中国处方药
中國處方藥
중국처방약
CHINA PRESCRIPTION DRUG
2014年
6期
13-14
,共2页
颈舒散热奄包外敷%中医耳穴压豆%王不留行%甲状腺手术%影响
頸舒散熱奄包外敷%中醫耳穴壓豆%王不留行%甲狀腺手術%影響
경서산열엄포외부%중의이혈압두%왕불류행%갑상선수술%영향
Jingshu radiating cover package external application%Chinese medicine and auricular plaster therapy%Thyroid operation%effect
目的:研究颈舒散热奄包外敷联合中医耳穴压豆对甲状腺手术患者疼痛视觉模拟评分法(VAS评分)及术后恶心呕吐(PONV)症状的影响。方法选取2013年4月~2014年2月收治行甲状腺手术患者120例作为研究对象,随机分成观察组和对照组各60例。观察组术后给予颈舒散热奄包外敷配合中医耳穴王不留行贴压,对照组术后给予单纯粗盐热奄包外敷加非甾体类解热镇痛药、止吐药等。对比两组患者术后PONV症状的严重程度以及两种方法的疗效等。结果观察组疗效为优者占比70.00%(42/60),优良率为95.00%(57/60),均高于对照组的21.67%(13/60)、50.00%(30/60),差异均有统计学意义(P均<0.05)。观察组第1天VAS评分为(6.32±1.37),第2天VAS评分为(4.72±0.83),第3天VAS评分为(0.21±1.55),均少于对照组的(7.32±2.42)、(6.82±1.94)、(6.41±1.99),差异均有统计学意义(均P<0.05)。且观察组患者头痛的VAS评分显著呈下降趋势。观察组患者术后3 d恶心发生率为21.67%、呕吐发生率为8.33%、头晕发生率为18.33%、头痛发生率为1.67%,对照组患者术后3 d恶心发生率为70.00%、呕吐发生率为20.00%、头晕发生率为43.33%、头痛发生率为16.67%,其中两组恶心、两组头晕和头痛发生率比较,差异均有统计学意义(P均<0.05)。结论颈舒散热奄包外敷颈项部配合王不留行贴压法进行耳穴压豆,疼痛小、副作用少、疗效显著。
目的:研究頸舒散熱奄包外敷聯閤中醫耳穴壓豆對甲狀腺手術患者疼痛視覺模擬評分法(VAS評分)及術後噁心嘔吐(PONV)癥狀的影響。方法選取2013年4月~2014年2月收治行甲狀腺手術患者120例作為研究對象,隨機分成觀察組和對照組各60例。觀察組術後給予頸舒散熱奄包外敷配閤中醫耳穴王不留行貼壓,對照組術後給予單純粗鹽熱奄包外敷加非甾體類解熱鎮痛藥、止吐藥等。對比兩組患者術後PONV癥狀的嚴重程度以及兩種方法的療效等。結果觀察組療效為優者佔比70.00%(42/60),優良率為95.00%(57/60),均高于對照組的21.67%(13/60)、50.00%(30/60),差異均有統計學意義(P均<0.05)。觀察組第1天VAS評分為(6.32±1.37),第2天VAS評分為(4.72±0.83),第3天VAS評分為(0.21±1.55),均少于對照組的(7.32±2.42)、(6.82±1.94)、(6.41±1.99),差異均有統計學意義(均P<0.05)。且觀察組患者頭痛的VAS評分顯著呈下降趨勢。觀察組患者術後3 d噁心髮生率為21.67%、嘔吐髮生率為8.33%、頭暈髮生率為18.33%、頭痛髮生率為1.67%,對照組患者術後3 d噁心髮生率為70.00%、嘔吐髮生率為20.00%、頭暈髮生率為43.33%、頭痛髮生率為16.67%,其中兩組噁心、兩組頭暈和頭痛髮生率比較,差異均有統計學意義(P均<0.05)。結論頸舒散熱奄包外敷頸項部配閤王不留行貼壓法進行耳穴壓豆,疼痛小、副作用少、療效顯著。
목적:연구경서산열엄포외부연합중의이혈압두대갑상선수술환자동통시각모의평분법(VAS평분)급술후악심구토(PONV)증상적영향。방법선취2013년4월~2014년2월수치행갑상선수술환자120례작위연구대상,수궤분성관찰조화대조조각60례。관찰조술후급여경서산열엄포외부배합중의이혈왕불류행첩압,대조조술후급여단순조염열엄포외부가비치체류해열진통약、지토약등。대비량조환자술후PONV증상적엄중정도이급량충방법적료효등。결과관찰조료효위우자점비70.00%(42/60),우량솔위95.00%(57/60),균고우대조조적21.67%(13/60)、50.00%(30/60),차이균유통계학의의(P균<0.05)。관찰조제1천VAS평분위(6.32±1.37),제2천VAS평분위(4.72±0.83),제3천VAS평분위(0.21±1.55),균소우대조조적(7.32±2.42)、(6.82±1.94)、(6.41±1.99),차이균유통계학의의(균P<0.05)。차관찰조환자두통적VAS평분현저정하강추세。관찰조환자술후3 d악심발생솔위21.67%、구토발생솔위8.33%、두훈발생솔위18.33%、두통발생솔위1.67%,대조조환자술후3 d악심발생솔위70.00%、구토발생솔위20.00%、두훈발생솔위43.33%、두통발생솔위16.67%,기중량조악심、량조두훈화두통발생솔비교,차이균유통계학의의(P균<0.05)。결론경서산열엄포외부경항부배합왕불류행첩압법진행이혈압두,동통소、부작용소、료효현저。
Objective To study the effect of VAS score and PONV symptoms of Jingshu radiating cover package external application of traditional Chinese medicine combined auricular plaster therapy on patients with thyroid operation. Methods 120 patients needed thyroid operation were collected from April 2013 to April 2015, and randomly divided into observation group(60 cases)and control group(60 cases).Jingshu radiating cover package external application combined with auricular plaster therapy were used for the patients in observation group after operation, while the control group were with crude salt Reyanbao topical . Or added non steroidal anti-inflammatory drugs or antiemetic drugs, when the patients in control group were needed. Then Compared severity of PONV symptoms and the VAS score of two groups. Results The effective rate of observation group was 95%(57/60), which was higher than that of the control group [50%(30/60)]. The differences were statistically significant(P < 0.05). The first days VAS score of observation group was(6.32 ± 1.37), the second days VAS score was(4.72 ± 0.83), and the third days VAS score was(0.21 ± 1.55), while the control group were(7.32 ± 2.42),(6.82 ± 1.94)and (6.41 ± 1.99). The differences were statistically significant(P<0.05).After three days of operation, the incidence rate of nausea ,vomiting , dizziness and headache were 21.67%,8.33%,18.33%and1.67%. The differences were statistically significant(P < 0.05). Conclusion Jingshu radiating cover package external neck sticking and pressing of ear pressure beans with cowherb seed were good for thyroid operation patients with less pain and better effect.