耳穴贴压联合足浴促进子宫腺肌病患者术后恢复的效果及镇痛、抗焦虑机制初探
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Effect of auricular point sticking combined with foot bath in promoting postoperative recovery of patients with adenomyopathy and the mechanism of analgesia and anti-anxiety
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    摘要:

    目的:探究耳穴贴压联合足浴促进子宫腺肌病患者术后恢复的效果及镇痛、抗焦虑机制。方法:选取行高强度聚焦超声(HIFU)术治疗的107例子宫腺肌病患者,按照干预方式不同分为观察组(n=54)及对照组(n=53)。对照组患者术后予以足浴干预;观察组患者术后在对照组基础上给予耳穴贴压干预,两组均连续干预5 d。对比两组患者术后疼痛视觉模拟量表(VAS)评分、中医证候积分、心理状态[医院焦虑抑郁量表(HADS)]、睡眠觉醒次数、血清中神经递质[β内啡肽(β-EP)、5羟色胺(5-HT)]、炎症因子[白细胞介素6(IL-6)、可溶性血管细胞黏附分子1(sVCAM-1)]水平、不良反应、1年内的复发率。结果:术后1、3、5 d,两组患者VAS评分均逐渐降低,且观察组的VAS评分均低于对照组(P<0.05);治疗5 d后,两组中医证候积分、焦虑HADS(A)评分均低于术后1 d(P<0.05),且观察组低于对照组(P<0.05);观察组术后5 d内睡眠觉醒次数少于对照组(P<0.05);两组血清中β-EP、5-HT水平均高于术后1 d(P<0.05),且观察组高于对照组(P<0.05);IL-6、sVCAM-1水平均低于术后1 d(P<0.05),且观察组低于对照组(P<0.05)。随访1年,两组复发率比较,差异无统计学意义(P>0.05)。结论:耳穴贴压联合足浴可有效促进子宫腺肌病患者的术后恢复,减轻术后痛感,改善临床症状、焦虑情绪,可能通过调节神经递质、降低炎症因子水平以发挥镇痛、抗焦虑作用,安全性良好,不易于复发。

    Abstract:

    Objective:To explore the effect of auricular point sticking combined with foot bath in promoting the postoperative re-covery of patients with adenomyopathy and the mechanism of analgesia and anti-anxiety.Methods:A total of 107 patients with adenomy-opathy who underwent high intensity focused ultrasound(HIFU)were divided into observation group(n=54)and control group(n=53)according to different intervention methods.Patients in the control group were given foot bath intervention after surgery.Observation group was given auricular point sticking intervention on the basis of control group after operation,and both groups were continuously in-tervened for 5 days.The VAS score,TCM syndrome score,mental state[Hospital Anxiety and Depression Scale(HADS)],number of sleep and wake times,serum neurotransmitters[β-endorphin(β-EP),5-hydroxytryptophan(5-HT)]and inflammatory factors[Inter-leukin-6(IL-6),soluble vascular cell adhesion molecule-1(sVCAM-1)],adverse reactions,and recurrence rate within 1 year were compared between the two groups.Results:At 1,3 and 5 d after surgery,the VAS scores in both groups decreased gradually,and the ob-servation group was lower than the control group(P<0.05).After 5 days of treatment,TCM syndrome score and anxiety HADS(A)score were lower in both groups than those of 1 day after surgery(P<0.05).The observation group was lower than the control group(P<0.05).The number of sleep and wake times within 5 days after surgery in the observation group was lower than that in the control group(P<0.005).After 5 days of treatment,the serum levels of β-EP and 5-HT in the two groups were higher than 1 day after surgery(P<0.05),and the observation group was higher than the control group(P<0.05).The levels of IL-6 and sVCAM-1 were lower than 1 day after surgery(P<0.05),and the observation group was lower than the control group(P<0.05).After 1 year of follow-up,there was no statistically significant difference in the recurrence rate between the two groups(P>0.05).Conclusion:Auricular point stick-ing combined with foot bath can effectively promote the postoperative recovery of patients with adenomyopathy,reduce postoperative pain,improve clinical symptoms and anxiety,which may be related to the analgesic and anti-anxiety effects by regulating neurotransmit-ters and reducing the level of inflammatory factors,with good safety and not easy to relapse.

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刘娟萍;曾薇薇;朱小贞;.耳穴贴压联合足浴促进子宫腺肌病患者术后恢复的效果及镇痛、抗焦虑机制初探[J].川北医学院学报,2025,40(1):21-24 36.

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  • 在线发布日期: 2025-07-24
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