颈舒散热奄包外敷联合中医耳穴压豆对甲状腺术后不适症状的影响

目的：研究颈舒散热奄包外敷联合中医耳穴压豆对甲状腺手术患者疼痛视觉模拟评分法（VAS评分）及术后恶心呕吐（PONV）症状的影响。方法选取2013年4月～2014年2月收治行甲状腺手术患者120例作为研究对象，随机分成观察组和对照组各60例。观察组术后给予颈舒散热奄包外敷配合中医耳穴王不留行贴压，对照组术后给予单纯粗盐热奄包外敷加非甾体类解热镇痛药、止吐药等。对比两组患者术后PONV症状的严重程度以及两种方法的疗效等。结果观察组疗效为优者占比70.00%（42/60），优良率为95.00%（57/60），均高于对照组的21.67%（13/60）、50.00%（30/60），差异均有统计学意义（P均＜0.05）。观察组第1天VAS评分为（6.32±1.37），第2天VAS评分为（4.72±0.83），第3天VAS评分为（0.21±1.55），均少于对照组的（7.32±2.42）、（6.82±1.94）、（6.41±1.99），差异均有统计学意义（均P＜0.05）。且观察组患者头痛的VAS评分显著呈下降趋势。观察组患者术后3 d恶心发生率为21.67%、呕吐发生率为8.33%、头晕发生率为18.33%、头痛发生率为1.67%，对照组患者术后3 d恶心发生率为70.00%、呕吐发生率为20.00%、头晕发生率为43.33%、头痛发生率为16.67%，其中两组恶心、两组头晕和头痛发生率比较，差异均有统计学意义（P均＜0.05）。结论颈舒散热奄包外敷颈项部配合王不留行贴压法进行耳穴压豆，疼痛小、副作用少、疗效显著。

Effect of VAS score and PONV symptoms of Jingshu radiating cover package external application of traditional Chinese medicine combined auricular plaster therapy on patients with thyroid operation

Objective To study the effect of VAS score and PONV symptoms of Jingshu radiating cover package external application of traditional Chinese medicine combined auricular plaster therapy on patients with thyroid operation. Methods 120 patients needed thyroid operation were collected from April 2013 to April 2015, and randomly divided into observation group（60 cases）and control group（60 cases）.Jingshu radiating cover package external application combined with auricular plaster therapy were used for the patients in observation group after operation, while the control group were with crude salt Reyanbao topical . Or added non steroidal anti-inflammatory drugs or antiemetic drugs, when the patients in control group were needed. Then Compared severity of PONV symptoms and the VAS score of two groups. Results The effective rate of observation group was 95%（57/60）, which was higher than that of the control group [50%（30/60）]. The differences were statistically significant（P 〈 0.05）. The first days VAS score of observation group was（6.32 ± 1.37）, the second days VAS score was（4.72 ± 0.83）, and the third days VAS score was（0.21 ± 1.55）, while the control group were（7.32 ± 2.42）,（6.82 ± 1.94）and （6.41 ± 1.99）. The differences were statistically significant（P〈0.05）.After three days of operation, the incidence rate of nausea ,vomiting , dizziness and headache were 21.67%,8.33%,18.33%and1.67%. The differences were statistically significant（P 〈 0.05）. Conclusion Jingshu radiating cover package external neck sticking and pressing of ear pressure beans with cowherb seed were good for thyroid operation patients with less pain and better effect.