揿针疗法对乳腺肿块微创术后加速康复的效果观察

Effect of imbedding needle on accelerated recovery after minimally invasive surgery in breast mass patients

目的观察揿针疗法对乳腺肿块微创术后加速康复的临床效果。方法将60例择期行乳腺肿块微创切除术的患者随机分为对照组和揿针组,每组30例。对照组采用常规术前健康指导和术后护理,揿针组采用揿针治疗联合常规护理。比较2组术后1、2、4、6、8、24 h视觉模拟评分法(VAS)疼痛评分和补救治疗人数,术后24 h采用恢复质量40(QoR-40)量表对患者进行恢复质量评估,采用多维疲劳量表(MFI)对患者进行疲劳评估。结果揿针组术后1、2、4、6、8 h时VAS评分低于对照组,术后24 h补救治疗人数少于对照组,差异有统计学意义(P<0.05)。术后24 h时,揿针组QoR-40总分和情绪状态、身体舒适度、疼痛控制方面评分均优于对照组,差异有统计学意义(P<0.05);2组心理支持和自理能力评分比较,差异无统计学意义(P>0.05);2组MFI评分差异无统计学意义(P>0.05)。结论揿针治疗可以减少乳腺肿块患者微创术后早期疼痛,改善患者的情绪状态,提高舒适度,加速患者康复。

Objective To observe the clinical effect of imbedding needle on accelerated recovery after minimally invasive surgery for breast mass.Methods Sixty patients undergoing elective minimally invasive resection of breast masses were randomly divided into control group and imbedding needle group,with 30 cases in each group.The control group received routine perioperative nursing guidance,while the imbedding needle group received imbedding needle therapy and routine care.The Visual Analogue Scale(VAS)scores at 1,2,4,6,8 and 24 h postoperation as well as number of patients with remedial treatment were compared between the two groups.The quality of recovery was evaluated by Quality of Recovery 40(QoR-40)at 24 h postoperation,and Multidimensional Fatigue Scale(MFI)was adopted for fatigue assessment.Results Compared with control group,the VAS scores of the imbedding needle group at 1,2,4,6 and 8 h after operation were significantly lower(P<0.05).The number of patients with remedial treatment was significantly less than that in the control group(P<0.05).The total QoR-40 scores,emotion status,comfort and pain control scores were better than those in the control group at 24 h postoperation(P<0.05),but there was no statistically difference between psychological support score and self-care ability score(P>0.05).There was no significant between-group difference in MFI score(P>0.05).Conclusion Imbedding needle can alleviate early postoperative pain,improve emotional state and comfort,and promote recovery of breast mass patients with minimally invasive surgery.