摘要
目的:探究宫腔镜手术患者超前镇痛中辅助应用中药穴位贴敷的镇痛效果及对术后康复的影响。方法:选取2020年10月-2023年10月本院行宫腔镜手术患者107例,随机数字表法分为对照组(n=53)、穴位贴敷组(n=54),两组均采用全身麻醉,实施氟比洛芬酯超前镇痛,穴位贴敷组术前4h使用中药穴位敷贴,对比两组疼痛评分[视觉模拟评分法(VAS)、疼痛数字评分法(NRS)],炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)],胃肠功能指标[内毒素(ET)、D-乳酸、胃肠道症状分级评分量表(GSRS)评分]及不良反应发生情况。结果:对比对照组,穴位贴敷组VAS评分(4.48±0.29分比3.07±0.11)分、NRS评分(4.87±0.35分比3.27±0.26分)、TNF-α(17.55±4.25pg/ml比12.75±3.16 g/ml)、IL-6(131.53±16.75ng/L比103.88±12.64ng/L)、D-乳酸(5.45±1.23mmol/L比3.78±1.09mmol/L)、ET(68.52±6.45mmol/L比56.65±4.25mmol/L)、CSRS-症状评分(1.68±0.55分比1.11±0.39分)、GSRS-体征评分(1.72±0.25分比1.34±0.19分)以及不良反应发生率(26.4%比11.1%)均降低(均P<0.05)。结论:宫腔镜手术患者氟比洛芬酯超前镇痛方案中辅助使用中药穴位贴敷可有效减轻患者术后炎症、疼痛感,增强胃肠道功能并降低术后不良反应发生风险。
Objective:To explore the analgesic effect of the acupoint application of Chinese medicine assisted the preemptive analgesia for the hysteroscopic surgery of patients,and to study its influence on the postoperative rehabilitation of the patients.Methods:150 patients who wanted hysteroscopic surgery in the hospital were selected and were divided into control group(n=53)and study group(n=54)according to the random number table method from October 2020 to October 2023.The patients in the two groups were given general anesthesia and preemptive analgesia with flurbiprofen axetil.The patients in the study group received traditional Chinese medicine acupoint in 4 hours before surgery additionally.The pain scores evaluated by visual analogue scale(VAS)and numerical rating scale(NRS),the levels of inflammatory factors,such as tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6),the gastrointestinal function indexes,such as the levels of endotoxin(ET)and D-lactic acid,and the gastrointestinal symptom rating scale(GSRS)score,and the incidence of adverse reactions of the patients were compared between the two groups.Results:The VAS score(4.48±0.29 points),the NRS score(4.87±0.35 points),the TNF-αlevel(17.55±4.25 pg/ml),the IL-6 level(131.53±16.75 ng/L),the D-lactic acid level(5.45±1.23 mmol/L),the ET level(68.52±6.45 mmol/L),the CSRS-symptom score(1.68±0.55 points),the GSRS-sign score(1.72±0.25 points)and the incidence of adverse reactions(26.4%)of the patients in the study group were significantly higher than those(3.27±0.26 points,3.07±0.11 points,12.75±3.16 g/ml,103.88±12.64 ng/L,3.78±1.09 mmol/L,56.65±4.25 mmol/L,1.11±0.39 points,1.34±0.19 points and 11.1%)of the patients in the control group(all P<0.05).Conclusion:The acupoint application of Chinese medicine assisted the preemptive analgesia for the hysteroscopic surgery of the patients can reduce their inflammation and pain,enhance their gastrointestinal function and reduce the risk of their postoperative adverse reactions.
作者
徐慧
彭慧
杨婷
XU Hui;PENG Hui;YANG Ting(Nanjing Traditional Chinese Medicine Hospital,Nanjing,Jiangsu Province,210000)
出处
《中国计划生育学杂志》
2025年第5期1071-1075,共5页
Chinese Journal of Family Planning
关键词
宫腔镜手术
超前镇痛
氟比洛芬酯
中药穴位贴敷
胃肠功能
术后炎症
疼痛
不良反应
Hysteroscopic surgery
Preemptive analgesia
Acupoint application of Chinese medicine
Gastrointestinal function
Postoperative inflammation
Pain
Adverse reaction
