CAJ | 학술논문

目的：研究穴位针刺在断指再植术后疼痛预防中的作用。方法将2012年3月—2014年3月80例断指再植患者按分层随机方法随机分为治疗组和对照组各40例,对照组采用常规护理,治疗组在常规护理基础上进行穴位针刺预防疼痛。比较两组患者术后疼痛评分、血管危象发生率与术后镇痛药物使用情况。结果治疗组患者术后4,6,12,24,48 h 疼痛评分分别为(2.13±0.33),(2.75±0.67),(3.25±0.59),(3.43±0.78)与(2.85±0.62)分,均低于对照组,差异有统计学意义(t值分别为2.421,2.270,7.223,7.614,4.106；P<0.05)；治疗组患者发生血管危象1例,发生率2.5%；对照组为6例,发生率15.0%,差异有统计学意义(χ2=2.165,P<0.05)。治疗组患者使用双氯芬酸钠栓剂塞肛1例,占2.5%；对照组为7例,占17.5%,差异有统计学意义(χ2=2.287,P<0.05)。结论穴位针刺能减轻断指再植患者术后疼痛,减少术后血管危象发生率,值得推广。
목적：연구혈위침자재단지재식술후동통예방중적작용。방법장2012년3월—2014년3월80례단지재식환자안분층수궤방법수궤분위치료조화대조조각40례,대조조채용상규호리,치료조재상규호리기출상진행혈위침자예방동통。비교량조환자술후동통평분、혈관위상발생솔여술후진통약물사용정황。결과치료조환자술후4,6,12,24,48 h 동통평분분별위(2.13±0.33),(2.75±0.67),(3.25±0.59),(3.43±0.78)여(2.85±0.62)분,균저우대조조,차이유통계학의의(t치분별위2.421,2.270,7.223,7.614,4.106；P<0.05)；치료조환자발생혈관위상1례,발생솔2.5%；대조조위6례,발생솔15.0%,차이유통계학의의(χ2=2.165,P<0.05)。치료조환자사용쌍록분산납전제새항1례,점2.5%；대조조위7례,점17.5%,차이유통계학의의(χ2=2.287,P<0.05)。결론혈위침자능감경단지재식환자술후동통,감소술후혈관위상발생솔,치득추엄。
Objective To study the therapeutic effects of acupuncture therapy for prevent pain of replantation of severed finger. Methods Totals of 80 patients were randomly divided into two groups from March 2012 to March 2014. Patients in the treatment group were treated with acupuncture therapy, and patients in the control group were treated with routine care. Results The pain scores of 4, 6, 12, 24 and 48 hours after the treatment in the treatment group were (2. 13 ± 0. 33), (2. 75 ± 0. 67), (3. 25 ± 0. 59), (3. 43 ± 0. 78) and (2.85 ±0.62), which were significantly lower than those in the control group (t =2. 421, 2. 270, 7. 223, 7. 614, 4. 106, respectively;P<0. 05). In the treatment group, one case had vascular crisis, with an incidence of 2. 5%. In the control group, four cases had vascular crisis, with an incidence of 15. 0%, there was a significant difference between the two groups (χ2 =2. 165,P<0. 05). One case in the treatment group had diclofenac sodium suppositories, with an incidence of 2. 5%. While seven cases had diclofenac sodium suppositories, with an incidence of 17. 5% in the control group, there was a significant difference between the two groups (χ2 =2. 287,P<0. 05). Conclusions Acupuncture therapy can significantly reduce postoperative pain and reduce the incidence of vascular crisis, it is worthy of promotion.