胸腔镜术后穴位贴敷结合穴位针刺治疗的疼痛改善效果

Effect of acupoint sticking combined with acupuncture after thoracoscopic surgery on the improvement of pain

目的探讨胸腔镜术后采用穴位贴敷结合穴位针刺治疗对患者疼痛的改善效果。方法选取本院收治的160例行胸腔镜手术患者,随机分为观察组和对照组各80例。对照组只使用PCA自控镇痛法止痛;观察组在PCA自控镇痛法止痛的基础上,从术后4 h开始使用穴位贴敷,并在术后4、8、24、48 h行穴位针刺治疗。比较分析患者直观模拟量表法(VAS)评分和疼痛问卷(SF-MPQ)评分,统计术后48h以后治疗的有效率;对比2组患者术后4 h和48 h外周血中儿茶酚胺,多巴胺(DA)、去甲状腺素(NA)、肾上腺素(Ad)。结果 2组患者的VAS评分、SF-MPQ评分均有所下降,观察组评分低于对照组(P<0.05),且观察组有效率优于对照组(P<0.05);2组间的DA、NA、Ad含量相当,无统计学差异(P>0.05)。结论穴位贴敷结合穴位针刺治疗对缓解胸腔镜术后患者的疼痛有显著效果。

Objective To study the effect of acupoint sticking combined with acupuncture after thoracoscopic surgery on the improvement of pain. Methods A total of 160 patients undergoing thoracoscopic surgery in our hospital were divided into observation group and control group,with 80 cases in each group. The patients in the control group were only used PCA self controlled analgesia to relieve pain. The patients in the observation group were used acupoint sticking at 4 h after surgery,and the acupuncture treatment was implemented at 4,8,24 and 48 h after operation on the basis of control group. The patient＇s visual analog scale（ VAS） score and the pain questionnaire（ SF-MPQ）score were compared,and the treatment efficiency after 48 h was statistically analyzed. Catecholamine（ DA）,thyroid hormone（ NA）,and adrenaline（ Ad） in peripheral blood at 4,48 h of two groups were compared. Results The VAS scores and SF-MPQ scores of the two groups were all decreased,and the observation group decreased more significantly than that of the control group（ P〈0. 05）,and the observation group had better treatment efficacy than the control group（ P〈0. 05）. There were no significant differences in DA,NA and Ad between the two groups（ P〉0. 05）. Conclusion Acupoint sticking combined with acupuncture has significant effect on relieving pain of patients after thoracoscopy.