|
| 基于倾向性评分匹配分析耳穴压豆联合穴位贴敷对老年腹腔镜胆囊切除术患者术后康复的影响 |
| Auricular Acupressure Combined with Acupoint Application for Postoperative Rehabilitation in Elderly Laparoscopic Cholecystectomy Patients: A Propensity Score-Matching Analysis |
| 投稿时间：2026-10-09 修订日期：2026-10-09 |
| DOI： |
| 中文关键词: 腹腔镜胆囊切除术 耳穴压豆 穴位贴敷 倾向性评分匹配 术后康复 |
| 英文关键词: Laparoscopic cholecystectomy Auricular acupressure Acupoint application Propensity score matching Postoperative rehabilitation |
| 基金项目:河南省卫生健康委员会国家中医药传承创新中心联合共建科研专项（2024ZXZX1104） 国家中医优势专科(护理学)(国中医药医政函[2024]90 号)； 河南省中医药重点 学科(中医护理学)(豫卫中医药科教[2024]1 号)； 河南省中医智慧护理工程研究 中心(豫发改高技[2022]948 号) |
|
| 摘要点击次数: 624 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 探讨耳穴压豆联合穴位贴敷在老年腹腔镜胆囊切除术(LC)患者术后加速康复外科(ERAS)管理中的应用效果。方法 回顾性分析2021年1月至2024年12月本院行LC并实施ERAS管理的老年患者临床资料。采用倾向性评分匹配(PSM)控制混杂因素,按1:2最近邻匹配法匹配。匹配后对照组(n=138)给予ERAS常规护理,观察组(n=76)在对照组基础上加用耳穴压豆联合穴位贴敷。比较两组术后恢复质量(QoR-15)、胃肠功能恢复时间、疼痛(VAS)及腹胀评分、并发症、护理满意度(NSNS)及皮肤安全性。结果 PSM匹配后,两组基线均衡(P＞0.05)。观察组QoR-15评分显著高于对照组(P＜0.001)；术后住院、首次下床、肠鸣音恢复及排气、排便、进食时间均短于对照组(P＜0.05)；术后24h、48hVAS及腹胀评分均低于对照组(P＜0.05)。两组并发症总发生率无统计学差异(P＞0.05)。观察组NSNS评分显著高于对照组(P=0.001)。观察组局部皮肤不良反应轻微。结论 经 PSM 控制混杂后,ERAS 基础上应用耳穴压豆联合穴位贴敷与老年 LC 患者术后恢复质量提升、胃肠功能改善、疼痛腹胀缓解及护理满意度提高存在关联,局部皮肤安全性可接受。 |
| 英文摘要: |
| Objective To evaluate auricular acupressure plus acupoint application in enhanced recovery after surgery (ERAS) for elderly patients undergoing laparoscopic cholecystectomy (LC). Methods Elderly LC patients receiving ERAS in our hospital from January 2021 to December 2024 were retrospectively analyzed. Propensity score matching (PSM, 1:2 nearest-neighbor) was used to control confounders. After matching, the control group (n=138) received routine ERAS nursing, and the observation group (n=76) additionally received auricular acupressure plus acupoint application. Outcomes included QoR-15, gastrointestinal recovery time, VAS and abdominal distension scores, complications, NSNS, and skin safety. Results After PSM, baselines were balanced (P>0.05). The observation group had higher QoR-15 scores (P<0.001), shorter postoperative hospital stay, time to first ambulation, bowel sound recovery, and time to first flatus, defecation, and oral intake (P<0.05), and lower postoperative VAS at 24 and 48 h and abdominal distension scores (P<0.05). Overall complication rate did not differ (P>0.05). NSNS scores were higher in the observation group (P=0.001), and local skin adverse reactions were mild. Conclusion ERAS plus auricular acupressure and acupoint application was associated with better postoperative recovery, gastrointestinal function, pain and distension relief, and nursing satisfaction in elderly LC patients, with acceptable local skin safety.Keywords Laparoscopic cholecystectomy; Auricular acupressure; Acupoint application; Propensity score matching; Postoperative rehabilitation. |
|
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|