腕踝针治疗肩关节镜术后中重度疼痛的临床效果观察

Clinical effect of wrist and ankle acupuncture in the treatment of moderate and severe pain after shoulder arthroscopy

目的探讨腕踝针治疗肩关节镜术后中重度疼痛的临床效果。方法将2017年8月至2018年8月于本院行肩关节镜术且术后有中重度疼痛的60例患者纳入研究,随机分成两组,对照组30例予以静脉镇痛泵,观察组30例予以腕踝针治疗。比较两组治疗前后VAS评分与肩关节功能(Constant-Murley)评分、镇痛满意度、不良反应率。结果两组治疗后VAS评分下降,Constant评分升高(P<0.05),观察组治疗后评分升降幅度大于对照组,差异有统计学意义(P<0.05);观察组镇痛满意度高于对照组,差异有统计学意义(P<0.05);观察组不良反应率为6.7%,明显低于对照组(P<0.05)。结论腕踝针治疗肩关节镜术后中重度疼痛的临床疗效显著,药物不良反应明显减轻,对于改善患者术后疼痛,提升患者术后康复的依从性,具有重要临床意义。

Objective To investigate the clinical effect of wrist and ankle acupuncture in the treatment of moderate and severe pain after shoulder arthroscopy.Methods From August 2017 to August 2018,60 patients with moderate and severe pain underwent shoulder arthroscopy in our hospital were randomly divided into two groups.30 patients in the control group were treated with intravenous analgesia pump and 30 patients in the observation group were treated with wrist-ankle acupuncture.The VAS score,shoulder joint function(Constant-Murley)score,analgesic satisfaction and adverse reaction rate were compared between the two groups before and after treatment.Results After treatment,VAS score decreased and Constant score increased in the two groups,the scores in the observation group was significantly higher than that in the control group(P<0.05),the satisfaction rate of analgesia in the observation group was higher than that in the control group(P<0.05),and the adverse reaction rate in the observation group was 6.7%,which was significantly lower than that in the control group(P<0.05).Conclusion The clinical effect of wrist-ankle acupuncture in the treatment of moderate and severe pain after shoulder arthroscopy is remarkable,and the adverse drug reactions are obviously alleviated.It is of great clinical significance to improve the postoperative pain and improve the compliance of patients with postoperative rehabilitation.