耳穴贴压对全膝关节置换患者术后主观体验的影响

Efficacy of the auricular plaster therapy on subjective feeling following total knee arthroplasty

目的:观察全膝关节置换术应用耳穴贴压后对患者术后主观体验的影响。方法:将60例患者随机分成耳穴组和对照组,每组各30例。耳穴组患者在常规治疗的基础上,术前晚予耳穴贴压,留埋3d,对照组采用常规治疗,两组患者术后48h内均留置自控静脉镇痛泵。使用VAS(视觉模拟)疼痛测量尺记录患者静息时VAS评分;Ramesay镇静评分量表和匹兹堡睡眠质量指数(PSQI)进行镇静和睡眠质量评价。结果:耳穴组患者术后6h、12h、24h、48h、72h VAS评分和镇静评分均低于对照组,差异有统计学意义;耳穴组睡眠质量高于对照组,差异有统计学意义。结论:全膝关节置换围手术期应用耳穴贴压,可减轻术后疼痛,使患者保持镇静,提高术后睡眠质量,改善患者术后主观体验。

Objective： To observe efficacy of the auricular plaster therapy on subjective feeling following TKA. Methods： 60 cases were assigned into the auricular group and control group, 30 cases for each group. The control group took conventional treatment; in the night before surgery, the other group received the auricular plaster therapy more, for 3 days. Controlled indwelt intravenous analgesia run within 48 h following surgery. VAS scores at rest were recorded by the VAS pain measurement scale. Sedation and sleep quality were evaluated by Ramsay Sedation Scale and PSQI scores. Results： In 6h, 12 h, 24 h, 48 h, 72 h, in the auricular group, the scores of VAS and sedation were lower than those in the control group; and sleep quality was better, with statistically significant difference. Conclusion： Application of the auricular plaster therapy in treating TKA can relieve pain, keep sedation, and improve sleep quality after surgery and postoperative subjective feeling.