耳穴压豆治疗对眼科手术患儿全身麻醉苏醒期躁动的影响

doi:10.3969/j.issn.1671-7171.2025.09.028

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1234 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要【目的】探讨耳穴压豆治疗对眼科手术患儿全身麻醉苏醒期躁动的影响。【方法】选择2024年6月至12月在本院行择期眼科手术的78例患儿,根据随机数字表法将患儿分为观察组和对照组,每组39例。观察组在麻醉诱导前进行耳穴压豆,选取交感、神门、垂前、枕、肝5个穴位,对照组则只贴胶布不贴耳籽豆。比较两组患儿在麻醉复苏室(PACU)10 min(T₁)、20 min(T₂)、30 min(T₃)的躁动发生情况,比较两组患儿不同时间儿童麻醉苏醒期躁动评估量表(PAED)评分及躁动发生率,比较两组Ramsay镇静评分、儿童 FLACC疼痛评估量表评分、苏醒时间、PACU停留时间、家长满意度。【结果】观察组患儿在PACU苏醒期间T₁、T₂、T₃时的PAED评分均低于对照组,差异有统计学意义(P<0.05)。观察组T₁时躁动发生率为13.89%(5/36),显著低于对照组的37.14%(13/35),差异有统计学意义(χ²=4.35,P=0.032)。观察组和对照组患儿术后在麻醉复苏期间Ramsay镇静评分和FLACC评分比较,差异无统计学意义(P>0.05)。观察组患儿的苏醒时间、PACU停留时间均短于对照组患儿,家长满意度评分高于对照组,差异有统计学意义(P<0.05)。【结论】耳穴治疗可有效降低眼科手术患儿麻醉苏醒期躁动的发生率,加快患儿苏醒,值得临床借鉴。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	张水兵
	韩晓燕
	陈政
	杜真

关键词 ：苏醒谵妄, 眼疾病, 外科手术, 耳穴贴压疗法, 麻醉, 全身, 儿童

Abstract：【Objective】 To explore the effect of auricular point pressing with beans on emergence agitation(EA) in children undergoing ophthalmic surgery under general anesthesia.【Methods】 A total of 78 children who underwent elective ophthalmic surgery in our hospital from June to December 2024 were selected. They were divided into the observation group and the control group by random number table method, with 39 cases in each group. The observation group received auricular point pressing with beans before anesthesia induction, with five points selected:Sympathetic, Shenmen, Chuiqian(Anterior Lobe), Occiput, and Liver. The control group only had adhesive tape applied without auricular beans. The occurrence of EA in the post-anesthesia care unit(PACU) at 10 min(T₁), 20 min(T₂), and 30 min(T₃) was compared between the two groups. Additionally, the Pediatric Anesthesia Emergence Delirium(PAED) score, EA incidence at different time points, Ramsay Sedation Score, Face, Legs, Activity, Cry, Consolability(FLACC) Pain Assessment Scale score, awakening time, PACU stay time, and parental satisfaction were compared between the two groups.【Results】 The PAED scores of the observation group at T₁, T₂, and T₃ during the awakening period in PACU were lower than those of the control group, with statistically significant differences(P<0.05). The incidence of EA in the observation group at T₁ was 13.89%(5/36), which was significantly lower than 37.14%(13/35) in the control group, with a statistically significant difference(χ²=4.35, P=0.032). There were no statistically significant differences in Ramsay Sedation Score and FLACC score between the two groups during the post-anesthesia recovery period(P>0.05). The awakening time and PACU stay time of the observation group were shorter than those of the control group, and the parental satisfaction score was higher than that of the control group, with statistically significant differences(P<0.05).【Conclusion】 Auricular point pressing with beans can effectively reduce the incidence of emergence agitation in children undergoing ophthalmic surgery under general anesthesia and accelerate the awakening of children, which is worthy of clinical reference.

Key words： Emergence Delirium Eye Diseases Surgical Procedures, Operative Auricular Plastertherapy Anesthesia, General Child

收稿日期: 2025-02-24

中图分类号:

R614.2

引用本文:

张水兵, 韩晓燕, 陈政, 杜真. 耳穴压豆治疗对眼科手术患儿全身麻醉苏醒期躁动的影响[J]. 医学临床研究, 2025, 42(9): 1587-1590.
ZHANG Shuibing, HAN Xiaoyan, CHEN Zheng, et al. Effect of Auricular Point Pressing with Beans on Emergence Agitation in Children Undergoing Ophthalmic Surgery Under General Anesthesia. JOURNAL OF CLINICAL RESEARCH, 2025, 42(9): 1587-1590.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.09.028 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I9/1587

[1] KIM S Y, KIM J W, LEE J H, et al. Efficacy of intraoperative dexmedetomidine infusion on emergence agitation and quality of recovery after nasal surgery[J].Br J Anaesth,2013,111(2):222-228.
[2] YANG X, LIN C T, CHEN S S, et al.Remimazolam for the prevention of emergence delirium in children following tonsillectomy and adenoidectomy under sevoflurane anesthesia:a randomized controlled study[J].Drug Des Devel Ther,2022,16:3413-3420.
[3] YANG M, BASER R E,LIOU K T, et al. Effect of acupuncture versus usual care on sleep quality in cancer survivors with chronic pain:Secondary analysis of a randomized clinical trial[J].Cancer,2023, 129(13):2084-2094.
[4] LI X Z, XIA Q, LI W. Comparison of the effects of dezocine, fentanyl, and placebo on emergence agitation after sevoflurane anesthesia in children[J].Int J Clin Pharmacol Ther,2015, 53(3):241-246.
[5] SAHMEDDINI M A, JAMSHIDI M,PANAH A, et al. The effect of post-anesthetic administration of dexmedetomidine versus remifentanil on postoperative agitation of strabismus surgery in children:a randomized double-blind clinical trial[J].Strabismus,2024,32(4):243-251.
[6] 王文锐, 彭胜,王玉玲. 耳穴贴压对腹腔镜肝胆手术患者术后疼痛的干预效果研究[J].中国中西医结合外科杂志, 2023,29(2):231-234.
[7] 陈璐璐, 熊琦,陈沛. 耳穴揿针对功能性鼻内镜手术患者术后疼痛和睡眠质量影响[J].上海针灸杂志, 2022,41(3):264-267.
[8] 陈智慧.耳穴埋籽对围手术期患者睡眠障碍的影响[J].世界睡眠医学杂志, 2020,7(1):45-46.
[9] 陈玫,高园艳.耳穴压籽法减少全身麻醉手术患者苏醒期躁动的效果[J].中国当代医药, 2023, 30(1):183-185.
[10] 金金,陈紫君,王瑶瑶,等, 耳穴埋豆联合中药药枕改善脑血管介入术围手术期患者睡眠质量观察[J].浙江中医杂志, 2021,56(1):22-23.
[11] 马明霞. 中药穴位贴敷配合耳穴埋豆对妇科患者手术后胃肠功能恢复效果研究[J].陕西中医, 2018, 39(8):1074-1076.
[12] 赵道霞,张阿锋. 耳穴贴压辅助全麻对妇科腹腔镜术后恶心呕吐发生率及镇痛效果的影响[J].现代中西医结合杂志,2020,29(32):3624-3627.
[13] 肖娜,张冠如,那娜,等. 耳穴压豆联合护理干预对眼科手术患者睡眠质量的影响[J].光明中医, 2022,37(24):4560-4562.
[14] MAO J J, LIOU K T,BASER R E, et al.Effectiveness of electroacupuncture or auricular acupuncture vs usual care for chronic musculoskeletal pain among cancer survivors:the PEACE Randomized Clinical Trial[J].JAMA Oncol,2021,7(5):720-727.
[15] WANG S S, SUN J Q, FENG Q Y, et al.Effectivenss of electroacupuncture for skeletal muscle pain in Parkinson's disease:a clinical randomized controlled trial[J].J Tradit Chin Med,2024,44(2):388-395.
[16] WANG Y, WANG J W, YAN S Y, et al. Electroacupuncture vs sham electroacupuncture in the treatment of postoperative ileus after laparoscopic surgery for colorectal cancer:a multicenter, randomized clinical trial[J].JAMA Surg,2023,158(1):20-27.