耳穴贴压对腹部手术患者术后疼痛干预的效果观察

目的：观察耳穴贴压对腹部手术患者术后疼痛干预的临床效果。方法：将腹部手术患者185例采用完全随机法分为耳穴贴压护理干预组（耳压组）93例和对照组92例。2组患者均在术前、术后给予心理干预及常规护理。耳压组患者采用耳穴贴压以缓解疼痛。同时采用“视觉模拟评分法（visual analogue scale， VAS）”评定疼痛程度。观察2组患者术后72小时内伤口疼痛程度、止痛药使用情况、首次肛门排气平均时间等，并比较2组患者平均住院天数。结果：耳穴贴压护理法在减轻腹部手术患者术后伤口疼痛程度及缩短疼痛时间、促进胃肠功能恢复方面明显优于传统护理方法。结论：耳穴贴压护理干预能有效减轻腹部手术患者术后伤口疼痛程度、缩短疼痛时间、减少止痛药使用，并能促进胃肠功能的恢复，尽早肛门排气，能使患者提早进食，加快术后恢复，进而缩短住院天数。

Clinical Observation on Auricular-plaster Therapy Intervening Postoperative Pain of the Patients with Abdominal Surgery

Objective： To study curative effects of auricular-plaster therapy influencing postoperative pain of the patients undergoing abdominal surgery. Methods： All 185 patients were allocated to 93 cases of the intervention group （auricular-plaster therapy group） and 92 cases of the control group by total randomized method. Both groups were administered with psychological intervention and routine care before and after the surgery. The intervention group adopted auricular-plaster therapy to relieve the pain. The degree of the pain was judged by visual analogue scale （VAS）. Wound pain degree in 72 hours after the surgery, the conditions of painkillers, average time of first anal exhaust and others of both groups were observed, average hospitalization days of the patients in both groups were compared at the same time. Results： Auricular-plaster therapy was superior to traditional nursing method in relieving wound pain degree of the patients after the surgery, shortening pain time, promoting the recovery of gastrointestinal function significantly. Conclusion： Auricular-plaster therapy could effectively relieve wound pain degree of the pa-tients after abdominal surgery, shorten pain time, reduce the conditions of painkillers and promote the recovery of gastrointestinal function and anal exhaust, it could make the patients take food earlier, promote postoperative recov-ery, therefore to shorten hospitalization days.