耳穴贴压对腹部手术患者术后疼痛干预的效果观察.pdf

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1、而部仲l羞20J年第27卷第7期援道·临床护理耳穴赃压对腹部手术患者木后疼痛干预的效果观察唐秀琴，王芳，张海燕庆阳市中医医院，甘肃庆阳745000[摘要]目的：观察耳穴贴压对腹部手术患者术后疼痛干预的临床效果方法：将腹部手术患者185例采用完全随机法分为耳穴贴压护理干预组(耳压组)93例和对照组92例。2组患者均在术前、术后给予心理干预及常规护理。耳压组患者采用耳穴贴压以缓解疼痛。同时采用“视觉模拟评分法(visua1analogueseale，VAS)”评定疼痛程度。观察2组患者术后72小时内伤口疼痛程

2、度、止痛药使用情况、首次肛门排气平均时间等，并比较2组患者平均住院天数。结果：耳穴贴压护理法在减轻腹部手术患者术后伤口疼痛程度及缩短疼痛时间、促进胃肠功能恢复方面明显优于传统护理方法。结论：耳穴贴压护理干预能有效减轻腹部手术患者术后伤口疼痛程度、缩短疼痛时间、减少止痛药使用，并能促进胃肠功能的恢复，尽早肛门排气，能使患者提早进食，加快术后恢复，进而缩短住院天数。[关键词]腹部术后疼痛；耳穴贴压护理；治疗，，I盏床研究性[中图分类号]R473．6[文献标识码]B[文章编号]1004-6852(2014)07

3、-0113-06ClinicalObservationonAuricular—plasterTherapyInterveningPostoperativePainofthePatientswithAbdominalSurgeryTANGXiuqin,WANGFang,ZHANGH嘶帆QingyangMunic~ityTCMHospital,Qingyang745004ChinaAbstractObjective：Tostudycurativeefectsofauricular-plastertherapy

4、influencingpostoperativepainofthepatientsundergoingabdominalsurgery．Methods：All185patientswereallocatedto93casesoftheinterventiongroup(auricular-plastertherapygroup)and92casesofthecontrolgroupbytotalrandomizedmethod．Bothgroupswereadministeredwithpsycholog

5、icalinterventionandroutinecarebeforeandafterthesurgery．Theinterventiongroupadoptedauricular-plastertherapytorelievethepain．Thedegreeofthepainwasjudgedbyvisualanaloguescale(VAS)．Woundpaindegreein72hoursafterthesurgery，theconditionsofpainkillers，averagetime

6、offirstanalexhaustandothersofbothgroupswereobserved，averagehospitalizationdaysofthepatientsinbothgroupswerecomparedatthesametime．Results：Auricular-plastertherapywassuperiortotraditionalnursingmethodinrelievingwoundpaindegreeofthepatientsafterthesurgery，sh

7、orteningpaintime，promotingtherecoveryofgastrointestinalfunctionsignificantly．Conclusion：Auricular-plastertherapycouldeffectivelyrelievewoundpaindegreeofthepa—tientsafterabdominalsurgery，sho~enpaintime，reducetheconditionsofpainkillersandpromotetherecoveryo

8、fgastrointestinalfunctionandanalexhaust，itcouldmakethepatientstakefoodearlier，promotepostoperativerecov-ery，thereforetoshortenhospitalizationdays．1[olnmrtlsthepainafterabdominalsurgery；auricular-plastertherapy；treat