腕踝针联合耳穴埋豆对胫骨骨折手术后镇痛及睡眠质量的影响

Effect of Wrist and Ankle Needle Combined with Ear Point Buried Bean on Analgesia and Sleep Quality after Tibial Fracture

目的:观察腕踝针联合耳穴埋豆对胫骨骨折手术后镇痛效果及对睡眠的影响。方法:选取2017年1月至2019年1月漳州市中医院收治的胫骨骨折手术后患者60例作为研究对象,按照随机数字表法随机分为对照组与观察组,每组30例,对照组采用常规镇痛药物,观察组在对照组基础上加用腕踝针联合耳穴埋豆,比较2组患者手术后第1天、手术后第5天运动性疼痛的视觉模拟疼痛评分(VAS)、镇痛药物使用次数、满意度以及睡眠情况。结果:2组患者手术后第5天的VAS较手术后第1天下降(P<0.05),其中观察组低于对照组(P<0.05);观察组在使用镇痛药物次数及镇痛满意度均优于对照组(P<0.05);经过治疗后手术后第5天2组患者的匹兹堡睡眠质量指数(PSQI)评分均有不同程度下降,均低于手术后第1天(P<0.05),其中观察组PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论:腕踝针联合耳穴埋豆对胫骨骨折手术后镇痛效果理想,可明显改善患者的睡眠质量。

Objective:To observe the analgesic effect of ankle needle and ear bean on tibial fracture.Methods:Selected from January 2017 to January 2019,Zhangzhou hospital tibial fracture after 60 cases of patients as the study object,according to the random number table randomly divided into control and observation group,30 cases in each group,the control group using conventional analgesic drugs,observation group with wrist ankle needle and ear hole embedded beans,compared 2 groups postoperative day 1,postoperative day 5 movement pain visual simulated pain score(VAS),analgesic drug use,satisfaction and sleep.Results:The VAS of patients in the 2 groups decreased on day 5 after surgery compared with day 1 after surgery(P<0.05),of which the observation group was lower than the control group(P<0.05);The observation group was better than the control group in terms of the number of use of analgesic drugs and satisfaction with analgesia(P<0.05);The Pittsburgh Sleep Quality Index(PSQI)score of the 2 groups on the 5th day after treatment decreased to varying degrees,all lower than the postoperative day 1(P<0.05),of which the PSQI score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Wrand ankle needle and ear point embedded bean have ideal analgesic effect after tibia fracture and can significantly improve the sleep quality of patients.