【作者】 Lu Wei-yu (陆伟钰), Shen Juan-fen (沈娟芬), Shen Li-ping (沈丽萍), Zhu Jian-fen (朱建芬)

【机构】 本站原创

【摘要】

Objective: To observe the effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery.

Methods: A total of 120 patients taking nasal endoscopic surgery were included, and all patients were under trachea intubation and general anesthesia. The patients were randomized into an observation group and a control group, with 60 patients in each group. Patients in the control group received conventional anesthesia resuscitation, while patients in the observation group received acupoint massage plus acupoint sticking therapy on the basis of conventional anesthesia resuscitation. Changes in the heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were observed at three time points including the end of the surgery (T0), the removal of the tracheal tube (T1) and 10 min after the removal of the tracheal tube (T2). The awakening and tube removal time, choking cough and restlessness, and adverse reactions (dizziness, nausea and vomiting) in 24 h post-surgery period were compared.

Results: At T1 and T2, the comparison of HR, SBP and DBP between the two groups showed statistical significance (all P<0.05). Intra-group comparison, the HR, SBP and DBP of the control group at T1 and T2 were significant different from those at T0 (all P<0.05). There were significant differences in the awakening time and tube removal time between the two groups (both P<0.05). The incidences of choking cough and restlessness were 8.3% and 3.3% respectively in the observation group, versus 53.3% and 30.0% in the control group, and the between-group comparisons showed statistical significance (both P<0.05). The incidences of dizziness, nausea and vomiting in 24 h post-surgery period were 3.3%, 5.0% and 0.0% respectively in the observation group, versus 43.3%, 33.3% and 25.0% in the control group, and the between-group comparisons showed statistical significance (all P<0.05).

Conclusion: Acupoint massage plus acupoint sticking therapy can effectively regulate the stress reaction during postoperative anesthesia recovery period in patients taking nasal endoscopic surgery, and maintain a stable internal environment.