耳穴埋豆疗法在膝关节骨折围手术期镇痛中的应用-论文.pdf

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1、世界中西医结合杂志2014年第9卷第5期WorldJournalofIntegratedTraditionalandWesternMedicine2014．Vo1．9．No．5·519··临床研究·耳穴埋豆疗法在膝关节骨折围手术期镇痛中的应用杨丽明熊小玲傅瑞芸【摘要】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

2、、6、24、48h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、24h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。【关键词】耳穴埋豆疗法；穴位按压；膝关节骨折；镇痛【中图分类号】R683．42【文献标识码】A【文章编号】1673—6613(2

3、014)05—0519—03EffectofAuricularSeedPressingTherapyonPerioperativeAnalgesiainKneeJointFractureYANGLi—ming，XIONGXiao—ling，FURui—yun(JiangxiZhangshuChineseMedicineHospital，ZhangshuJiangxi331200)【Abstract】ObjectiveToexploretheeffectonperioperativeanalgesiaofkneejointfracturetreate

4、dwithauricularseedpressingtherapyandacupressureonNeimadian．MethodsSixtyinpatientsofkneejointfractureatperioperativestagewererandomizedintoatreatmentgroupandacontrolgroup，30casesineachone．Inthecontrolgroup，afteroperation，theconventionalorthopedicnursingwasapplied．Inthetreatment

5、group，onthebasictreatmentasthecontrolgroup，theauricularseedpressingtherapyandacupressureonNe—imadianontheaffectedsidewereadded．Thesamenursegavealltheoperationsintreatment．TherestingVAS，analgesiasatisfactionandadversereactionwererecordedin1，6，24and48hafteroperationinthepa—tient

6、softhetwogroupsseparately．ResultsTherestingVASscoreinthetreatmentgroupwaslowerobvious—lythanthatinthecontrolgroup(P<0．01)in6and24hafteroperation．Theoverallanalgesiasatisfactioninthetreatmentgroupwashigherapparentlythanthatinthecontrolgroup，indicatingthesignificantdifference(P<

7、0．05)．Theincidenceofadversereactioninthetreatmentgroupwaslowerthanthatinthecontrolgroup，indicatingthesignificantdifference(P<0．05)．ConclusionTheauricularseedpressingtherapyandacupressureonNeimadianrelieveeffectivelyperioperativeanalgesiaofkneejointfracture，beingadvantageousatl

8、owcost，lesscomplication，simpleoperationandgoodsafety．【Keyword