耳穴埋豆疗法在膝关节骨折围手术期镇痛中的应用

Effect of Auricular Seed Pressing Therapy on Perioperative Analgesia in Knee Joint Fracture

目的探讨耳穴埋豆疗法配合内麻点穴位按压用于膝关节骨折围手术期镇痛的作用。方法将膝关节骨折围手术期住院患者60例,随机分为治疗组和对照组,每组30例。对照组患者术后均予骨科常规护理,治疗组在上述基础上同时进行同侧耳穴埋豆配合穴位按压。所有操作均由一名固定护理人员实施,记录两组患者手术后1、6、24、48 h静息状态视觉模拟评分(VAS),镇痛满意度,不良反应情况。结果治疗组患者术后6、24 h的静息VAS疼痛评分均明显低于对照组(P<0.01);两组患者总体镇痛满意度比较,治疗组明显高于对照组,差异有统计学意义(P<0.05);治疗组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论耳穴埋豆疗法配合内麻点穴位按压可以有效缓解膝关节骨折围手术期镇痛,同时具有费用低、并发症少、操作简单、安全的优点。

Objective To explore the effect on perioperative analgesia of knee joint fracture treated with auricular seed pressing therapy and acupressure on Neimadian. Methods Sixty inpatients of knee joint fracture at perioperative stage were randomized into a treatment group and a control group,30 cases in each one. In the control group,after operation,the conventional orthopedic nursing was applied. In the treatment group,on the basic treatment as the control group,the auricular seed pressing therapy and acupressure on Neimadian on the affected side were added. The same nurse gave all the operations in treatment. The resting VAS,analgesia satisfaction and adverse reaction were recorded in 1,6,24 and 48 h after operation in the patients of the two groups separately. Results The resting VAS score in the treatment group was lower obviously than that in the control group（ P〈0. 01） in 6 and 24 h after operation. The overall analgesia satisfaction in the treatment group was higher apparently than that in the control group,indicating the significant difference（ P〈0. 05）. The incidence of adverse reaction in the treatment group was lower than that in the control group,indicating the significant difference（ P〈0. 05）. Conclusion The auricular seed pressing therapy and acupressure on Neimadian relieve effectively perioperative analgesia of knee joint fracture,being advantageous at low cost,less complication,simple operation and good safety.