目的:观察精油穴位按压对慢性鼻窦炎伴鼻息肉患者鼻内窥镜术后疼痛及舒适度的影响.方法:选取 120 例在全麻下行鼻内窥镜手术的慢性鼻窦炎伴鼻息肉患者,按便利抽样法分为对照组及观察组各60 例.对照组予常规术后护理,观察组在常规术后护理基础上给予精油穴位按压干预.比较 2 组术后各时间段视觉模拟评分法(VAS)、Kokaba舒适状况量表(GCQ)、匹兹堡睡眠质量指数评定量表(PSQI)评分的变化.结果:观察组术后 6h、术后 24 h、术后 48h3 个时间段的VAS评分均低于对照组,差异均有统计学意义(P<0.05).术后,2 组GCQ评分均较术前下降,观察组GCQ评分高于对照组,差异均有统计学意义(P<0.05).术后,2 组PSQI评分均较术前增加,观察组PSQI评分低于对照组,差异均有统计学意义(P<0.05).治疗期间,2 组均未发生明显不良反应.结论:精油穴位按压能够缓解慢性鼻窦炎伴鼻息肉患者鼻内窥镜术后的疼痛程度,提高舒适度,提升睡眠质量.
Objective:To observe the effect of point pressing with essential oil on postoperative pain and comfort in patients with chronic sinusitis and nasal polyps after nasal endoscopic surgery.Methods:A total of 120 patients with chronic sinusitis and nasal polyps after nasal endoscopic surgery under general anesthesia were selected and divided into the control group and the observation group according to the convenient sampling method,with 60 cases in each group.The control group received routine postoperative care,and the observation group received point pressing with essential oil based on routine postoperative care.The changes in scores of Visual Analogue Scale(VAS),General Comfort Questionnaire(GCQ),and Pittsburgh Sleep Quality Index(PSQI)were compared between the two groups at different postoperative time periods.Results:The VAS scores in the observation group at 6 hours,24 hours,and 48 hours after surgery were lower than those in the control group,differences being significant(P<0.05).After surgery,the GCQ scores in the two groups were decreased when compared with those before surgery,and the GCQ score in the observation group was higher than that in the control group,differences being significant(P<0.05).After surgery,the PSQI scores in the two groups were increased when compared with those before surgery,and the PSQI score in the observation group was lower than that in the control group,differences being significant(P<0.05).During treatment,neither group experienced any significant adverse reactions.Conclusion:For patients with chronic sinusitis and nasal polyps after nasal endoscopic surgery,point pressing with essential oil can alleviate the pain level,improve comfort level,and improve sleep quality.