Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2024; 3: (10) ; 10.12208/j.jacn.20241400 .
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云南省中医医院 云南昆明
*通讯作者： 杨林秀,单位：云南省中医医院 云南昆明；
目的 分析肉芽肿性乳腺炎患者换药过程中运用镇痛护理联合腕踝针的价值。方法 研究对象选取肉芽肿性乳腺炎患者50例，入院治疗时间为2023年1月至2024年3月，随机将全部50例患者分成两组，对照组（n=25例）接受镇痛护理，研究组（n=25例）则在镇痛护理的基础上，于换药前12小时开展腕踝针治疗，比较两组的护理干预效果。结果 相比于对照组换药后，研究组的抑郁评分、焦虑评分均明显更低（P＜0.05）。与对照组相比较，研究组换药期间不同时段的疼痛评分均明显更低（P＜0.05）。与对照组相比较，研究组换药前、换药后的KPS评分均明显更高（P＜0.05）。与对照组的（32.0%）相比较，研究组的不良反应发生率（4.0%）明显更低（P＜0.05）。结论 肉芽肿性乳腺炎患者换药期间在接受镇痛护理的基础上，联合应用腕踝针不但能让患者疼痛程度、痛苦程度明显减轻，而且还能对其不良情绪及健康状态进行显著改善，安全可行。
Objective To analyze the value of analgesia care combined with wrist-ankle acupuncture in the dressing change process for patients with granulomatous mastitis. Methods A total of 50 patients with granulomatous mastitis were selected as the research subjects. The hospitalization time was from January 2023 to March 2024. All 50 patients were randomly divided into two groups. The control group (n=25 cases) received analgesia care, and the research group (n=25 cases) received wrist-ankle acupuncture treatment 12 hours before dressing change on the basis of analgesia care. The nursing intervention effects of the two groups were compared. Results Compared with the control group after dressing change, the depression score and anxiety score of the research group were significantly lower (P＜0.05). Compared with the control group, the pain scores at different times during dressing change in the research group were significantly lower (P＜0.05). Compared with the control group, the KPS scores of the research group before and after dressing change were significantly higher (P＜0.05). Compared with the control group (32.0%), the incidence of adverse reactions in the study group (4.0%) was significantly lower (P < 0.05). Conclusion The combined use of wrist-ankle acupuncture on the basis of analgesic care during the dressing change period for patients with granulomatous mastitis can not only significantly reduce the pain and suffering of patients, but also significantly improve their negative emotions and health status, which is safe and feasible.
[1] 房小芳,刘晓菲,宋爱莉,等. 微创清创法联合益气和营中药治疗肉芽肿性乳腺炎中医临床优化方案及干预免疫机制探讨[J]. 中医药信息,2023,40(5):58-63,68.
[2] 刘晓菲,王楠,李斐斐,等. 肉芽肿性乳腺炎不同中医证型中免疫相关因子表达变化及临床意义[J]. 中医药学报, 2020, 48(4):23-28.
[3] 唐众,凌洁,黄维芳. 消痈乳康汤联合中医换药对肉芽肿性乳腺炎临床疗效及Treg/Th17免疫平衡机制的影响[J]. 西部中医药,2023,36(10):145-149.
[4] 董兰蔚,叶媚娜,殷玉莲,等. 中医药内外合治对肉芽肿性乳腺炎的影响及作用机制研究[J]. 山东中医杂志,2021, 40(12): 1326-1331,1336.
[5] 应琰妮,郭智涛. 基于络病理论局部刺络拔罐疗法联合激素治疗肿块型肉芽肿性乳腺炎[J]. 广州中医药大学学报,2023,40(1):131-136.
[6] 胡永春,雷秋模,欧阳倩雯. 调气和营法联合火针拔罐治疗肉芽肿性乳腺炎的效果观察[J]. 中国医学创新,2023, 20(35):115-118.
[7] 刘晓菲,王圆圆,宿琦琦,等. 益气和营法调控肉芽肿性乳腺炎IL-6、IL-1β、IFN-γ免疫失衡机制[J]. 世界科学技术-中医药现代化,2022,24(9):3442-3448.
[8] 钟春嫦,陈碧容,刘海英,等. 腕踝针镇痛法在乳腺脓肿患者清创换药中的护理研究[J]. 实用临床护理学电子杂志,2020,5(51):97,168.
[9] 江秋红,张清秀,刘小丽. 腕踝针在混合痔术后换药疼痛的应用研究[J]. 中外医疗,2021,40(32):129-132,150.