文章摘要
汤阿毛,宁丽,吴雅梨,等.穴位贴敷疗法治疗热毒血瘀型视网膜脱离复位术后患者疼痛的效果研究[J].浙江中医药大学学报,2020,44(10):1018-1022.
穴位贴敷疗法治疗热毒血瘀型视网膜脱离复位术后患者疼痛的效果研究
Effect of Acupoint Application on Pain of Postoperative Patients with Retinal Detachment Reduction of Heat-toxic and Blood Stasis Syndrome
DOI:10-16466/j.issn1005-5509-2020-10-020
中文关键词: 穴位贴敷疗法  视网膜脱离  术后  疼痛  睡眠  应用研究  中医护理
英文关键词: acupoint application therapy  retinal detachment  postoperative  pain  sleep  applied research  Chinese traditional medical nursing
基金项目:杭州市社会发展自主申报项目(20180533B44)
作者单位E-mail
汤阿毛 浙江大学医学院附属杭州市第一人民医院 杭州 310006  
宁丽 浙江大学医学院附属杭州市第一人民医院 杭州 310006 nl5401@163.com 
吴雅梨 浙江大学医学院附属杭州市第一人民医院 杭州 310006  
刘忻 浙江大学医学院附属杭州市第一人民医院 杭州 310006  
徐璐 浙江大学医学院附属杭州市第一人民医院 杭州 310006  
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中文摘要:
      [目的]验证穴位贴敷疗法对热毒血瘀型视网膜脱离术后患者疼痛等症状的改善作用。[方法]选择2018年1月至2018年6月浙江大学医学院附属杭州市第一人民医院就诊的96例视网膜脱离复位术后患者,根据随机数字表将患者纳入空白对照组(不贴穴位贴敷)、条件对照组(应用安慰剂敷贴,大麦粉自制,外形与自制敷贴一致)、实验组(应用自制穴位敷贴),每组32例患者,采用重复测量方差分析比较3组患者术后立即、术后1、4、8、16和32h的疼痛评分、睡眠评分的差异。[结果]术后1、4、8、16和32h组间比较,三组患者疼痛评分、睡眠评分差异均有统计学意义(P<0-01),实验组对疼痛和睡眠的改善效果明显优于空白对照组和条件对照组。随着时间迁移,三组患者疼痛评分、睡眠评分均有明显下降,组内比较差异有统计学意义(P<0-01)。[结论]自制中药穴位贴敷应用于视网膜脱离术后热毒血瘀型的患者,对缓解患者术后疼痛有明显的效果,同时能够明显改善患者睡眠状况。
英文摘要:
      [Objective]To verify the effect of acupoint application on the relief of symptoms such as pain in postoperative patients with retinal detachment reduction of heat-toxic and blood stasis syndrome. [Methods]Ninety-six postoperative patients with retinal detachment reduction in Affiliated Hangzhou First People’s Hospital, School of Medicines Zhejiang University, from January 2018 to June 2018 were randomly divided into blank control group(no acupoint application), conditional control group(applied with placebo patches, appearance was consistent with apply acupoints, self-made barley flour), experimental group(applied with self-made acupoint sticking), 32 patients in each group. The pain score, the sleep score of preoperative and 1, 4, 8, 16 and 32h postoperative were compared among the three groups with repeated measurement ANOVA. [Results]The differences in pain score and sleep score among the three groups were statistically significant at 1, 4, 8, 16 and 32h postoperatively(P<0-01). The relief of pain and sleep in experimental group was significantly better than that in blank control group and condition control group.At the same time, with the time extended, the pain score and sleep score of the three groups decreased significantly(P<0-01). [Conclusion]In this study, the self-made Chinese medicine acupoint application was applied to the postoperation patients with heat-toxic and blood stasis syndrome to restore retinal detachment, which had an obvious effect on relieving postoperative pain and significantly improving patients’ sleep condition.
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