上海针灸杂志2017，Vol.36Issue(3)：295-299,5.DOI:10.13460/j.issn.1005-0957.2017.03.0295
情志调护对功能性鼻内镜术采用针药复合麻醉患者焦虑情绪的影响
Effect of Emotion Regulation on Anxiety in Patients Undergoing Functional Endoscopic Sinus Surgery under Acupuncture-drug Compound Anesthesia
摘要
Abstract
Objective To observe the effect of emotion regulation on anxiety in patients undergoing functional endoscopic sinus surgery (FESS) under acupuncture-drug compound anesthesia.Method Ninety patients who were going to receive FESS were randomized into group A, B and C, 30 cases in each group. Acupuncture-drug compound anesthesia [electroacupuncture at Yingxiang (LI 20) and Yintang (GV 29)] was adopted in the three groups, ordinary doses of anesthetic drugs for group A and B (1% Tetracaine hydrochloride injection 100 mg+2% Lidocaine hydrochloride injection 0.1 g+Adrenaline hydrochloride injection 2 mL) and reduced doses for group C (1% Tetracaine hydrochloride injection 70 mg+2% Lidocaine hydrochloride injection 0.1 g+Adrenaline hydrochloride injection 2 mL). Conventional nursing was applied to group A, while specific emotion regulation was additionally adopted in group B and C during the perisurgical period. The three groups were evaluated by using Zung's Self-rating Anxiety Scale (SAS) prior to the surgery, 24 h and 48 h after the surgery, and the satisfaction ratings of the patients towards the surgery, anesthesia and nursing were compared.Result The SAS score 48 h after the surgery was significantly different from that before the surgery in group A (P<0.05). The SAS scores 24 h and 48 h after the surgery were significantly different from the score before the surgery in group B and C (P<0.05); the score 48 h after the surgery was significantly lower than that 24 h after the surgery in group B and C (P<0.05). 24 h and 48 h after the surgery, the SAS scores in group B and C were significantly different from those in group A (P<0.05). The satisfaction ratings of nursing in group B and C were significantly higher than the rating in group A (P<0.05). Conclusion Specific emotion regulation can effectively mitigate the anxiety of patients undergoing FESS under acupuncture-drug anesthesia, and improve the satisfaction rate of patients towards nursing.关键词
针刺疗法/电针/功能性鼻内镜手术/针药复合麻醉/针刺镇痛/情志护理/焦虑Key words
Acupuncture therapy/Electroacupuncture/Functional endoscopic sinus surgery/Combined acupuncture medication anesthesia/Acupuncture analgesia/Emotion nursing/Anxiety分类
医药卫生引用本文复制引用
蔡俊萍,孙岷,马文..情志调护对功能性鼻内镜术采用针药复合麻醉患者焦虑情绪的影响[J].上海针灸杂志,2017,36(3):295-299,5.基金项目
上海市卫生局中医药科研基金项目(2010QL010A) （2010QL010A）
上海市教育委员会预算内科研项目(2015JX11) （2015JX11）
上海市杏林新星计划 （）
