耳穴磁贴辅助麻醉及对术后机体功能恢复的影响

Effects of magnetic auricular point-sticking on adjuvant anesthesia and postoperative recovery of body function

目的:验证耳穴磁贴在妇科开腹手术辅助麻醉的镇痛镇静效应和术后对机体功能恢复的作用。方法:将妇科开腹手术患者92例随机分为3组,耳穴组(31例)于手术前夜在双侧神门、皮质下、子宫及盆腔等相关耳穴区贴敷磁珠并按压;安慰组(31例)在所选耳穴区贴敷同样外观的无磁珠胶布;空白组(30例)不予任何干预措施。观察术前夜至术后3天的精神、胃肠功能等变化。结果:与安慰组、空白组比较,耳穴组的术后焦虑自评量表(SAS)评分较少(25.5±0.81 vs 28.9±3.19、28.3+2.36,均P<0.01),加用氟芬合剂的剂量较少[(2.5±1.1)mL vs(3.4±1.8)mL、(3.2±1.6)mL,均P<0.05),术后排气时间较早[(34.2±12.1)h vs(46.3±10.9)h、(43.2±14.8)h,均P<0.01],术前及术毕血清β-内啡肽水平较高(均P<0.05)。结论:耳穴磁贴对妇科开腹手术具有一定的稳定情绪、镇痛及调整机体功能的作用。

Objective To prove analgesia and sedative effect of adjuvant anesthesia with magnetic auricular point-sticking on abdominal gynecological operation and its effect on postoperative recovery of body function. Methods Ninety-two patients with abdominal gynecological operation were randomly divided into 3 groups. The auricular point-sticking group （APS group, n=31） was pasted and pressed by plasters with magnetic beads at bilateral Shenmen, Pizhixia （subcortex）, Zigong（uterus） and Penqiang （pelvic cavity）, etc. the night before operation. The placebo group （n=31） was pasted by plasters without magnetic beads. The blank group （n=30） was given no intervention. The mental and gastrointestinal functional changes before and 3 days after the operation were observed. Results As compared with those in the control group and the blank group, the postoperative score of Self-rating Anxiety Scale （SAS） was less（25.5±0.81 vs 28.9±3.19,28.3±2.36,both P〈0.01）, with lowerdose of Innovat[（2.5±1.1）mL vs （3.4±1.8）mL,（3.2±1.6）mL, both P〈0. 05], earlier exsufflation after the operation[（34.2±12.1）h vs （46.3±10.9）h,（43.2±14.8）h,both P〈0. 01] and higher level serum of β-endorphin before and after the operation in the APS group （all P〈0.05）. Conclusion The magnetic auricular pointsticking has sedative; analgesic and function-regulating effects on the abdominal ＇gynecological operation.