摘要
目的 探析穴位按摩联合艾灸对妇科腹腔镜术后患者的临床护理效果。方法 选取 2021 年 1 月
~2022 年 3 月我院收治的 90 例腹腔镜术后患者，随机分为两组，对照组 45 例实施常规护理，观察组 45 例
实施穴位按摩联合艾灸，对比两组的护理效果。结果 观察组的护理满意度 95.6%高于对照组 80.0%，有统
计学意义（P<0.05）；观察组的不良反应发生率 4.4%低于对照组 20.0%，有统计学意义（P<0.05）；观察
组护理后的 VAS、HAMA、HAMD、PSQI、SF-36 等评分均优于对照组，有统计学意义（P<0.05）；观察
组的疼痛消失时间、下床活动时间、总体治疗时间均短于对照组，有统计学意义（P<0.05）。结论 针对腹
腔镜术后患者实施穴位按摩联合艾灸可以提高护理满意度，减少不良反应，提高患者的术后生活质量，值
得临床推广。
关键词： 穴位按摩；艾灸疗法；腹腔镜手术；妇科；护理满意度；睡眠质量；心理状态；生活质量；术后疼痛；护理效果
Abstract
Objective To explore the clinical nursing effect of acupoint massage combined with
moxibustion on patients after gynecological laparoscopy. Methods 90 cases of patients after laparoscopic surgery
admitted to our hospital from January 2021 to March 2022 were randomly divided into two groups. The control
group (45 cases) received routine care, and the observation group (45 cases) received point massage combined with
moxibustion. The nursing effects of the two groups were compared. Results The nursing satisfaction of the
observation group was 95.6% higher than that of the control group (80.0%, P<0.05); The incidence of adverse
reactions in the observation group was 4.4% lower than that in the control group (20.0%, P<0.05); The scores of
VAS, HAMA, HAMD, PSQI, SF-36 in the observation group after nursing were better than those in the control
group, with statistical significance (P<0.05); The time of pain disappearance, time of getting out of bed and total
treatment time in the observation group were shorter than those in the control group, with statistical significance
(P<0.05). Conclusion Acupoint massage combined with moxibustion can improve nursing satisfaction, reduce
adverse reactions, and improve the quality of life of patients after laparoscopic surgery, which is worthy of clinical
promotion.
Key words： Acupoint massage; Moxibustion therapy; Laparoscopic surgery; gynaecology; Nursingsatisfaction; Sleep quality; mentality; Quality of life; Postoperative pain; Nursing effect
参考文献 References
[1] 许云. 穴位按摩联合艾灸对妇科腹腔镜术后患者的临床护 理 效 果 [J]. 中 国 中 医 药 现 代 远 程 教 育 ,2022,20（3）:152-154.
[2] 周敏婷. 穴位按摩联合艾灸减轻妇科腹腔镜术后患者腹胀的效果[J]. 智慧健康,2021,7（15）:130-132.
[3] 谭晓英. 穴位按摩联合艾灸护理减轻妇科腹腔镜术后患者恶心呕吐的效果观察[J]. 医学食疗与健康,2020,18（20）:41,43.
[4] 主媛媛. 足浴配合穴位按摩对妇科腹腔镜术后肠功能恢复的效果研究[J]. 实用妇科内分泌电子杂志,2019,6（24）:133,156.
[5] 许红梅. 穴位按摩联合耳穴贴压治疗妇科腹腔镜术后患者恶心呕吐的疗效观察[J]. 饮食保健,2020（43）:106.
[6] 文岚. 穴位按摩配合康复操对妇科腹腔镜手术患者 术后非切口疼痛及并发症的影响[J]. 基层医学论坛,2018,22（30）:4298-4299.
[7] 张书会,邢文娟,张力,等. 中药脐敷联合穴位按摩对减轻妇科腹腔镜术后恶心呕吐的效果观察[J]. 养生保健指南,2019（37）:148.
[8] 丁云霞,肖倩苇,王丽冲. 耳穴压豆联合穴位按摩防治妇科腹腔镜术后恶心呕吐的临床观察[J]. 智慧健康,2019,5（13）:57-59.
[9] 张洁,马慧,周璐. 耳穴贴压联合穴位按摩预防妇科腹腔镜术后腹胀的效果观察[J]. 中国保健营养,2019,29（10）:300-301.
[10] 张艳,侯聪,汤锶锶,等. 推拿手法对妇科腹腔镜术后胃肠功能恢复和胃肠道激素水平的影响[J]. 现代中西医结合杂志,2020,29（8）:844-846,893.