耳穴压豆对老年腔镜下甲状腺癌根治术患者术后恶心呕吐、认知功能和睡眠质量的影响

摘要

Objective To observe the influences of ear massage on postoperative nausea and vomiting,cognitive function and sleep quality in elderly patients treated with radical operation of thyroid cancer under endoscope.Methods From January 2016 to January 2017,140 patients with thyroid cancer in Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University were collected as observational subjects,and all patients were treated with radical operation of thyroid cancer under endoscope,their clinical materials were retrospectively analyzed,according to the nursing method,the patients were divided into the control group (62 cases) and the observation group (78 cases).The control group was given conventional nursing,the observation group was given ear massage based on the control group.Mini mental state examination (MMSE) and Pittsburgh sleep quality index (PSQI) were used to assess cognitive function and sleep quality.The incidences of postoperative nausea and vomiting,scores of MMSE,PSQI in the two groups were compared.Results Ccompared with the control group,the observation group had lower total incidence of nausea and vomiting,higher MMSE score 5 d after operation and lower PSQI scores 5 d after operation,the differences were statistically significant (P ＜ 0.05 or P ＜ 0.01).Conclusion Ear massage has well application effect in elderly patients treated with radical operation of thyroid cancer under endoscope.And it can effectively reduce incidence of nausea and vomiting,alleviate cognitive function injury and improve sleep quality.%目的 观察耳穴压豆对老年腔镜下甲状腺癌根治术患者术后恶心呕吐、认知功能和睡眠质量的影响.方法 2016年1月～2017年6月,选择新疆医科大学附属中医医院140例老年甲状腺癌患者作为观察对象,所有患者均接受腔镜下甲状腺癌根治术治疗,回顾性分析其临床资料,按照护理方案分为对照组(62例)和观察组(78例).对照组给予常规护理,观察组在对照组基础上给予耳穴压豆治疗.采用简易智能量表(MMSE)和匹兹堡睡眠质量指数(PSQI)评价认知功能和睡眠质量.比较两组患者术后恶心呕吐发生率、MMSE评分和PSQI评分.结果 与对照组比较,观察组患者术后恶心呕吐总发生率降低,术后5d时MMSE评分升高,术后5d时PSQI评分降低,差异有统计学意义(P＜ 0.05或P＜ 0.01).结论 耳穴压豆在老年腔镜下甲状腺癌根治术患者中应用效果良好,能够有效降低术后恶心呕吐发生率,减轻认知功能损害,并能改善睡眠质量,临床上值得应用.