Effects of fire dragon cupping therapy combined with traditional Chinese emotional care on anesthesia recovery stress response and complications in patients after gastrointestinal surgery
火龙罐灸法联合中医情志护理对胃肠术后患者麻醉复苏应激反应与并发症的影响

摘要

目的 火龙罐灸协同中医情志护理对胃肠术后麻醉苏醒期患者应激水平及并发症发生率的影响研究。为临床围手术期护理优化提供循证依据。方法 选取2024年度于本院行胃肠手术的120例患者纳入研究队列，借助随机数字表法将其均分为观察组与对照组（每组各60例），对照组施以围术期常规护理方案，观察组则在常规护理基础上，叠加火龙罐灸法与中医情志护理干预。比较两组血清去甲肾上腺素、肾上腺素、皮质醇水平及心率、平均动脉压及并发症发生率。结果 观察组术后并发症总发生率较对照组呈现出显著性降低，组间差异经统计学检验具有意义P<0.05；术前1天，两组血清去甲肾上腺素、肾上腺素、皮质醇水平及心率、平均动脉压比较，差异无统计学意义（P>0.05）。于PACU转出节点检测发现，两组患者血清去甲肾上腺素、肾上腺素及皮质醇水平较术前均有升高，观察组各指标水平则显著低于对照组；观察组心率及平均动脉压亦显著低于对照组，组间差异均具有统计学显著性（P<0.05）；结论 火龙罐灸法联合中医情志护理可有效减轻胃肠术后患者麻醉复苏期应激反应，缩短复苏相关时间，能够显著减少并发症发生率，推动患者术后快速康复进程，值得在临床实践中予以推广应用。

Abstract

Objective To study the effects of fire dragon cupping therapy combined with traditional Chinese emotional care on the stress level and complication rate of patients after gastrointestinal surgery during anesthesia recovery. To provide evidence-based basis for the optimization of clinical perioperative care.
Methods 120 patients who underwent gastrointestinal surgery in our hospital in 2024 were selected and included in the research cohort. They were randomly divided into the observation group and the control group (60 cases each) using a random number table. The control group received routine perioperative care, while the observation group received fire dragon cupping therapy and traditional Chinese emotional care intervention in addition to the routine care. The levels of serum norepinephrine, epinephrine, cortisol, heart rate, mean arterial pressure, and the incidence of complications were compared between the two groups.
Results The total incidence of postoperative complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P < 0.05). On the first day, there was no statistically significant difference in the levels of serum norepinephrine, epinephrine, cortisol, heart rate, and mean arterial pressure between the two groups (P > 0.05). During the transfer to the PACU, it was found that the levels of serum norepinephrine, epinephrine, and cortisol in both groups were higher than those before the operation, and the levels in the observation group were significantly lower than those in the control group; the heart rate and mean arterial pressure of the observation group were also significantly lower than those of the control group, and the differences were statistically significant (P < 0.05).
Conclusion   Fire dragon cupping therapy combined with traditional Chinese emotional care can effectively reduce the stress response during anesthesia recovery after gastrointestinal surgery, shorten the recovery-related time, significantly reduce the incidence of complications, promote the rapid recovery process of patients after surgery, and is worthy of promotion and application in clinical practice.