针刺治疗断指再植术后疼痛疗效观察

Efficacy of acupuncture on pain after replantation of severed finger

目的:观察评价针刺对断指再植术后患者疼痛的临床疗效。方法:将80例断指再植患者随机分为观察组和对照组,各40例。对照组采用手外科术后常规治疗及护理;观察组在常规治疗基础上于术后72h内进行针刺干预,穴取健侧阳陵泉、血海、合谷、后溪,留针30min,共针刺治疗6次。分别于术后2、4、6、12、24、48、72h对两组患者进行视觉模拟疼痛评分(VAS),记录术后两组患者镇痛药物使用情况,并评价断指血运及成活率。结果:两组术后4、6、12、24h及48h疼痛评分比较,观察组低于对照组(均P<0.05);观察组镇痛药使用率明显低于对照组(P<0.05);观察组发生血运异常率低于对照组(P<0.05)。结论:针刺能明显减轻断指再植术后患者疼痛,减少术后血运异常发生率,值得临床推广。

Objective To observe the efficacy of acupuncture on pain after replantation of severed finger. Methods A total of 80 patients who underwent replantation of severed finger were randomly divided into an observation group and a control group, 40 cases in each one. The patients in the control group were treated with postoperative routine care of hand surgery, while patients in the observation group, based on the regular treatment, were treated with acupuncture within first 72 h of surgery. The health side of Yanglingquan （GB 34）, Xuehai （SP 10）, Hegu （LI 4）. Houxi （SI 3） were selected and the needles were retained for 30 min. The acupuncture was given for 6 times. The evaluation was performed by using visual analogue scale （VAS） 2 h, 4 h, 6 h, 12 h, 24 h, 48 h and 72 h after surgery. The use of analgesics after surgery was recorded in the two groups, and the blood supply and survival rate of severed finger were evaluated. Results Compared between the two groups, the VAS 4 h, 6 h, 12 h, 24 h and 48 h after surgery in the observation group was lower than that in the control group （all P〈0.05） ; the use frequency of analgesics in the observation group was lower than that in the control, group （P〈0.05） ; the abnormality rate of blood supply in the observation group was lower than that in the control group （P〈0.05）. Conclusion Acupuncture can significantly relieve postoperative pain of replantation of severed finger, and reduce the occurrence rate of abnormal blood supply, which is worthy of clinical promotion.