腕踝针治疗PCI术后患者穿刺处疼痛及失眠的有效性研究

Effectiveness of Wrist and Ankle Acupuncture in Treating Puncture Pain and Insomnia in Patients after PCI

目的:研究腕踝针治疗经皮冠状动脉介入治疗(PCI)术后患者穿刺处疼痛及失眠的有效性。方法:选择2021年6月—2022年3月于义乌市中医医院行PCI治疗的120例患者,按随机数表法将其分为两组,各60例。对照组采用常规术后护理,观察组于对照组基础上采用腕踝针治疗,连续治疗3 d。比较两组临床疗效、疼痛程度、睡眠质量、镇痛起效时间及不良反应。结果:观察组治疗优良率为90.00%,高于对照组的75.00%,差异有统计学意义(P<0.05)。治疗3 d后,两组视觉模拟评分法(VAS)评分均低于治疗前,且观察组VAS评分低于对照组,镇痛起效时间早于对照组,差异有统计学意义(P<0.05)。治疗3 d后,两组匹兹堡睡眠质量指数量表(PSQI)评分均低于治疗前,且观察组PSQI各项评分低于对照组,差异有统计学意义(P<0.05)。观察组未出现针眼感染、晕针及断针等不良事件;两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论:腕踝针治疗PCI术后患者穿刺处疼痛是安全可行的,镇痛效果确切且起效快速,有利于缓解穿刺处疼痛,改善患者失眠状况,且不良反应并未增加。

Objective:To investigate the efficacy of wrist and ankle acupuncture in the treatment of puncture pain and insomnia after percutaneous coronary intervention(PCI).Method:A total of 120 patients who underwent PCI in Yiwu Hospital of Traditional Chinese Medicine from June 2021 to March 2022 were selected and divided into two groups with 60 patients in each group according to random number table method.The control group was treated with routine postoperative care,on the basis of the control group,the observation group was treated with wrist and ankle acupuncture for 3 consecutive days.The clinical efficacy,pain degree,sleep quality,analgesic onset time and adverse reactions were compared between the two groups.Result:The rate of excellent and good treatment in the observation group(90.00%)was higher than that in the control group(75.00%),and the difference was statistically significant(P<0.05).After 3 d of treatment,the visual analogue scale(VAS)score of the two groups were lower than those before treatment,and the VAS score of the observation group was lower than that of the control group,and the onset time of analgesia was earlier than that of the control group,the differences were statistically significant(P<0.05).After 3 d of treatment,the scores of Pittsburgh sleep quality index(PSQI)in the two groups were lower than those before treatment,and the scores of PSQI in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The observation group did not have adverse events such as needle eye infection,needle dizziness and broken needle;there was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:Wrist and ankle acupuncture is safe and feasible in the treatment of puncture pain in patients after PCI.The analgesic effect is accurate and rapid,which is beneficial to relieve puncture pain and improve patients'insomnia,and the adverse reactions do not increase.