耳穴联合腕踝针配合常规疼痛护理干预在髋关节置换术后的应用效果

Application Effect of Auricular and Wrist Ankle Acupuncture Combined with Routine Nursing Intervention after Hip Replacement

目的:分析耳穴联合腕踝针配合常规疼痛护理干预在髋关节置换术后的应用效果。方法:选择在本院接受髋关节置换术治疗的患者98例作为研究对象,随机分为接受常规疼痛护理的对照组及接受耳穴联合腕踝针配合常规疼痛护理干预的观察组,比较两组患者的疼痛评分、疼痛介质水平、生活质量水平差异。结果:(1)观察组患者治疗后各个时间点的疼痛评分(5.34±0.76、4.08±0.62、2.76±0.37)明显低于对照组(P<0.05);(2)观察组患者护理后的5-HT及NE水平(278.63±13.28、114.38±10.43)ng/ml均明显低于对照组(P<0.05);(3)观察组患者护理后的各项生活质量评分(53.56±6.09、64.54±7.11、65.09±6.09、61.12±4.65)均明显高于对照组(P<0.05)。结论:耳穴联合腕踝针配合常规疼痛护理干预有助于减轻髋关节置换术后患者的主观疼痛感受,降低疼痛介质水平,改善生活质量,具有积极的临床意义。

Objective： To analyze the application effect of auricular and wrist ankle acupuncture combined with routine nursing intervention after hip replacement. Methods： Patients underwent hip replacement therapy in our hospital were enrolled as research object and randomly divided into controlled group which were received conventional pain nursing care and observation group which were given points wrist ankle joint needle combined with conventional pain nursing intervention. Then pain score,pain medium level,quality of life level were compared. Results：（ 1） Various time points pain score（ 5. 34 ± 0. 76,4. 08 ± 0. 62,2. 76 ± 0. 37） of the observation group were significantly lower than the controlled group（ P 〈 0. 05）;（ 2） 5- HT and NE levels（ 278. 63 ± 13. 28,114. 38 ± 10. 43） ng / ml were significantly lower than those of the controlled group（ P 〈 0. 05）; 3） All kinds of quality of life scores（ 53. 56 ± 6. 09,64. 54 ± 7. 11,65. 09 ± 6. 09,61. 12 ± 4. 65） were significantly higher than those of the controlled group（ P 〈 0. 05）. Conclusion： Auricular and wrist ankle acupuncture combined with routine nursing intervention has positive clinical significance for it is helpful to relieve subjective feelings of pain after hip arthroplasty,reduce the level of pain medium and improve the quality of life.