耳穴压豆与针刺联合常规医护措施对分化型甲状腺癌术后早期康复的影响

Effect of Auricular Point Pressing with Beans and Acupuncture Combined with Routine Medical Measures on Early Rehabilitation After Operation for Differentiated Thyroid Carcinoma

目的:观察耳穴压豆与针刺联合常规医护措施在促进分化型甲状腺癌(DTC)术后患者早期康复方面的效果。方法:将88例患者随机分为观察组和对照组各44例。2组均给予常规对症处理与综合护理措施,观察组加予耳穴压豆和针刺。2组疗程均为7 d。术后1、2、3、5和7 d采用疼痛数字评分法(NRS)评价患者的术后疼痛程度,治疗前后评价抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分和症状自评量表(SCL-90)评分,比较2组患者的并发症发生情况,出院时患者自行评价护理满意度。结果:2组术后2、3、5和7 d的NRS评分均逐渐下降(P<0.05);术后2、3、5和7 d,观察组的NRS评分均低于同期对照组(P<0.01)。治疗后,2组SDS、SAS评分及SCL-90评分均较治疗前下降(P<0.01),观察组3项评分均低于对照组(P<0.01)。观察组并发症总发生率低于对照组,护理满意度高于对照组,差异均有统计学意义(P<0.05)。结论:在常规对症处理与综合护理措施的基础上加用耳穴压豆和针刺,可有效减轻DTC术后患者的疼痛程度与抑郁、焦虑程度,改善患者的心理状况,减少并发症的发生,提高患者对护理措施的满意度。

Objective:To observe the effect of auricular point pressing with beans and acupuncture combined with routine medical measures on promotion of early rehabilitation in patients after operation for differentiated thyroid carcinoma(DTC).Methods:A total of 88 cases of patients were randomly divided into the observation group and the control group,44 cases in each group. Both groups were given routine expectant treatment and comprehensive nursing measures,and the observation group was additionally given auricular point pressing with beans and acupuncture. Both groups were treated for seven days.After treatment for one,two,three,five and seven days respectively,the postoperative pain degrees were evaluated by Numerical Rating Scale(NRS). Before and after treatment,the scores of Self-Rating-Depression Scale(SDS),Self-Rating Anxiety Scale(SAS) and Symptom Checklist-90(SCL-90) were assessed. The incidence of complications in the two groups were compared. The nursing satisfaction was evaluated by patients when discharge. Results:Two,three,five and seven days after operation respectively,the NRS scores in the two groups were gradually decreased(P<0.05);the scores in the observation group were lower than those in the control group at the same period(P<0.01). After treatment,the scores of SDS,SAS and SCL-90 in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were all lower than those in the control group(P<0.01). The total incidence of complications in the observation group was lower than that in the control group,and the nursing satisfaction was higher,differences being significant(P<0.05). Conclusion: Based on routine expectant treatment and comprehensive nursing measures,the additional application of auricular point pressing with beans and acupuncture for patients after operation for DTC can effectively relieve pain, anxiety and depression, improve their psychological status, reduce the incidence of complications,and enhance their satisfaction to nursing measures.