發(fā)布時(shí)間：2018-04-01 23:24

  本文選題：浮針　切入點(diǎn)：針刺麻醉　出處：《南京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：研究背景:腸鏡檢查是診斷下消化道疾病的金指標(biāo),然而作為一種侵入式檢查,不可避免的會給受檢者帶來生理和心理上的痛苦。傳統(tǒng)的藥物麻醉存在諸多限制及缺陷。臨床上正不斷地探尋新的更安全、更便捷的腸鏡鎮(zhèn)痛方式。研究目的:將浮針鎮(zhèn)痛療法運(yùn)用到腸鏡檢查中,減少患者痛苦、提高患者的依從性與惡性疾病的檢出率;使傳統(tǒng)中醫(yī)診療技術(shù)更廣泛的服務(wù)于現(xiàn)代醫(yī)學(xué)。研究方法:共選取60例來自南京市中醫(yī)院的腸鏡受試者,隨機(jī)分成對照組與實(shí)驗(yàn)組,每組各30例。檢查前記錄各組指標(biāo)包括受試者的性別、年齡、肥胖程度、焦慮程度等一般情況;腸鏡史、腹部手術(shù)史等可能影響腸鏡檢查的因素;腸鏡檢查前的心率。實(shí)驗(yàn)組在檢查前接受浮針鎮(zhèn)痛處理,對照組進(jìn)行常規(guī)非麻醉腸鏡檢查。檢查后對受試者進(jìn)行VAS評分,記錄不良反應(yīng)、腸鏡檢查后心率、腸鏡檢查結(jié)果及受檢者的復(fù)檢意向。通過科學(xué)統(tǒng)計(jì),比較兩組數(shù)據(jù)的差異。研究結(jié)果:1.對照組與實(shí)驗(yàn)組相比,兩組受試者的年齡、性別及平靜狀態(tài)下的心率均無明顯差異。[見表:1-1]2.對照組與實(shí)驗(yàn)組相比,兩組受試者可能影響到腸鏡檢查的個(gè)體因素均無明顯差異。[見表:1-2]3.對照組與實(shí)驗(yàn)組相比,兩組受試者的腸鏡檢查結(jié)果[見表:2-2]及腸鏡完成度[見表:2-3]無明顯差異。4.對照組與實(shí)驗(yàn)組相比,對照組的心率變化情況[見表:2-1]、VAS評分[見表:3-1]、高分事件發(fā)生率[見表:3-2]及不良反應(yīng)發(fā)生率[見表:3-3]均明顯低于實(shí)驗(yàn)組。5.與對照組相比,實(shí)驗(yàn)組的腸鏡復(fù)檢愿意率[見表:3-4]明顯高于對照組。結(jié)論:浮針鎮(zhèn)痛療法可有效緩解腸鏡檢查中的痛苦,降低不良反應(yīng)的發(fā)生率,提高患者的依從性及復(fù)檢率。
[Abstract]:Background: endoscopy is a gold marker for the diagnosis of lower gastrointestinal diseases, however, as an invasive examination, Inevitably, it will bring physical and psychological pain to the subjects. There are many limitations and defects in traditional drug anaesthesia. Objective: to apply floating acupuncture analgesia to endoscopy to reduce the pain of patients and to improve the compliance of patients and the detection rate of malignant diseases. Methods: a total of 60 enteroscopy subjects from Nanjing traditional Chinese Medicine Hospital were selected and randomly divided into two groups: the control group and the experimental group. There were 30 cases in each group. The indexes of each group before examination included sex, age, obesity, anxiety and other general conditions, the history of colonoscopy, history of abdominal surgery, etc. Heart rate before endoscopy. The experimental group was treated with floating acupuncture analgesia before examination, and the control group with routine non-anesthetic enteroscopy. After examination, the subjects were scored with VAS, adverse reactions were recorded, heart rate after endoscopy was recorded. Through scientific statistics, the differences between the two groups of data were compared. The result of the study was: 1.The age of the two groups of subjects in the control group was compared with that in the experimental group. There was no significant difference in sex and heart rate in calm state. [see Table: 1-1] 2.There was no significant difference between the two groups in the individual factors that might affect the colonoscopy. [see Table: 1-2] 3.The comparison between the control group and the experimental group, There was no significant difference between the two groups in endoscopy results [see Table: 2-2] and the degree of endoscopy completion [see Table: 2-3] .4. the control group was compared with the experimental group. The changes of heart rate in the control group [see table: 2-1] VAS score [see table: 3-1], the incidence of high score events [see table: 3-2] and the incidence of adverse reactions [see table: 3-3] were significantly lower than those in the experimental group .5.Compared with the control group, The willingness rate of reexamination in the experimental group [see Table: 3-4] was significantly higher than that in the control group. Conclusion: floating acupuncture analgesia therapy can effectively relieve the pain, reduce the incidence of adverse reactions, and improve the compliance and reexamination rate of the patients.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.2

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