摘要
目的 探讨耳穴贴磁法对妇科恶性肿瘤患者围手术期阿片类药物使用的影响。方法 采用随机数字表法将120例妇科恶性肿瘤手术患者分为A、B、C组,每组40例,其中A组患者接受常规围手术期疼痛管理,B组患者在常规疼痛管理的基础上给予耳穴贴磁法,C组患者在常规疼痛管理基础上给予耳穴贴。比较3组患者生命体征[平均动脉压(MAP)、心率、脉搏血氧饱和度(SpO_(2))]、手术情况、麻醉相关指标、术后镇痛药物使用情况、疼痛程度和生活质量[癌症患者生命质量测定量表(FACT-G)]。结果 麻醉诱导前(T_(0))~手术结束时(T_(5))时,3组患者MAP、心率、SpO_(2)时间比较,差异均有统计学意义(P﹤0.05),其中MAP在3组患者T_(0)~手术开始时(T_(1))时呈下降趋势,T_(1)~T_(5)时逐渐上升;心率在A、C组患者T_(0)~手术开始后120min(T_(4))时呈下降趋势,T_(4)~T_(5)时逐渐上升,而在B组患者T_(0)~手术开始后60 min(T_(3))时呈下降趋势,T_(3)~T_(5)时逐渐上升;SpO_(2)在3组患者T_(0)~手术开始后30 min(T_(2))时呈现下降趋势,而在T_(2)~T_(5)时波动不明显。B组患者术中瑞芬太尼用量低于A、C组,差异均有统计学意义(P﹤0.05)。B组患者镇痛泵有效按压次数、镇痛药物使用量均低于A、C组,术后24、48、72 h的视觉模拟评分法(VAS)评分均低于A、C组,差异均有统计学意义(P﹤0.05)。术后7天,3组患者FACT-G评分均高于本组术前1天,B组患者FACT-G评分高于A、C组,差异均有统计学意义(P﹤0.05)。结论 接受手术治疗的妇科恶性肿瘤患者围手术期采用耳穴贴磁法辅助治疗,可加强疼痛管理效果,有效减少围手术期阿片类药物的使用,提高患者的生活质量。
Objective To explore the effect of auricular point sticking-magnetism method on perioperative opioid use in patients with gynecological malignant tumors.Method Totally 120 patients with gynecological malignant tumors undergoing surgery were randomly divided into groups A,B,and C using random number table method,with 40 patients in each group.Group A patients received routine perioperative pain management,group B patients received auricular point sticking-magnetism method on the basis of routine pain management,and group C patients received ear point patching on the basis of routine pain management.The vital signs[mean arterial pressure(MAP),heart rate,pulse oxyhemoglobin saturation(SpO_(2))],surgical conditions,anesthesia related indicators,postoperative analgesic use,pain severity,and quality of life[functional assessment of cancer therapy-general(FACT-G)]among the three groups were compared.Result Before anesthesia induction(T_(0))to the end of surgery(T_(5)),the differences in MAP,heart rate,and SpO_(2) time among the three groups were statistically significant(P<0.05).Among them,MAP showed a decreasing trend from T_(0) to the beginning of surgery(T_(1))in the three groups,and gradually increased from T_(1)-T_(5);heart rate showed a decreasing trend in group A and C from T_(0) to 120 minutes after surgery(T_(4)),gradually increasing from T_(4)-T_(5),while in group B,it showed a decreasing trend from T_(0) to 60 minutes after surgery(T_(3)),gradually increasing from T_(3)-T_(5);SpO_(2) showed a decreasing trend in the three groups from T_(0)-30 minutes after the start of surgery(T_(2)),while the fluctuation was not significant from T_(2)-T_(5).The intraoperative remifentanil dosage in Group B was lower than those in Group A and Group C,and the differences were statistically significant(P<0.05).The effective pressing frequency of the analgesic pump and the amount of analgesic drugs used in Group B were lower than those in Group A and Group C,the visual analog scale(VAS)scores at 24,48,and 72 hours after surgery were lower than those in Group A and Group C,and the differences were statistically significant(P<0.05).On the 7 days after surgery,the FACT-G scores of three groups were higher than those one day before surgery,the FACT-G scores of group B was higher than those of group A and group C,and the differences were statistically significant(P<0.05).Conclusion Patients with gynecological malignant tumors undergoing surgical can be assisted with auricular point sticking-magnetism method during the perioperative period,which can enhance pain management,effectively reduce the use of opioid drugs during the perioperative period,and improve the quality of life.
作者
吴开恩
徐芳
黄文艳
吴丽娟
孙雅丽
WU Kaien;XU Fang;HUANG Wenyan;WU Lijuan;SUN Yali(Department of Anesthesiology,Jiangxi Maternal and Child Health Hospital,Nanchang 330006,Jiangxi,China;Department of Obstetrics and Gynecology,Jiangxi Maternal and Child Health Hospital,Nanchang 330006,Jiangxi,China;Operating Room,Jiangxi Maternal and Child Health Hospital,Nanchang 330006,Jiangxi,China)
出处
《癌症进展》
2025年第3期285-288,305,共5页
Oncology Progress
基金
江西省中医药管理局科技计划项目(2022B029)。
关键词
耳穴贴磁法
妇科恶性肿瘤
围手术期疼痛管理
麻醉药物
术后疼痛
生活质量
auricular point sticking-magnetism method
gynecological malignant tumor
perioperative pain management
anesthetic
postoperative pain
quality of life
