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经皮自控电刺激耳神门穴对乳腺癌术后疼痛及恶心、呕吐的影响 被引量:1
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作者 李菁 彭生 翁浩 《同济大学学报(医学版)》 2024年第1期100-105,共6页
目的观察经皮自控电刺激耳神门穴对乳腺癌术后疼痛及恶心、呕吐发生率的影响。方法选择2022年10月—2023年3月拟实施择期乳腺癌手术的患者80例。采用随机数字表分为耳神门穴刺激组(transcutaneous auricular Shenmen stimulation,ta-SMS... 目的观察经皮自控电刺激耳神门穴对乳腺癌术后疼痛及恶心、呕吐发生率的影响。方法选择2022年10月—2023年3月拟实施择期乳腺癌手术的患者80例。采用随机数字表分为耳神门穴刺激组(transcutaneous auricular Shenmen stimulation,ta-SMS组)和对照组(C组),每组40例。ta-SMS组入手术室后在预麻间行耳神门穴电刺激30 min、进入麻醉恢复室后即刻及回到病房后每隔3 h自控行经皮耳神门穴电刺激30 min。C组除不予耳穴电刺激外,其余处理同ta-SMS组。记录两组患者入室时心率(heart rate,HR)、平均无创血压(mean blood pressure,MBP)、脑电双频指数(bispectral index,BIS)及术后24、48、72 h的恶心、呕吐(post-operative nausea and vomiting,PONV)发生率;比较两组患者术后视觉模拟评分法(visual analogue scale,VAS)疼痛评分变化、镇痛泵按压总次数以及手术前后血清5-羟色胺(5-HT)表达水平。结果ta-SMS组患者较C组术后72 h内恶心、呕吐发生率显著降低(P<0.05);两组术后24、48、72 h的VAS评分差异无统计学意义(P>0.05);ta-SMS组PCIA按压总次数、镇痛复合液总消耗量降低,差异有统计学意义(P<0.05);两组术前血清5-HT水平差异无统计学意义(P>0.05);ta-SMS组术后24、48、72 h血清5-HT水平显著低于C组,差异有统计学意义(P<0.05)。结论多次经皮自控电刺激耳神门穴可降低乳腺癌手术后72 h内恶心、呕吐的发生率,缓解患者疼痛;5-HT的表达下调参与了其过程。 展开更多
关键词 耳神门穴 经皮位电刺激 乳腺癌 术后恶心呕吐 5-羟色胺
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经皮电刺激耳神门穴对妇科手术患者术前焦虑情绪的影响 被引量:8
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作者 万效梅 王燕 +3 位作者 齐慧 李井柱 蒋娟 张婧 《中国医刊》 CAS 2012年第4期85-86,共2页
目的评价经皮电刺激耳神门穴对妇科手术患者术前焦虑情绪的影响。方法 80例Zung焦虑自评分(SAS)>30分的择期妇科手术患者,随机数字法分为2组:经皮耳穴电A组患者人手术室后行耳神门穴电刺激,频率为1.5Hz,强度由患者自己掌握,持续刺激3... 目的评价经皮电刺激耳神门穴对妇科手术患者术前焦虑情绪的影响。方法 80例Zung焦虑自评分(SAS)>30分的择期妇科手术患者,随机数字法分为2组:经皮耳穴电A组患者人手术室后行耳神门穴电刺激,频率为1.5Hz,强度由患者自己掌握,持续刺激30分钟;B组夹穴连线等与A组相同,不进行电刺激。观察患者刺激前(T_0)、刺激后(T_1)的焦虑VAS评分、心率、平均动脉压及血浆血管紧张素Ⅱ浓度。结果与B组比较,A组在T_1时的焦虑VAS评分、心率、平均动脉压及血浆血管紧张素Ⅱ浓度降低;组内比较,A组上述指标T_1时较T_0时降低,差异有显著性,B组指标差异无显著性。结论经皮电刺激耳神门穴可明显缓解妇科手术患者的术前焦虑情绪。 展开更多
关键词 焦虑 电刺激疗法 耳神门穴 妇科手术
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耳神门穴贴压鲜姜片缓解混合痔术后换药疼痛的应用研究 被引量:10
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作者 须斐 顾玉玲 孙洪 《护士进修杂志》 2014年第11期971-972,共2页
目的:观察鲜姜片耳穴贴压对缓解混合痔术后换药疼痛的效果。方法将80例混合痔术后患者随机分为干预组和对照组,每组40例。对照组实施肛肠科常规护理,干预组在常规护理干预基础上采用鲜姜片贴压耳神门穴,比较两组患者术后3~8 d换药... 目的:观察鲜姜片耳穴贴压对缓解混合痔术后换药疼痛的效果。方法将80例混合痔术后患者随机分为干预组和对照组,每组40例。对照组实施肛肠科常规护理,干预组在常规护理干预基础上采用鲜姜片贴压耳神门穴,比较两组患者术后3~8 d换药后疼痛强度。结果干预组患者疼痛强度明显降低,差异有显著意义(P<0.05)。结论鲜姜片耳穴贴压能有效减轻混合痔术后换药时病人的疼痛。 展开更多
关键词 耳神门穴 鲜姜片 混合痔术后 换药 疼痛
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经皮电刺激耳神门穴对全膝关节置换后镇痛效果的影响 被引量:12
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作者 司建洛 杨木强 +2 位作者 司马靓杰 韩学昌 任岩岩 《中国组织工程研究》 CAS 北大核心 2017年第27期4294-4299,共6页
背景:经皮穴位电刺激镇痛效果良好,目前缺乏应用于全膝关节置换术后镇痛有效性和安全性的评估。目的:评价经皮电刺激耳神门穴对全膝关节置换术后镇痛的影响。方法:纳入40例ASAⅠ-Ⅲ级择期在全身麻醉联合股神经阻滞下行全膝关节置换的患... 背景:经皮穴位电刺激镇痛效果良好,目前缺乏应用于全膝关节置换术后镇痛有效性和安全性的评估。目的:评价经皮电刺激耳神门穴对全膝关节置换术后镇痛的影响。方法:纳入40例ASAⅠ-Ⅲ级择期在全身麻醉联合股神经阻滞下行全膝关节置换的患者,随机分为试验组和对照组,每组20例。试验组患者麻醉前、术后8,16,36,56h分别给予耳神门穴经皮电刺激30 min,对照组患者同时行经皮耳神门穴电刺激,但电极导线被断开,不产生电流刺激。2组患者诱导前均在超声引导下行患侧股神经置管,阻滞起效后实施全身麻醉,术后股神经阻滞导管接自控镇痛泵(锁定时间30min)持续镇痛72h。分别记录2组患者术后6,12,24,48,72h的疼痛目测类比评分和各时点股四头肌最大等长收缩肌力;记录自控镇痛用药的剂量和补救用药剂量;记录治疗后不良反应的发生率。结果与结论:①试验组在置换后48,72 h时运动目测类比评分小于对照组,差异有显著性意义(P<0.05);②对照组各时点的股四头肌最大等长收缩肌力均显著低于试验组,差异有显著性意义(P<0.05);③对照组股神经阻滞罗哌卡因的用量(495.7±39.4)mL明显多于试验组(394.5±27.1)mL,差异有显著性意义(P<0.05);对照组有7例患者术后注射盐酸曲马多,试验组有1例注射盐酸曲马多,差异有显著性意义(P<0.05);④对照组有6例发生恶心呕吐,试验组有1例发生恶心呕吐;对照组有4例头晕,试验组无头晕病例;差异有显著性意义(P<0.05);(5)术前采用经皮电刺激耳神门穴可以改善全膝关节置换术后疼痛,减少股神经阻滞局麻药物的应用剂量和术后补救药物的剂量,术后股四头肌肌力得到很好的保留。 展开更多
关键词 骨科植入物 人工假体 电刺激疗法 耳神门穴 全膝关节置换 镇痛 目测类比评分 股四头肌肌力 不良反应
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宗瑞麟应用耳神门穴经验简介 被引量:3
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作者 宗重阳 宋南昌 《江西中医药》 1993年第6期9-10,共2页
宗瑞麟主任医师用耳压配合自行按摩治疗周围性面神经麻痹40例,疗效迅速,现介绍如下。1 治疗方法:用自制耳穴探棒园头在耳廓、面颊、眼穴周围按压,测得敏感点(如针刺样痛)后,在原处轻轻加压,该处留下压痕,然后将粘有王不留行籽的胶布对... 宗瑞麟主任医师用耳压配合自行按摩治疗周围性面神经麻痹40例,疗效迅速,现介绍如下。1 治疗方法:用自制耳穴探棒园头在耳廓、面颊、眼穴周围按压,测得敏感点(如针刺样痛)后,在原处轻轻加压,该处留下压痕,然后将粘有王不留行籽的胶布对准压痕贴上,嘱患者每日按压3~5次,每次3~4分钟,以耳穴处有热胀感为佳。2~3天换贴1次,双耳轮换,4次为1个疗程。并嘱患者每日自行按摩患侧眼睑周围(眉头、眉梢、太阳)、唇角、颊部(地仓、颊车、迎香)数次。2 病例:刘某某,男,44岁,教师。1991年8月24日初诊。8月20日始感冒高烧,经治已愈。 展开更多
关键词 耳神门穴 镇静作用 止痛作用
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Treatment of acne vulgaris with auricular acupoint pricking-bloodletting plus auricular point sticking therapy: a randomized controlled study 被引量:6
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作者 Song Ya-jing Fan Xi-sheng +11 位作者 Li Meng-yun Zhang Jie Geng Jing-ran Liang Xiao Zhang Jun-cha Zhang Xiao-qi Zhou Shu-bo Wang Nan Zhang Jia-xu Song Xiao-dan She Yan-fen Zhang Fu-qing 《Journal of Acupuncture and Tuina Science》 CSCD 2019年第3期196-202,共7页
Objective: To observe the clinical efficacy of auricular point pricking-bloodletting plus auricular point sticking therapy for acne vulgaris. Methods: A total of 66 patients with acne vulgaris were randomized into an ... Objective: To observe the clinical efficacy of auricular point pricking-bloodletting plus auricular point sticking therapy for acne vulgaris. Methods: A total of 66 patients with acne vulgaris were randomized into an observation group and a control group by the random number table, with 33 cases in each group. The observation group was treated with auricular point pricking-bloodletting plus auricular point sticking therapy, and the control group was treated only with auricular point sticking therapy. The treatments of both groups were performed twice a week, 4 weeks as a course of treatment, for 3 courses in total. The scores of skin lesions and dermatology life quality index (DLQI) scores were recorded before and after treatment to assess the clinical efficacy. Results: During the trial, there were 3 cases of drop-out both in the observation group and the control group. After 3 courses of treatment, the total effective rate of the observation group was 96.7%, while that of the control group was 76.7%. The difference between the two groups was statistically significant (P<0.05). The intra-group comparison showed that the scores of skin lesion and DLQI were both decreased with the increase of treatment times, that was, the scores were lower than those at the previous time point (allP<0.05). After 1, 2, and 3 courses of treatment, the scores of skin lesion and DLQI of both groups were statistically different from those of the same group before treatment (allP<0.05). At every time point during the treatment, the scores of skin lesion and DLQI of the observation group were lower than those of the control group, and the differences between the two groups were statistically significant (all P<0.05). Conclusion: Auricular point pricking-bloodletting plus auricular point sticking has a better curative effect than auricular point sticking therapy alone in the treatment of acne vulgaris, and has a time-effect correlation. 展开更多
关键词 Acupoint Therapy Auricular Point Sticking Bloodletting Therapy Otopoint Cheek (LO5) Point Erjian (EX-HN 6) Otopoint Lung (CO14) Otopoint Shenmen (TF4) ACNE
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Clinical study on auricular point sticking plus Western medicine for moderate gastric cancer pain 被引量:4
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作者 Chen Li-xia Yan Feng 《Journal of Acupuncture and Tuina Science》 CSCD 2020年第4期276-280,共5页
Objective:To explore the clinical efficacy and mechanism of auricular point sticking plus Western medicine for moderate gastric cancer pain.Methods:A total of 80 patients were selected and divided into an observation ... Objective:To explore the clinical efficacy and mechanism of auricular point sticking plus Western medicine for moderate gastric cancer pain.Methods:A total of 80 patients were selected and divided into an observation group and a control group according to the random number table method,with 40 cases in each group.Patients in the control group received Western medicine treatment,while patients in the observation group received additional auricular point sticking.Both groups were treated for 2 weeks.Numeric rating scale(NRS)and Karnofsky performance status(KPS)were adopted before and after treatment.The total time and times of flare-up pain in 24 h were recorded.The cyclooxygenase-2(COX-2)and tumor necrosis factor-α(TNF-α)levels were detected.The clinical efficacy of both groups was evaluated after treatment.Results:The total effective rate of the observation group was significantly higher than that of the control group(P<0.05);after treatment,NRS scores of both groups were significantly lower than those before treatment(both P<0.05),and the score of the observation group was lower than that of the control group(P<0.05);KPS scores of both groups were significantly higher than those before treatment(both P<0.05),and the score of the observation group was higher than that of the control group(P<0.05).After treatment,the total time and flare-up times of pain during 24 h of both groups were significantly reduced(all P<0.05),and those of the observation group were significantly less than those of the control group(both P<0.05).After treatment,the COX-2 and TNF-αlevels of both groups were significantly reduced(all P<0.05),and were lower in the observation group than in the control group(all P<0.05).Conclusion:The clinical efficacy of auricular point sticking plus Western medicine for moderate gastric cancer pain is valid.This combined treatment can alleviate cancer pain and improve patients'quality of life,which may be related to its ability to reduce COX-2 and TNF-αlevels. 展开更多
关键词 Acupoint Therapy Auricular Point Sticking Otopoint Spleen(CO13) Otopoint Stomach(CO4) Otopoint Shenmen(TF4) Pain Measurement Stomach Neoplasms Cancer Pain
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Auricular point sticking for relieving pain in arteriovenous fistula puncture 被引量:1
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作者 Liu Guang-min Lin Ri-yang +1 位作者 Lu Xiao-yan Huang Chun-xiang 《Journal of Acupuncture and Tuina Science》 CSCD 2019年第6期427-431,共5页
Objective:To observe the clinical efficacy of auricular point sticking at different points to relieve the pain in arteriovenous fistula puncture.Methods:A total of 42 patients with arteriovenous fistula were randomize... Objective:To observe the clinical efficacy of auricular point sticking at different points to relieve the pain in arteriovenous fistula puncture.Methods:A total of 42 patients with arteriovenous fistula were randomized into a Shenmen(TF4)group and an Elbow(SF3)group by the random number table method,with 21 cases in each group.After enrolled into different groups,before the dialysis,patients were given auricular point sticking with Wang Bu Liu Xing(Semen Vaccariae)seeds at Shenmen(TF4)and Elbow(SF3),respectively.Patients were asked to press the seeds themselves for 2 min each time,four times a day,and an additional 5-15 min before the arteriovenous fistula puncture.Intensive pressing was offered duri ng the pun cture,15・20 presses for each time,and the plasters were cha nged every 2-3 d.The nu merical rati ng scale(NRS)was used to score the pain level one week before and after auricular point sticking.The NRS score was then compared and analyzed.Results:The intra-group comparison showed that the changes of NRS score in both groups were statistically sigrdficant after auricular point sticking(both P<0.05).After the treatment,there was no sigrdficant differenee in NRS score between the two groups(P>0.05).Conclusion:Auricular point sticking at Shenmen(TF4)or Elbow(SF3)can effectively relieve the pain of arteriovenous fistula puncture,and these two points have equivale nt an algesic effect. 展开更多
关键词 Auricular Point Sticking Otopoint Elbow(SF3) Otopoint Shenmen(TF4) Arteriovenous Fistula Pain Measurement HEMODIALYSIS
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