世界中西医结合杂志
世界中西醫結閤雜誌
세계중서의결합잡지
WORLD JOURNAL OF TRADITIONAL CHINESE AND WESTERN MEDICINE
2014年
5期
519-521
,共3页
耳穴埋豆疗法%穴位按压%膝关节骨折%镇痛
耳穴埋豆療法%穴位按壓%膝關節骨摺%鎮痛
이혈매두요법%혈위안압%슬관절골절%진통
Auricular Seed Pressing Therapy%Acupressure%Knee Joint Fracture%Analgesia
目的：探讨耳穴埋豆疗法配合内麻点穴位按压用于膝关节骨折围手术期镇痛的作用。方法将膝关节骨折围手术期住院患者60例，随机分为治疗组和对照组，每组30例。对照组患者术后均予骨科常规护理，治疗组在上述基础上同时进行同侧耳穴埋豆配合穴位按压。所有操作均由一名固定护理人员实施，记录两组患者手术后1、6、24、48 h静息状态视觉模拟评分（ VAS），镇痛满意度，不良反应情况。结果治疗组患者术后6、24 h的静息VAS疼痛评分均明显低于对照组（ P﹤0.01）；两组患者总体镇痛满意度比较，治疗组明显高于对照组，差异有统计学意义（ P﹤0.05）；治疗组不良反应发生率低于对照组，差异有统计学意义（ P﹤0.05）。结论耳穴埋豆疗法配合内麻点穴位按压可以有效缓解膝关节骨折围手术期镇痛，同时具有费用低、并发症少、操作简单、安全的优点。
目的：探討耳穴埋豆療法配閤內痳點穴位按壓用于膝關節骨摺圍手術期鎮痛的作用。方法將膝關節骨摺圍手術期住院患者60例，隨機分為治療組和對照組，每組30例。對照組患者術後均予骨科常規護理，治療組在上述基礎上同時進行同側耳穴埋豆配閤穴位按壓。所有操作均由一名固定護理人員實施，記錄兩組患者手術後1、6、24、48 h靜息狀態視覺模擬評分（ VAS），鎮痛滿意度，不良反應情況。結果治療組患者術後6、24 h的靜息VAS疼痛評分均明顯低于對照組（ P﹤0.01）；兩組患者總體鎮痛滿意度比較，治療組明顯高于對照組，差異有統計學意義（ P﹤0.05）；治療組不良反應髮生率低于對照組，差異有統計學意義（ P﹤0.05）。結論耳穴埋豆療法配閤內痳點穴位按壓可以有效緩解膝關節骨摺圍手術期鎮痛，同時具有費用低、併髮癥少、操作簡單、安全的優點。
목적：탐토이혈매두요법배합내마점혈위안압용우슬관절골절위수술기진통적작용。방법장슬관절골절위수술기주원환자60례，수궤분위치료조화대조조，매조30례。대조조환자술후균여골과상규호리，치료조재상술기출상동시진행동측이혈매두배합혈위안압。소유조작균유일명고정호리인원실시，기록량조환자수술후1、6、24、48 h정식상태시각모의평분（ VAS），진통만의도，불량반응정황。결과치료조환자술후6、24 h적정식VAS동통평분균명현저우대조조（ P﹤0.01）；량조환자총체진통만의도비교，치료조명현고우대조조，차이유통계학의의（ P﹤0.05）；치료조불량반응발생솔저우대조조，차이유통계학의의（ P﹤0.05）。결론이혈매두요법배합내마점혈위안압가이유효완해슬관절골절위수술기진통，동시구유비용저、병발증소、조작간단、안전적우점。
Objective To explore the effect on perioperative analgesia of knee joint fracture treated with auricular seed pressing therapy and acupressure on Neimadian. Methods Sixty inpatients of knee joint fracture at perioperative stage were randomized into a treatment group and a control group,30 cases in each one. In the control group,after operation,the conventional orthopedic nursing was applied. In the treatment group,on the basic treatment as the control group,the auricular seed pressing therapy and acupressure on Ne-imadian on the affected side were added. The same nurse gave all the operations in treatment. The resting VAS,analgesia satisfaction and adverse reaction were recorded in 1,6,24 and 48 h after operation in the pa-tients of the two groups separately. Results The resting VAS score in the treatment group was lower obvious-ly than that in the control group(P﹤0. 01)in 6 and 24 h after operation. The overall analgesia satisfaction in the treatment group was higher apparently than that in the control group,indicating the significant difference (P﹤0. 05). The incidence of adverse reaction in the treatment group was lower than that in the control group,indicating the significant difference(P﹤0. 05). Conclusion The auricular seed pressing therapy and acupressure on Neimadian relieve effectively perioperative analgesia of knee joint fracture,being advantageous at low cost,less complication,simple operation and good safety.
