from the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. 60 patients who met the diagnostic criteria of POFS within 7 days after thyroid surgery were randomly divided into routine treatment control group and massage treatment group. All patients in the two groups were given fatigue score 1 day before operation and 1 to 4 days after operation. Group A: according to the routine treatment plan after thyroid surgery, symptomatic treatment. Group B: massage treatment on the basis of routine treatment after operation: on the 1st to 4th day after operation, the patients were treated with bedside massage for 15 minutes each time. The fatigue status of the two groups was evaluated and analyzed 1 day before operation and 1 to 4 days after operation (including visual simulation scale, Chalder fatigue scale). SPSS 19.0 statistical software was used to process the data. Results: 1. The fatigue score of thyroid disease patients in both groups was higher than that before operation on the 1st to 4th day after operation, and decreased gradually, indicating that thyroid patients had fatigue after operation. 2. The fatigue scores of VAS,FS- 14 scale in the routine treatment group were higher than those in the massage group on the 1st and 4th day after operation, which indicated that shoulder and neck massage could effectively reduce the fatigue symptoms of the patients after thyroid surgery. Conclusion: postoperative fatigue occurs in patients with thyroid gland. Shoulder and neck massage can effectively reduce the fatigue symptoms of patients.
【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】：2016
【分类号】：R244.1

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