隔物灸联合穴位贴敷对肩关节镜术后患者镇痛的疗效观察

Moxibustion combined with acupoint sticking therapy on the efficacy of postoperative analgesia in patients with shoulder arthroscopy

目的:观察隔物灸法联合穴位贴敷应用于肩关节镜术后患者中的镇痛效果。方法:选取我院骨科2015年1月至2015年10月60例进行肩关节镜手术的患者,随机分为对照组和实验组各30例。对照组采用特耐40mg每日2次静注+常规护理干预,实验组在对照组基础上联合应用隔物灸法和穴位贴敷治疗。观察2组患者术后72h内疼痛评分和患者对疼痛控制的满意度。结果:实验组患者术后6h、24h、48h、72h疼痛评分均低于对照组(P<0.05);术后72h镇痛满意度高于对照组,差异有统计学意义(P<0.05)。结论:肩关节镜患者术后常规护理干预联合隔物灸法和穴位贴敷治疗,可有效提高镇痛效果,减轻患者术后疼痛,提升患者满意度。

[Objective]To observe the analgesic effects of moxibustion combined with acupoint sticking therapy for patients with shoulder arthroscopy [Method]60 patients with shoulder arthroscopic surgery were randomly divided into the control group and the experimental group with 30 cases in the control group and the experimental group. The control group was received Tenai 40 mg b. i. d. i. v. plus routine nursing intervention. The experimental group combined moxibustion and acupoint therapy on the basis of the control group. We observed the pain score and the satisfaction degree of patients in the two groups 72 h after the operation. [Result]After 6h,24 h,48h and 72 h, the experimental group＇s pain scores were lower than that of the control group（ P〈0. 05）. After 72 h, their postoperative analgesia satisfaction was higher than the control group and there was significant difference（ P〈0. 05）. [Conclusion]Routine nursing intervention on treatment of patients with arthroscopic surgery combined with moxibustion and acupoint can effectively enhance analgesiceffect,reduce postoperative pain and improve patient satisfaction.