耳针配合足三里穴位注射治疗妇科腹腔镜术后肩痛疗效观察

Therapeutic Observation of Auricular Acupuncture plus Acupoint Injection at Zusanli(ST 36) for Shoulder Pain Due to Gynecologic Laparoscopy

目的观察耳针配合足三里穴位注射治疗妇科腹腔镜术后肩痛的临床疗效。方法将120例妇科腹腔镜术后肩痛患者随机分为治疗组和对照组,每组60例。治疗组采用耳针配合足三里穴位注射治疗,对照组采用传统止痛药物治疗。治疗2个疗程后比较两组临床疗效。结果两组治疗后VAS评分、PPI评分及SF-36量表各项评分与同组治疗前比较,差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗后VAS评分、PPI评分及SF-36量表各项评分与对照组比较,差异均无统计学意义(P>0.05)。治疗组总有效率为95.0%,对照组为75.0%,两组比较差异具有统计学意义(P<0.05)。结论耳针配合足三里穴位注射治疗妇科腹腔镜术后肩痛疗效确切,能有效降低术后并发症。

Objective To observe the clinical efficacy of auricular acupuncture plus acupoint injection at Zusanli（ST 36） in treating shoulder pain due to gynecologic laparoscopy. Method Totally 120 patients with shoulder pain due to gynecologic laparoscopy were randomized into a treatment group and a control group, 60 cases in each group. The treatment group was intervened by auricular acupuncture plus acupoint injection at Zusanli（ST 36）, while the control group was by ordinary analgesics. The clinical efficacies were compared after 2 treatment courses. Result The Visual Analogue Scale（VAS） scores, Present Pain Intensity（PPI）, and the item scores of the Short-Form（36） Health Survey（SF-36） were significantly changed in both groups after treatment（P〈0.01,P〈0.05）. There were no significant differences in comparing the VAS score, PPI, and the item scores of SF-36 between the two groups（P〉0.05）. The total effective rate was 95.0% in the treatment group versus 75.0% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Auricular acupuncture plus acupoint injection at Zusanli（ST 36） is effective in treating shoulder pain due to gynecologic laparoscopy, and it can effectively reduce the occurrence of complications.