高级检索

耳穴贴压疗法对ICU谵妄患者ICU意识模糊评分、Richmond躁动-镇静评分的影响

邵英英, 陈莉芳, 林凡菊, 张雅萍

邵英英, 陈莉芳, 林凡菊, 张雅萍. 耳穴贴压疗法对ICU谵妄患者ICU意识模糊评分、Richmond躁动-镇静评分的影响[J]. 实用临床医药杂志, 2020, 24(2): 41-44. DOI: 10.7619/jcmp.202002012
引用本文: 邵英英, 陈莉芳, 林凡菊, 张雅萍. 耳穴贴压疗法对ICU谵妄患者ICU意识模糊评分、Richmond躁动-镇静评分的影响[J]. 实用临床医药杂志, 2020, 24(2): 41-44. DOI: 10.7619/jcmp.202002012
shu
SHAO Yingyin, CHEN Lifang, LIN Fanju, ZHANG Yaping. Effect of auricular point pressing therapy on scores of Confusion Assessment Method for Intensive Care Unit and Richmond Agitation-Sedation Scale in patients with delirium in ICU[J]. Journal of Clinical Medicine in Practice, 2020, 24(2): 41-44. DOI: 10.7619/jcmp.202002012
Citation: SHAO Yingyin, CHEN Lifang, LIN Fanju, ZHANG Yaping. Effect of auricular point pressing therapy on scores of Confusion Assessment Method for Intensive Care Unit and Richmond Agitation-Sedation Scale in patients with delirium in ICU[J]. Journal of Clinical Medicine in Practice, 2020, 24(2): 41-44. DOI: 10.7619/jcmp.202002012
shu

耳穴贴压疗法对ICU谵妄患者ICU意识模糊评分、Richmond躁动-镇静评分的影响

  • 上海中医药大学附属曙光医院 重症监护室, 上海, 201203

基金项目: 

上海中医药大学附属曙光医院护理科研课题(2019SGHL02)

详细信息

  • 中图分类号: R473.74

Effect of auricular point pressing therapy on scores of Confusion Assessment Method for Intensive Care Unit and Richmond Agitation-Sedation Scale in patients with delirium in ICU

  • Intensive Care Unit, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203

摘要

    摘要
  • 摘要: 目的 探讨耳穴贴压疗法对重症监护病房(ICU)谵妄患者ICU意识模糊(CAM-ICU)评分、Richmond躁动-镇静(RASS)评分的影响。 方法 选取本院ICU谵妄患者86例,随机分为2组各43例。对照组接受常规治疗,观察组在常规治疗基础上采取耳穴贴压疗法。比较2组治疗前后CAM-ICU评分、RASS评分、匹兹堡睡眠质量(PSQI)评分、谵妄持续时间、ICU住院时间及不良反应发生情况。 结果 治疗7 d后,观察组谵妄患者比例为53.49%(23/43), 低于对照组的79.07%(34/43), 差异有统计学意义(P<0.05)。观察组RASS评分、PSQI各项评分显著低于对照组(P<0.05)。观察组谵妄持续时间、ICU住院时间显著短于对照组(P<0.05)。2组不良反应发生率比较无显著差异(P>0.05)。 结论 耳穴贴压疗法可有效改善ICU谵妄患者意识状态、躁动症状及睡眠质量,缩短谵妄持续时间,促进患者恢复。
    Abstract: Objective To explore the effects of auricular point pressing therapy on the scores of Confusion Assessment Method for Intensive Care Unit(CAM-ICU)and Richmond Agitation-Sedation Scale(RASS)in patients with delirium in ICU. Methods Eighty-six patients with delirium in ICU in authors' hospital were selected and randomly divided into two groups, with 43 cases in each group. The control group was treated with routine treatment, while the observation group was treated with auricular point pressing therapy based on routine treatment. The scores of CAM-ICU, RASS, Pittsburgh Sleep Quality Index(PSQI)before and after treatment, duration of delirium, length of ICU stay and adverse reactions were compared between the two groups. Results After 7 days of treatment, the proportion of delirium patients in the observation group was 53.49%(23/43), which was significantly lower than 79.07%(34/43)in the control group(P<0.05). The RASS score and score of each item of PSQI in the observation group were significantly lower than those of the control group(P<0.05). The duration of delirium and length of ICU stay in the observation group were significantly shorter than those of the control group(P<0.05). There was no significant difference in the total incidence rate of adverse reactions between the two groups(P>0.05). Conclusion Auricular point pressing therapy can effectively improve the consciousness state, agitation symptoms and sleep quality - of patients with delirium in ICU, shorten the duration of delirium, and promote the recovery of patients.
    • HTML全文
    • 参考文献(20)

  • Green C, Hendry K, Wilson E S, et al. A Novel Computerized Test for Detecting and Monitoring Visual Attentional Deficits and Delirium in the ICU[J]. Crit Care Med, 2017, 45(7): 1224-1231.

    Wolters A E, Peelen L M, Welling M C, et al. Long-Term Mental Health Problems after Delirium in the ICU[J]. Crit Care Med, 2016, 44(10): 1808-1813.
    吴传芹, 朱艳萍, 李国宏. ICU患者谵妄的发生率及危险因素分析[J]. 第三军医大学学报, 2018, 40(11): 100-105.
    鲍娜, 王琼, 孙彦辉, 等. 基于数据挖掘的耳穴疗法临床应用规律[J]. 针刺研究, 2017, 42(1): 90-94.
    张明园. 精神科评定量表手册[M]. 长沙: 湖南科学技术出版社, 2008: 81-82.

    Serafim R B, Soares M, Bozza F A, et al. Outcomes of subsyndromal delirium in ICU: a systematic review and meta-analysis[J]. Crit Care, 2017, 21(1): 179-186.

    Litton E, Carnegie V, Elliott R, et al. The Efficacy of Earplugs as a Sleep Hygiene Strategy for Reducing Delirium in the ICU[J]. Crit Care Med, 2016, 44(5): 992-999.

    Flannery A H, Oyler D R, Weinhouse G L. The Impact of Interventions to Improve Sleep on Delirium in the ICU[J]. Crit Care Med, 2016, 44(12): 2231-2240.

    Zaal I J, Devlin J W, Peelen L M, et al. A Systematic Review of Risk Factors for Delirium in the ICU[J]. Crit Care Med, 2015, 43(1): 40-47.
    刘晓江, 吕杰, 安友仲. ICU谵妄患者临床脑功能监测指标的探索: 一项前瞻性病例对照研究[J]. 中华危重病急救医学, 2017, 29(4): 347-352.
    王翠婷. 镇静镇痛疗法对机械通气患者谵妄防控的临床应用进展[J]. 中国急救医学, 2016, 36(2): 176-180.
    杜磊. 温针灸配合耳穴贴压调节阳虚型失眠患者神经递质临床观察[J]. 中国针灸, 2014, 34(12): 1165-1168.
    张林, 钟艳, 全淑林, 等. 针刺联合耳穴贴压治疗脑卒中后抑郁: 随机对照研究[J]. 中国针灸, 2017, 37(6): 581-585.
    汤娟娟, 王俊杰, 桑丽清, 等. 芳香中药药枕联合耳穴贴压对卒中后抑郁患者的效果观察[J]. 中华护理杂志, 2015, 50(7): 848-851.
    赵磊, 张丽丽, 包华, 等. 耳穴阳性反应点与中风病的相关性研究[J]. 中国针灸, 2015, 35(6): 609-612.
    刘展华. 针刺配合耳穴贴压治疗乳腺癌抑郁症疗效观察[J]. 中国针灸, 2014, 34(10): 956-960.
    吕晓皑, 王蓓, 陈建彬, 等. 耳穴贴压治疗乳腺癌术后抑郁临床观察[J]. 中国针灸, 2015, 35(5): 447-450.
    叶宇飞. 耳穴贴压致眩晕[J]. 中国针灸, 2014, 34(2): 188-188.
    胡建平, 王燚, 潘子彦. 功能训练联合耳穴贴压对女性更年期焦虑症的影响[J]. 中国老年学杂志, 2017, 37(18): 4662-4663.
    周丽艳, 褚晓彦, 陶善平, 等. 穴位埋线配合耳穴贴压治疗脾胃不和型失眠症的临床研究[J]. 中国针灸, 2017, 37(9): 947-950.
    • 相关文章
    • 施引文献
    • 资源附件(0)
计量
  • 文章访问数:  424
  • HTML全文浏览量:  124
  • PDF下载量:  8
  • 被引次数: 0
出版历程
  • 收稿日期:  2019-10-25
  • 网络出版日期:  2020-08-26
  • 发布日期:  2020-08-26

目录

摘要
HTML全文
    参考文献(20)
    相关文章
    施引文献
    资源附件(0)

    /

    返回文章
    返回

    © 2020 《实用临床医药杂志》编辑部

    地址：江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室邮编：225009电话：0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    本系统由 北京仁和汇智信息技术有限公司 开发  百度统计

    x 关闭 永久关闭