穴位按摩加耳穴贴压缓解鼻窦炎患者术后疼痛的研究

Effect of Point Massage and Auricular Point Sticking on Postoperative Pain Relief of Patients with Sinusitis

目的探讨穴位按摩加耳穴贴压对鼻窦炎患者术后疼痛的影响。方法选取2011年11月—2013年3月在本院因鼻窦炎行鼻内窥镜手术患者240例,按随机数字表法分为3组,每组80例,术后分别进行冰敷、穴位按摩、穴位按摩联合耳穴贴压的护理干预,并于下列时间点分别对3组患者进行疼痛评分:术后1 h、4 h、手术当天睡前、术后24 h、48 h,其中术后1 h、4 h还在干预前进行评分。结果术后1 h和4 h,穴位按摩组和穴位按摩+耳穴贴压组患者干预后较干预前疼痛明显缓解(P<0.05)。干预后,穴位按摩+耳穴贴压组患者在术后1 h和4 h疼痛程度较其余两组均明显减轻,在术后当天睡前、术后24 h和48 h则仅与冰敷组比较差异有统计学意义(P<0.05)。结论对鼻窦炎术后患者实施穴位按摩联合耳穴贴压,较单独采取冰敷或穴位按摩能及时有效减轻患者疼痛,是一种值得推广的干预措施。

Objective To observe the influence of point massage and auricular point sticking on postoperative pain relief of patients with sinusitis. Methods Totally 240 patients with endoscopic sinus operation were randomly divided into ice compress group（ICG）, point massage group（PMG） and point massage and auricular point sticking group（PMAPSG）, with 80 cases in each group. Intervention intervals were 1 hour, 4, 24, 48 hours after operation and at bedtime of the surgery day and pain score was measured at the same time. Inter-group and intra-group pain scores were compared before and after the intervention. Results The pain was relieved obviously in PMG and PMAPSG 1 hour and 4 hours after operation（P〈0.05）. After intervention, patients in PMAPSG felt less pain than those in other two groups 1 hour and 4 hours after operation. At bedtime of surgery day, 24 and 48 hours after operation, patients in PMAPSG felt less pain than those in ICG（P〈 0.05）. Conclusion Point massage and auricular point sticking can effectively lessen pain for postoperative patients with sinusitis, which is worth to be promoted.