腕踝针对肝脏穿刺活检术患者术后疼痛的影响

Analgesic effect of the wrist-ankle acupuncture for patients with liver biopsy

目的:观察腕踝针降低肝穿刺活检术患者术后疼痛发生率及改善疼痛程度的作用。方法:将符合入组标准的110例行肝穿刺活组织病理学检查的慢性乙型病毒性肝炎患者随机分为腕踝针组和对照组,每组各55例。腕踝针组患者术后予以腕踝针治疗,若发生疼痛强度≥2级,予以加用曲马多注射液镇痛治疗,对照组患者若发生疼痛强度≥2级,予以曲马多注射液镇痛治疗,比较两组患者的疼痛发生率、疼痛缓解程度、镇痛起效时间及持续时间。结果:腕踝针组患者肝区疼痛发生率低,镇痛起效时间快(P<0.05),但疼痛缓解程度及镇痛持续时间与对照组不存在统计学差异(P>0.05)。结论:腕踝针可以降低肝穿刺组织病理学检查患者术后疼痛发生率及加快镇痛起效时间。

Objective:To observe the analgesic effect of wrist-ankle acupuncture on reducing the incidence of postoperative pain and improving the degree of pain in patients with hepatic biopsy.Methods:A total of 110 patients with chronic viral hepatitis B who met the criteria of enrollment were randomly divided into wrist-ankle acupuncture group and control group with 55 cases in each group.Wrist-ankle acupuncture group was given wrist-ankle acupuncture treatment after liver biopsy,two groups of patients with pain intensity greater than 2 grade,given tramadol injection analgesic treatment.The incidence of pain,the degree of pain relief,onset time and the duration of analgesia were compared between the two groups.Results:The results showed that the incidence of liver pain was lower and the onset time of analgesia was faster in wrist-ankle acupuncture group(P<0.05),but there was no significant difference in the degree of pain relief and the duration of analgesia between the two groups(P>0.05).Conclusion:Wrist-ankle acupuncture can reduce the incidence of postoperative pain and accelerate the onset time of analgesia in patients with liver biopsy.