目的 探讨耳穴压豆疗法对妇科腹部术后患者自控镇痛中胃肠道不良反应的干预效果，为自控镇痛期间的护理提供参考依据。方法 2022年3-12月，采用便利抽样法选取上海某三级甲等综合性医院妇产科腹部术后使用自控镇痛的住院患者149例为研究对象，按照入院先后将其分为对照组（n=74）和观察组（n=75）。对照组患者接受常规护理，术后进行镇痛泵护理；观察组患者在此基础上加用耳穴压豆疗法。比较两组患者术后恶心呕吐程度、首次肠排气和排便时间、镇痛泵使用时间及不同时间点的疼痛评分。结果 观察组恶心呕吐程度较轻，且首次排气及首次排便时间均短于对照组，差异均有统计学意义（均P＜0.05）；术后6 h及术后第1天8：00，观察组患者疼痛评分低于对照组，差异亦有统计学意义（均P＜0.05）。结论 耳穴压豆疗法可减轻妇科腹部术后患者自控镇痛时的恶心呕吐症状，缩短胃肠功能恢复时间，并在术后早期实现有效控制疼痛，具有良好的干预效果，值得推广应用。

Objective To explore the intervention effect of auricular point compression therapy on gastrointestinal side effects in patients undergoing gynecological abdominal surgery during patient-controlled analgesia(PCA),and to provide a reference for nursing during PCA.Methods From March to December 2022,149 patients who received PCA after abdominal surgery in the Obstetrics and Gynecology Department in a tertiary A general hospital in Shanghai were selected by the convenience sampling method.They were divided into the control group(n=74) and the observation group(n=75) according to the order of admission.During hospitalization,patients in the control group received routine care and postoperative analgesic pump care,while patients in the observation group received auricular point compression therapy in addition to the above care.The degree of postoperative nausea and vomiting,the time of first intestinal exhaust and defecation,the use time of analgesic pump and pain scores at different time points were compared between the two groups.Results The degree of nausea and vomiting in the observation group was milder compared with the control group,and the time to first flatus and first defecation in the observation group was shorter than that in the control group,and the differences were statistically significant(all P＜0.05).At 6 hours after surgery and 8:00 on the first postoperative day,the pain scores of patients in the observation group were lower than those in the control group,and the differences were also statistically significant(all P＜0.05).Conclusions Auricular point compression therapy can alleviate the symptoms of nausea and vomiting in patients undergoing gynecological abdominal surgery during PCA,shorten the recovery time of gastrointestinal function,and effectively control pain in the early postoperative period.It has a good intervention effect and is worthy of promotion.

R473.6；R248；R823

长征医院医疗技术孵化面上项目（TLJS2021B-12）；长征医院护理处青年课题（CZYY-HLQ99）