耳穴贴压对子宫肌瘤腹腔镜手术患者机体应激状态影响.docVIP

耳穴贴压对子宫肌瘤腹腔镜手术患者机体应激状态影响 　　[摘要] 目的 ?^察耳穴贴压对子宫肌瘤腹腔镜手术患者机体应激状态的影响。 方法 将符合纳入标准的300例子宫肌瘤腹腔镜手术患者随机分为干预组和安慰组，各150例。两组均接受常规术前护理，术前1日8时干预组和安慰组均取穴神门、皮质下、心，干预组给予耳穴王不留行籽贴，安慰组给予与耳穴王不留行籽贴大小、外观相同，但无王不留行籽的海绵软球胶布。采用特质焦虑量表（STAI）和焦虑自评量表（SAS）评估患者心理应激状态；测量患者心率（HR）、血压（BP）及血浆皮质醇（COL）生理应激状态指标。手术当日8时患者送入手术室平静10 min后，再次评估患者心理应激状态并测定生理应激状态指标。 结果 两组患者年龄、病程、STAI和SAS评分、HR、BP、COL的基线资料比较，差异无统计学意义（P0.05）；干预组干预后STAI评分、SAS评分、SBP和HR明显低于安慰组，差异有统计学意义（P0.05），而且干预组干预后的COL水平明显低于安慰组，差异有统计学意义（P0.05）。干预组脱落11例，安慰组脱落13例。脱落原因为各种因素导致的手术取消。 结论 术前1 d对患者实施耳穴贴压疗法可减轻患者的焦虑，降低心理应激水平，同时也可以改善患者机体应激状态的生理反应，增强面临手术时机体的适应能力，为患者的围手术期身心康复奠定良好的基础。 　　[关键词] 耳穴贴压；子宫肌瘤；应激状态；安慰剂 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）34-0142-03 　　Effect of auricular compression on the stress state in patients with uterine fibroids laparoscopic surgery 　　WEI Qiangang ZHAO Ruohua LIU Yan WANG Ling XIAO Jing REN Xinsheng 　　Department of Nursing， the Peoples Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Fuzhou 350004， China 　　[Abstract] Objective To observe the effect of auricular compression on the stress state in patients with uterine fibroids laparoscopic surgery. Methods A total of 300 patients with uterine fibroids laparoscopic surgery who met the inclusion criteria were randomly divided into intervention group and placebo group， with 150 cases in each group. Both groups received routine preoperative nursing. At 08：00 on day 1 before surgery， the acupoints including shenmen， below the cortex and heart were taken. The intervention group was given vaccaria seed plaster ear pressure. The placebo group was given sponge soft rubber tape without vaccaria seed while with the same size and the same look. The trait anxiety scale （STAI） and anxiety self-rating scale （SAS） were used to evaluate the psychological stress status. The physiological stress indicators including heart rate （HR）， blood pressure （BP） and plasma cortisol （COL） were measured. At 08：00 on the day of operation， patients were admitted to the o