| 摘要: |
| 目的 观察揿针联合耳穴压丸对腹腔镜胆囊切除术术前焦虑、抑郁状态的改善作用效果。方法:选取2022年10月—2022年12月我院收治的接受腹腔镜胆囊切除术伴发术前焦虑抑郁状态的患者64例，采用随机数字表法分为揿针联合耳穴压丸组及揿针组，每组32例。在常规治疗的基础上，揿针联合耳穴压丸组予揿针联合耳穴压丸治疗，揿针穴取内关、神门、三阴交、太冲，每天按压3次，每次每穴1 min，连续治疗7 d，耳穴压丸取穴内分泌、心、肝、神门，每日按压4～5次，每次每穴15 s，留置时间为72 h，每周2次，连续治疗1周。揿针组予相同的揿针治疗，连续治疗7 d。观察并比较各组治疗前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和匹兹堡睡眠质量指数(PSQI)评分变化，并评价两组患者SAS和SDS疗效。结果:与本组治疗前相比，两组治疗后SAS、SDS评分以及PSQI各项评分及总分均下降(P＜0.05)，且揿针联合耳穴压丸组明显低于揿针组(P＜0.05)。揿针联合耳穴压丸组SAS疗效和SDS疗效的总有效率分别为90.6%(29/32)、78.1%(25/32)，均高于揿针组的68.8%(22/32)、53.1%(17/32)，差异有统计学意义(P＜0.05)。结论:揿针联合耳穴压丸可有效改善腹腔镜胆囊切除术患者术前焦虑抑郁状态，提高睡眠质量，疗效优于单纯揿针治疗。 |
| 关键词: 腹腔镜胆囊切除术 耳穴压丸 揿针 术前焦虑 术前抑郁 |
| DOI：10.3969/j.issn.1007-6948.2023.05.005 |
|
| 基金项目:浦东新区卫生系统浦东名中医培养计划(PWRzm2020-05)；国家自然科学基金项目(82004444)；上海市卫生健康委员会科研课题计划项目(20204Y0472)；上海市“医苑新星”青年医学人才培养资助计划专科项目；上海市科学技术委员会科研计划项目(20Y21902900)；市级医院临床科技创新项目(SHDC22021210) |
|
| Clinical study of treating anxiety and depression before laparoscopic cholecystectomy with imbedding needle combined with auricular point pressure |
| WEI Xi-fang,CAI Wa,SHEN Wei-dong |
| Shuguang Hospital Affiliated to Shanghai University of TCM，Shanghai 201203,China |
| Abstract: |
| Objective To observe the clinical effects of imbedding needle combined with auricular point pressure for the treatment of preoperative depression and anxiety of laparoscopic cholecystectomy(LC). Methods 64 patients who underwent laparoscopic cholecystectomy with preoperative anxiety and depression status admitted to our hospital were selected from October 2022 to December 2022. 64 patients were divided into imbedding needle combined with auricular point pressure group, imbedding needle group using random number table method, 32 cases in each group. On the basis of conventional treatments, for participants in the imbedding needle combined with auricular point pressure group, practiced imbedding needle therapy was exerted at Neiguan, Shenmen, Sanyinjiao and Taichong. These acupoints were pressed three times a day, 1 min at each point each time, consecutively for 7 days. Besides, auricular point pressure magnetic beads were selected for endocrinology, heart, liver and Shenmen, pressed 4-5 times a day, 15 s at each point, twice a week with 72 h retaining time for one week. In the imbedding needle group received the same imbedding needle treatment, consecutively for 7 days. The score of self-rating anxiety scale (SAS), the score of self-rating depression scale (SDS) and the score of Pittsburgh sleep quality index (PSQI) before and after treatment were observed in the two groups, and the clinical efficacy for SDS scores and SAS scores in the two groups were evaluated. Results Compared with before treatment, the SAS scores, the SDS scores and PSQI scores of the two groups after treatment significantly decreased, and the imbedding needle combined with auricular point pressure group was significantly lower than the other group (P<0.05). The total effective rates for improving SAS scores and SDS scores in the imbedding needle combined with auricular point pressure group were 90.6%(29/32)and 78.1%(25/32)respectively, and which were higher than 68.8%(22/32)and 53.1%(17/32)respectively in the imbedding needle group. The difference of SAS and SDS had statistical significance (P<0.05). Conclusion Imbedding needle combined with auricular point pressure can effectively relieve the conditions of preoperative anxiety and depression, improve the quality of sleep for patients of LC, and the therapeutic effect of the imbedding needle combined with auricular point pressure treatment is better than the imbedding needle alone. |
| Key words: Laparoscopic cholecystectomy auricular point pressure imbedding needle preoperative anxiety preoperative depression |
