中药穴位贴敷配合心理干预治疗乳腺肿块微创术后疼痛33例

Acupoint Application of Chinese Herb Combined with Psychological Intervention for Treating Pain after Minimally Invasive Surgery of Breast Lesions in 33 Cases

目的探讨中药穴位贴敷配合心理干预减轻乳腺肿块患者麦默通微创术后疼痛的疗效及安全性。方法将66例患者随机分为对照组和观察组,各33例。对照组患者采用非甾体类消炎药止痛治疗,同时联合常规术后健康指导进行干预,观察组患者采用中药穴位贴敷配合心理干预。结果术后观察组患者疼痛控制总有效率为90.91%,显著优于对照组的66.67%(P<0.05);观察组患者手术认知程度显著高于对照组,且紧张心理的改善率显著优于对照组(P<0.05);对照组不良反应发生率为3.03%,显著高于观察组(P<0.05)。结论中药穴位贴敷配合心理干预应用于乳腺肿块患者麦默通微创术后疼痛安全、有效。

Objective To investigate the efficacy and safety of acupoint application of Chinese herb combined with psychological intervention to reduce the pain after the mammotome minimally invasive surgery of breast lesions. Methods Totally 66 patients were randomly divided into the control group and the observation group,33 cases in each group. The control group was treated with non-steroidal anti-inflammatory drugs and analgesic therapy combined with routine postoperative health guidance for intervention,basis,the observation group were treated with acupoint application of Chinese herb combined with psychological intervention. Results After operation,the total efficiency rate of pain control in the observeation group was 90. 91%,which was significantly higher than 66. 67% in the control group （ P ﹤ 0. 05）;the surgery cognition and the improvement rate of psychological tension in the observation group were significantly better than that of the control group（ P ﹤ 0. 05）;the occurrence rate of the adverse reactions was 3. 03% in the control group,which was significantly higher than the observetion group（ P ﹤ 0. 05）. Conclusion Acupoint application of Chinese herb combined with psychological intervention in treating pain after mammotome minimally invasive surgery of breast lesions has good effect and safety.