王不留行耳穴埋豆联合雷火灸在腹腔镜子宫肌瘤剔除术后的应用价值

Application value of seed-embedding at otopoints with the seed of cowherb combined with thunder-fire moxibustion after laparoscopic hysteromyomectomy

目的分析王不留行耳穴埋豆联合雷火灸在腹腔镜子宫肌瘤剔除术后的应用价值。方法选取2022年1月至7月乐平市中医医院行腹腔镜子宫肌瘤剔除术的62例患者为研究对象,采用随机数字表法将其分为对照组与观察组,每组各31例。对照组在术后接受常规干预措施,观察组术后在常规干预基础上给予王不留行耳穴埋豆联合雷火灸,比较两组患者心理应激状态、胃肠功能恢复、尿潴留发生率等。结果观察组患者术后焦虑自评量表(SAS)评分与抑郁自评量表(SDS)评分均低于对照组,术后肠蠕动恢复时间与肛门排气时间均短于对照组,每分钟肠鸣音次数多于对照组,且尿潴留发生率低于对照组,差异有统计学意义(P<0.05)。结论在腹腔镜子宫肌瘤剔除术后采取王不留行耳穴埋豆联合雷火灸能够有效缓解患者心理应激状态,促进胃肠功能快速恢复,减少尿潴留的发生,具有可靠的临床使用价值。

Objective To analyze the application value of seed-embedding at otopoints with the seed of cowherb combined with thunder-fire moxibustion in laparoscopic hysteromyomectomy.Methods A total of 62 patients who underwent laparoscopic hysteromyomectomy in Leping Hospital of Traditional Chinese Medicine from January to July 2022 were selected as the research objects,and they were divided into control group and observation group according to random number table method,with 31 patients in each group.Patients in the control group received routine intervention measures after surgery,and patients in the observation group were given seed-embedding at otopoints with the seed of cowherb combined with thunder-fire moxibustion on the basis of routine intervention after surgery.The psychological stress state,gastrointestinal function recovery and incidence of urinary retention were compared between the two groups.Results The observation group had lower self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score than those of the control group,the postoperative recovery time of peristalsis and anal exhaust time were shorter than those of the control group,the number of bowel sounds per minute was higher than that of the control group,and the incidence of urinary retention was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion After laparoscopic hysteromyomectomy,seed-embedding at otopoints with the seed of cowherb combined with thunder-fire moxibustion can effectively relieve psychological stress state,promote rapid recovery of gastrointestinal function and reduce the occurrence of urinary retention,which has reliable clinical value.