耳穴贴压治疗对缓解下颌阻生第三磨牙拔牙术后疼痛及焦虑的治疗作用

Effect of auricular point acupressure on relieving pain and anxiety after impacted mandibular third molar extraction

目的观察耳穴贴压治疗(APA)应用于下颌阻生第三磨牙拔牙术后缓解疼痛和焦虑的治疗作用。方法选取就诊于潍坊医学院附属医院口腔科符合纳入标准者,随机数字表法分组,试验组61例,对照组71例。试验组:拔牙术前40min行APA并持续至术后7d,分别在术后6h,12h,24h,48h,72h,7d和T1,T2,T3,T4,T5,T6完成疼痛数据回馈;分别在术前1h及术后6h,24h,72h,7d完成焦虑数据回馈。对照组:除不予APA外,余同试验组。结果时间段平均疼痛值(VAS)、术后止痛药用量值(AD)、时间段疼痛最大值(VAS-max)、时间点活动性疼痛值(VAS-a)、术后状态焦虑值(stai-s)试验组均低于对照组;且术后6h^7d VAS值,术后7d内AD值,术后72h内VAS-max值,术后6h,12h,48h,72h,7d VAS-a值,术后6h,24h,72h stai-s值,两组比较,P<0.05。结论 APA可有效缓解口腔颌面外科拔牙术后疼痛和焦虑,减少止疼药物摄入,提高拔牙术围手术期的舒适度及满意度。

Objective To observe the clinical effects of auricular point acupressure(APA) in relieving pain and anxiety after mandibular impacted third molar extraction.Methods One hundred and thirty-two patients who met the admission criteria in the department of stomatology were selected and grouped into experimental group(61 cases)and control group(71 cases) according to the random number table.Experimental group:APA was performed 40 minutes before tooth extraction and continued until 7 th day after surgery.The pain data feedback was completed at the 6 th hour,12 th hour,24 th hour,48 th hour,72 nd hour and 7 th day after surgery,and T1(0~6 h) and T2(6~12 h),T3(12~24 h),T4(24~48 h),T5(48~72 h),T6(72 h^7 d) separately.And the anxiety data feedback was completed respectively at 1 th hour before surgery and 6 th hour,24 th hour,72 nd hour,and 7 th day after surgery.Control group:the same treatment with the experimental group except APA.SPSS 25.0 software was used for data analysis.Counting data were described in percentages;measurement data were described in quartiles,and comparisons between groups were tested using non-parametric tests.Results The VAS,AD,VAS-max,VAS-a and stai-s in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion APA can effectively relieve the pain and anxiety after the tooth extraction,reduce the use of analgesic drugs,and make our patients both comfortable and satisfied.