摘要
目的:探讨耳穴磁贴辅助麻醉对妇科开腹手术患者术后机体功能的影响。方法:将妇科开腹手术患者86例按照随机数字表法分为耳穴贴压组(29例)、安慰组(29例)与空白组(28例),耳穴贴压组给予耳穴磁贴辅助麻醉,安慰组给予与磁疗贴大小、外观相同、无磁珠胶布,空白组不予任何耳部刺激,应用焦虑自评量表(SAS)评价患者术前和术后72小时焦虑情况以及术后排气时间,观察不同手术时期镇静程度评分(Ramesay指数)、心率(HR)、平均动脉压(MAP)情况及术中芬太尼和异丙酚用量比较。结果:术后SAS评分和术后排气时间3组比较间差异具有统计学意义(P<0.05),其中安慰组和空白组SAS评分和术后排气时间高于耳穴贴压组,差异具有统计学意义(P<0.05);麻醉前、术前即刻、术中、Ramesay指数3组间比较差异无统计学意义(P>0.05),手术结束3组间差异具有统计学意义(P<0.05);患者不同手术时期HR和BP在3组间比较差异无统计学意义(P>0.05);手术中芬太尼和异丙酚用量3组间比较差异具有统计学意义(P<0.05),其中安慰组和空白组芬太尼和异丙酚用量高于耳穴贴压组,差异具有统计学意义(P<0.05)。结论:耳穴磁贴辅助麻醉对妇科开腹手术患者术后机体功能有恢复促进作用。
Objective： To explore the effects of assisted anesthesia of auricular point magnetic sticking on postoperative bodily function of patients with gynecological open surgery. Methods： 86 patients with gynecological open surgery were randomly divided into the auricular application group（29 cases） and the comfort group（29 cases） and the blank group （28 cases） according to random number, the auricular application group was given assisted anesthesia of auricular point magnetic sticking, the comfort group was given no magnetic tape, which similar to the size and shape of magnetic sticking, the blank group wasn＇t given any stimulation, anxiety condition and exhaust time in 72 hours before and after surgery were evaluated by using SAS, Ramesay index, HR, MAP conditions at different times of surgery were observed, fentanyl and propofol doses were compared during surgery. Results： There were statistical differences in postoperative SAS scores and exhaust time between three groups（P〈0.05）, SAS score and postoperative exhaust time in the comfort and the blank groups were higher than these of the auricular application group, there were statistical differences （P〈0.05）; there were no statistical differences in Ramesay index between three groups in 48 hours before anesthesia, at once before surgery, during surgery and after surgery （P〉0.05）, there were statistical differences at the end of surgery between three groups （P〈0.05）; there were no statistical differences in HR and BP at different times of surgery betweem three groups （P〉0.05）; there were statistical differences in fentanyl and propofol usage during surgery between three groups （P 〈0.05）, fentanyl usage and propofol in the comfort and the blank group were higher than the these of the attricular application group, there were statistical differences （P〈0.05）. Conclusion： Assisted anesthesia of auricular point magnetic sticking postoperative bodily function of patients with gynecological open surgery.
出处
《西部中医药》
2017年第1期95-98,共4页
Western Journal of Traditional Chinese Medicine
关键词
开腹手术
耳穴磁贴
麻醉
机体功能
open surgery
auricular point magnetic sticking bodily functions
anesthesia
