耳穴磁珠贴压预防腹腔镜胆囊切除术老年患者术后疲劳综合征的效果

Effect of auricular-plaster therapy with magnetic beads on postoperative fatigue syndrome among patients after laparoscopic cholecystectomy

目的探讨耳穴定向磁珠贴压对腹腔镜胆囊切除术老年患者术后疲劳综合征的干预效果。方法将90例行腹腔镜胆囊切除术的老年患者随机分为对照组、试验Ⅰ组和试验Ⅱ组各30例。对照组采用常规护理方法,试验Ⅰ组在常规护理基础上采取王不留行籽耳穴贴压;试验Ⅱ组将试验Ⅰ组中的王不留行籽更换为定向磁珠。观察住院期间三组患者术后疲劳症状缓解情况。结果三组患者均以术后第1天疲劳评分最高,并呈逐渐下降趋势,术后第7天疲劳评分仍显著高于术前水平(均P<0.05);两个试验组患者术后疲劳程度总体较对照组患者轻,其中试验Ⅱ组最轻(P<0.05)。结论腹腔镜胆囊切除术老年患者术后疲劳程度较重,以术后第1天疲劳程度最高;耳穴贴压能有效缓解术后疲劳症状,定向磁珠效果优于王不留行籽。

Objective To investigate the effect of auricular-plaster therapy with magnetic beads on postoperative fatigue syndrome among patients after laparoseopie eholeeysteetomy. Methods A total of 90 elderly patients after laparoscopic cholecystectomy were randomly divided into a control group, who received routine postoperative care alone, a test group Ⅰ, who additionally received auricular-plaster therapy with Vaccaria seeds, and a test group Ⅱ, who additionally received auricular-plaster therapy with magnetic beads. The severity of postoperative fatigue syndrome was evaluated and compared among the 3 groups. Results All the patients presented highest fatigue scores on the first post-operative day, which declined gradually, yet still higher at 7 days than before the operation （P〈0. 05 for all）. Patients in the two test groups overall had milder fatigue than the control group, with test group II being the mildest （P〈0.05）. Conclusion Postoperative fatigue is common in elderly patients after laparoscopic cholecystectomy, and peaks on the first postoperative day, Auricular-plaster therapy can effectively lessen fatigue levels, with magnetic beads superior to Vaccaria seeds.