耳穴在围手术期运用的研究进展

Research Progress on Auricular Point Application during Perioperative Period

综述了近年来耳穴在围手术期运用的研究进展。研究结果表明,耳穴干预可以促进围手术期患者的康复,缩短麻醉后首次肛门排气时间、首次下床活动时间和住院时间;能够有效地镇痛和抗焦虑,减少麻醉药的用量;并且能够消除麻醉后恶心呕吐、腹胀等症状;加快麻醉苏醒,缩短呼之睁眼时间及拔管时间,缩短定向力恢复时间及出复苏室时间;减轻麻醉药物引起的呼吸抑制并保护神经和心脏;能够消除麻醉术后尿潴留和尿路刺激。耳穴围手术期干预显示了一定的优势,值得在临床推广应用,但同时需要严格设计的研究来提供高质量证据。

In the paper,we reviewed the research progress on auricular point application during perioperative period in recent years.Research results showed that auricular point intervention promoted the rehabilitation of the patients in perioperative period,shortened the time to first anal exhaust after anesthesia,first time of getting out of bed and hospitalization,effectively performed analgesia and anti-anxiety,reduced the dosage of anesthetics,eliminated nausea,vomiting and abdominal distension symptoms after anesthesia,accelerated the recovery of anesthesia,shortened the time of eye opening and extubation,and shortened the recovery time of orientation and time of coming out of the resuscitation room,reduced respiratory inhibition caused by anesthetic drugs and protected nerves and heart,eliminated urinary retention and urinary tract irritation after anesthesia.Auricular point intervention during perioperative period shows certain advantages and is worth of clinical popularization and application,but need to promote quality of reference literatures by restrict designed researches.