Study On The Analgesic Care Effect Of Auricular Acupressure And Electroacupuncture After Abdominal Surgery

ObjectiveThis study through the auricular acupressure and electroacupuncture in the application of laparoscopic surgical abdominal postoperative pain nursing research, objectively evaluate the analgesic care effect of auricular acupressure and electroacupuncture after abdominal surgery. It will further improve the clinical intergrated Chinese and western medicine of abdominal postoperative pain in therapy work mode, and better guide clinical practice.Methods120appropriate standard patients with laparoscopic abdominal surgery pain were selected and divided into the test group (Combination of auricular acupressure and electroacupuncture group) and control group (tramadol group), each with60patients. Both groups of patients were treated with basic postoperative care of abdominal surgery. Apart of this basic care, the test group were treated with analgesic care by combining auricular acupressure and electroacupuncture. Acupoints chosen are:auricular acupressure at shenmen, jiaogan, pizhixia as the main acupoints, according to the relevant organs to select the related acupoints; electroacupuncture at hegu and zusanli. The control group was treated with tramadol hydrochloride50mg by muscle injection. Through the observation of the first postoperative pain after anesthesia awake (before treatment) and after treatment of0.5,1,2,4,8and12h pain, collect the pain Visual analogue scale (VAS) score. In addition, the patients’ satisfaction of demulcent, security and general condition of abdominal surgery were collected as related evaluation index to give the quantitative evaluation on the effect of analgesia nursing. All the experimental data was analyzed by SPSS19.0software. ResultsThe study included a total of120patients, wherein60patients in the test group and60patients in the control group. During the study period, in the test group,1patient was not satisfied with the analgesic effect and asked for use another analgesia,1patient feared the treatment of electroacupuncture,2patients were suspended because of the condition change and needed other treatment. In the control group,2patients were not satisfied with the analgesic and withdrew from the study. In this study, the effective number of cases is114cases,56cases in test group and58cases in control group.Before the treatment, the test group and the control group of patients with gender, age, history of abdominal surgery, associated part of the viscera, the occur time of pain and VAS scores after anesthesia awake, the degree of pain were compared through the statistical test, P>0.05. Two groups have no significant differences. The data are comparable.After the treatment, in curative effect comparison, the markedly effective rate in0.5,1,2,4,8and12h were44.64%,78.57%,82.14%,66.07%,57.14%,66.07%in the test group;53.45%,74.14%,74.14%,56.90%,39.66%,37.93%in the control group. Comparison between the two groups, after statistics processing,0.5～4h after the treatment, there was no significant difference (P>0.05), suggesting two groups both have a analgesic effect in this time.8～12h after treatment, the difference was statistically significant (P<0.05), suggesting the analgesic effect of the test group better than the control group in this time.Each time of the pain VAS score in both groups were significantly lower than the pain VAS score before treatment, the difference was statistically significant (P<0.01), suggesting the two groups can effectively reduce the pain. Comparison between the two groups,0.5-4h after the treatment, there was no significant difference (P>0.05), suggesting the two groups have no obvious difference in pain VAS score decline in this time.8～12h after treatment, the difference was statistically significant (P<0.05), suggesting the pain relief of the test group is better than that in control group.The two groups with safety observation of adverse reactions, the patients’satisfaction of demulcent, recovery time of bowel sounds, the first exhaust time, the first out-of-bed activity time were compared through the statistical test, P<0.05. The difference was statistically significant, suggesting the test group is better than the control group.ConelusionCombination of auricular acupressure and electroacupuncture have a significant effect on laparoscopic abdominal surgery pain, which can effectively relieve the discomfort of patients, reduce adverse reaction, improve patients’satisfaction of demulcent,promote the postoperative rehabilitation and is worthy of clinical application promotion.