目的探讨中医护理干预耳穴贴压疗法对食道静脉曲张镜下套扎治疗（EVL）患者应激反应的影响。方法将拟行 EVL 的患者60例随机分为对照组和干预组，各30例。对照组接受常规操作和护理，干预组在此基础上实施中医护理干预耳穴贴压疗法干预。结果干预组干预后收缩压和心率明显低于对照组，差异有统计学意义（P ＜0.05），而且干预组干预后的血清 COL 与 ACTH 水平明显低于对照组，差异有统计学意义（P ＜0.05）。结论术前对患者实施中医护理干预耳穴贴压疗法可减轻患者的恐惧、焦虑，降低心理应激水平，改善面对手术应激时的适应能力及应对方式，并在术后较长时间内对患者的身心康复起着积极的作用。%Objective To investigate the TCM nursing intervention of auricular point taping and pressing therapy on esophageal varices mirror set ligation (EVL) in the treatment of patients with stress reaction. Methods 60 patients with EVL were randomly divided into the control group and the intervention group, with 30 cases in each group. The control group received the routine operation and nursing, the intervention group was given TCM nursing intervention of auricular point taping and pressing therapy on the basis of the routine operation and nursing. Results SBP and HR of the intervention group after the intervention was significant lower than the control group, the difference was statistically significant (P<0.05), and COL and ACTH level of the intervention group after the intervention was significantly lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion Preoperative patients implementation of TCM nursing intervention of auricular sticking therapy can reduce the patient's fear, anxiety, reduce mental stress level and improve the face of surgical stress adaptation ability and coping style, and the long time after operation on the patient's physical and mental rehabilitation plays a positive role.
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