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中国当代医药  2020, Vol. 27 Issue (25): 161-164    
  中医中药 本期目录 | 过刊浏览 | 高级检索 |
耳穴压豆联合艾灸治疗动静脉内瘘术后疼痛的疗效观察
唐彩凤 王薪
江西省九江市中医医院肾病二科,江西九江 332000
Efficacy observation of auricular point pressing beans combined with moxibustion in the treatment of postoperative pain of arteriovenous fistula
TANG Cai-feng     WANG Xin
The Second Department of Nephrology, Jiujiang Hospital of Traditional Chinese Medicine, Jiangxi Province, Jiujiang 332000, China
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摘要 目的 探究耳穴压豆联合艾灸治疗动静脉内瘘术后疼痛的临床效果。方法 选取2019年3月~2020年1月在我院行动静脉内瘘手术的72 例患者作为研究对象,采用随机数字表法将其分为治疗组(36 例)与对照组(36 例)。对照组患者术后当天采用常规术后护理干预,治疗组患者在常规护理干预基础上于手术当日行耳穴压豆联合艾灸治疗。比较两组患者术后疼痛缓解率、疼痛评分及睡眠质量评分。结果 治疗组患者的疼痛缓解率为94.44%,高于对照组的75.00%,差异有统计学意义(P<0.05);两组患者术后即刻疼痛数字评分法(NRS)评分比较,差异无统计学意义(P>0.05);治疗组患者术后12 h 的NRS 评分为(2.31±0.69)分,低于对照组的(3.01±1.25)分,差异有统计学意义(P<0.05);两组患者术后12 h 睡眠质量评分比较,差异无统计学意义(P>0.05);治疗组患者术后3 d 的睡眠质量评分为(4.35±0.72)分,低于对照组的(6.17±0.94)分,差异有统计学意义(P<0.05)。结论 耳穴压豆联合艾灸可有效缓解动静脉内瘘术后疼痛,NRS 评分明显降低,患者睡眠质量得到提升,值得推广应用。
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唐彩凤
王薪
关键词 动静脉内瘘手术耳穴压豆艾灸常规护理术后疼痛    
AbstractObjective To explore the clinical effect of auricular point pressing beans combined with moxibustion in the treatment of postoperative pain of arteriovenous fistula. Methods From March 2019 to March 2020, 72 patients with arteriovenous fistula in our hospital were selected as research objects. According to the random number table method,they were divided into the treatment group (36 cases) and the control group (36 cases). The routine postoperative nursing intervention was used in the control group on the day after operation, and the treatment group was treated with auricular point pressing beans combined with moxibustion on the day of operation on the basis of routine nursing intervention. The pain relief rate, pain score and sleep quality score after operation were compared between the two groups.Results The pain relief rate of the treatment group was 94.44%, higher than 75.00% of the control group, the difference was statistically significant (P<0.05). There was no statistically significant difference in the numerical rating scale(NRS) score immediately after surgery between the two groups (P>0.05). The NRS score of the patients in the treatment group was (2.31±0.69) points at 12 hours after operation, which was lower than the (3.01±1.25) points in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in sleep quality score between the two groups at 12 hours after surgery (P>0.05). The sleep quality score of patients in the treatment group was (4.35±0.72) points after 3 days operation, which was lower than that of the control group for (6.17±0.94) points, and the difference was statistically significant (P<0.05). Conclusion Auricular point pressing beans combined with moxibustion can effectively relieve the postoperative pain of arteriovenous fistula, NRS score is significantly reduced, patients′ sleep quality is improved, which is worth popularizing.
Key wordsArteriovenous fistula operation    Auricular point pressing beans    Moxibustion    Routine nursing    Postoperative pain
    
基金资助:江西省中医药管理局科技计划项目(2019B180)
作者简介: 唐彩凤(1982-),女,江西彭泽人,本科,主管护师,研究方向:肾病护理
引用本文:   
唐彩凤;王薪. 耳穴压豆联合艾灸治疗动静脉内瘘术后疼痛的疗效观察[J]. 中国当代医药, 2020, 27(25): 161-164.
TANG Cai-feng ;WANG Xin. Efficacy observation of auricular point pressing beans combined with moxibustion in the treatment of postoperative pain of arteriovenous fistula. 中国当代医药, 2020, 27(25): 161-164.
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