摘要
目的:观察耳穴压豆法对缓解跟骨骨折术后疼痛的临床疗效。方法:选取跟骨骨折行外侧L形入路切开复位术后的患者72例,采用随机数字表法分为对照组与治疗组,对照组和治疗组各36例。对照组采用静脉镇痛泵、冰敷,治疗组采用静脉镇痛泵、冰敷联合耳穴压豆。治疗7 d后采用疼痛视觉模拟评分(VAS)评定跟骨骨折术后疼痛改善情况,记录术后止痛药物服用与不良事件发生情况,调查患者满意率。结果:71例患者获得随访。VAS评分:时间因素与分组因素存在交互效应,且术后1~7 d治疗组止痛效果优于对照组,差异有统计学意义(P<0.05)。止痛药物服用率:治疗组5.56%,对照组97.14%,差异有统计学意义(P<0.05)。不良反应发生率:治疗组13.89%,对照组74.29%,差异有统计学意义(P<0.05)。患者满意率:治疗组91.67%,对照组85.71%,差异有统计学意义(P<0.05)。结论:耳穴压豆法治疗跟骨骨折术后止痛效果良好,止痛药物服用率低,不良反应发生率低,患者满意度高,值得临床推广应用。
Objective:To observe the clinical efficacy of auricular acupoint pressing and finger point on postoperative pain of calcaneal fracture.Methods: 72 patients with calcaneus fracture were selected as the observation objects and divided into control group and treatment group with 36 cases in each group by random number table method.The control group was treated with intravenous analgesic pump, ice compress, and oral analgesics if necessary.In the treatment group, on the basis of the control group, auricular acupoints and finger acupoints were added.After 1 week of treatment, visual analogue scale(VAS) score was used to evaluate the improvement of pain after calcaneal fracture.In the same time, analgesic drug use rate, incidence of adverse reactions and patient satisfaction rate were assessed.Results: 71 cases were followed up.VAS score: there was an interaction efficacy between time factor and grouping factor.The analgesic efficacy of the treatment group was better than that of the control group 1 to 7 d after surgery, with statistical significance(P<0.05).Analgesic drug taking rate: it was 5.56% in the treatment group and 97.14% in the control group, the difference was statistically significant(P<0.05).The incidence of ADR:it was 13.89% in the treatment group and 74.29% in the control group, the difference was statistically significant(P<0.05).Patient satisfaction rate: it was 91.67% in the treatment group and 85.71% in the control group, the difference was statistically significant(P<0.05).Conclusion: Auricular acupoint pressing combined with finger point on treatment of calcine fracture after surgery has good analgesic effect, low use rate of analgesic drugs, low incidence of adverse reactions and high patient satisfaction, which is worthy of clinical promotion.
作者
白晶
付磊
聂姗姗
王骁汉
陈黎明
郭盛君
李晓亮
BAI Jing;FU Lei;NIE Shanshan;WANG Xiaohan;CHEN Liming;GUO Shengjun;LI Xiaoliang(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;The PLA 80th Group Military Hospital,Weifang 261041,Shandong China)
出处
《中国中医骨伤科杂志》
CAS
2021年第7期25-28,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
北京中医药大学2019年青年教师项目(2019-JYB-JS-159)。
关键词
跟骨骨折术后
疼痛
耳穴压豆
手指点穴
after surgery for calcaneal fracture
pain
ear pills
finger point
作者简介
通信作者:李晓亮,E-mail:leexiaolang07@163.com。
