针刺内麻点对全髋关节置换术后疼痛及恐动症的影响

Effect of Acupuncture on Pain and Kinetophobia after Total Hip Arthroplasty

目的:探讨针刺内麻点对股骨头无菌性坏死全髋关节置换术后恐动症的影响。方法:纳入60例诊断为股骨头无菌性坏死拟行初次全髋关节置换手术治疗的患者,随机分为试验组和对照组,各30例。在围手术期,对照组使用多模式镇痛,试验组在对照组基础上增加针刺内麻点,对比两组术后24h、48h、72h疼痛评分、恐动症TSK-17量表评分以及恐动症人数。结果:两组患者术后48h、72h与术后24h的TSK-17评分组内比较,有显著性差异(P<0.05);与对照组相比,试验组术后24h、48h、72h时VAS评分有显著性差异(P<0.05),术后48h、72h时TSK-17和恐动症人数有显著性差异(P<0.05)。结论:针刺内麻点能有效降低全髋关节置换术后疼痛,降低恐动症发生率,值得在临床上进一步推广。

Objective:To investigate the effect of acupuncture on kinesophobia after total hip arthroplasty with aseptic necrosis of femoral head.Methods:60 patients diagnosed with aseptic necrosis of femoral head who were to undergo primary total hip replacement were randomly divided into experimental group and control group,with 30 cases in each group.In the perioperative period,the control group received multi-mode analgesia,and the experimental group added internal acupuncture points on the basis of the control group.The pain score,TSK-17 scale score of kinesophobia and the number of kinesophobia were compared between the two groups at 24h,48h and 72h after surgery.Results:There were significant differences in TSK-17 between the two groups at 48h,72h and 24h after surgery(P<0.05).Compared with the control group,VAS scores of experimental groups were significantly different at 24h,48h and 72h after surgery(P<0.05),and TSK-17 and the number of kinetophobia patients were significantly different at 48h and 72h after surgery(P<0.05).Conclusion:Acupuncture can effectively reduce pain after total hip arthroplasty and reduce the incidence of kinesophobia,which is worthy of further promotion in clinical practice.