耳穴贴压结合镜像疗法对恶性骨肿瘤截肢病人幻肢痛、睡眠质量的效果观察

doi:10.3969/j.issn.1003-9198.2022.12.029

摘要/Abstract

摘要： 目的探讨耳穴贴压结合镜像疗法改善恶性骨肿瘤截肢病人幻肢痛和睡眠质量的效果。方法选取2019年4月至2021年8月笔者所在医院骨肿瘤病区收治的56例因恶性骨肿瘤行截肢手术发生幻肢痛的病人为研究对象,其中2019年4月至2020年6月收治的29例病人为对照组,2020年7月至2021年8月收治的27例病人为试验组。对照组给予常规护理,试验组在常规护理的基础上实施耳穴贴压结合镜像疗法,比较2组幻肢痛的分值和睡眠质量评分。结果对照组与试验组的性别、截肢部位、生化指标水平差异无统计学意义(P＞0.05);试验组与对照组术后3 d和出院前的疼痛数字评分法(NRS)评分和匹兹堡睡眠质量指数(PSQI)评分差异均有统计学意义(P<0.01);2组组内老年组与非老年组比较,术后3 d和出院前的NRS和PSQI评分差异无统计学意义(P＞0.05)。结论耳穴贴压配合镜像疗法能够改善截肢病人的疼痛感受并提高睡眠质量,且同样适用于老年人。

关键词: 耳穴贴压, 镜像疗法, 恶性骨肿瘤截肢, 幻肢痛

Abstract: Objective To investigate the effects of auricular acupoint pressing combined with mirror therapy on phantom limb pain and sleep quality in the patients of malignant bone tumor receiving amputation. Methods A total of 56 patients with phantom limb pain due to amputation of malignant bone tumors who were admitted to the bone tumor ward of our hospital from April 2019 to August 2021 were selected as the study subjects, and 29 patients from April 2019 to June 2020 were selected as the control group, and 27 patients from July 2020 to August 2021 were selected as the experimental group. The control group was given routine nursing, and the experimental group was given auricular acupoint pressing combined with mirror therapy on the basis of routine nursing. The scores of phantom limb pain and sleep quality of the two groups were compared. Results There were no significant differences in gender, amputation site and the levels of biochemical parameters between the control group and the experimental group (P > 0.05). There were statistically significant differences in the scores of pain numerical rating scale (NRS) and Pittsburgh sleep quality index (PSQI) (P＜0.01) between the control group and the experiment group 3 d after operation and before discharge. There were no significant differences in NRS and PSQI scores between the elderly group and the non-elderly group in the two groups 3 d after surgery and before discharge (P>0.05). Conclusions Auricular acupoint pressing combined with mirror therapy can improve the pain perception and sleep quality of amputee patients, and is also suitable for the elderly.

Key words: auricular acupoint pressing, mirror therapy, amputation of malignant bone tumor, phantom limb pain

中图分类号:

R473.73

陈佳佳, 贾艳. 耳穴贴压结合镜像疗法对恶性骨肿瘤截肢病人幻肢痛、睡眠质量的效果观察[J]. 实用老年医学, 2022, 36(12): 1304-1307.

CHEN Jia-jia, JIA Yan. Effects of auricular acupoint pressing combined with mirror therapy on phantom limb pain and sleep quality in patients with malignant bone tumor receiving amputation[J]. Practical Geriatrics, 2022, 36(12): 1304-1307.

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