摘要
目的探讨耳穴贴压疗法在老年患者肩关节镜围手术期中的应用。方法选择2022年1月至2023年1月在北京市隆福医院骨科行肩关节镜手术治疗的老年肩袖损伤患者共60例,对照组30例应用常规镇痛方法;治疗组30例在对照组常规镇痛的基础上加用耳穴贴压疗法。应用肩关节疼痛视觉模拟量表评分(visual analogue scale,VAS)和患者满意度调查评估两组患者术后第1天、第2天、第3天的疼痛数值评分及患者对镇痛效果的满意度。结果治疗组术后第1天、第2天、第3天的VAS评分显著低于对照组,比较两组疼痛数值差异有统计学意义。治疗组患者满意度为97%,明显高于对照组67%,组间比较差异具有统计学意义(P<0.05)。治疗组患者的活动度改善显著高于对照组患者关节活动度,组间比较差异具有统计学意义(P<0.05)。结论老年肩袖损伤患者围手术期应用耳穴贴压疗法可以减轻患者术后疼痛评分,提高患者的镇痛满意度。
Background Rotator cuff injury is a relatively common shoulder disease,mainly related to rotator cuff tendon injury or tear.In recent years,more and more people have suffered from rotator cuff injuries,especially older adults over 60.The rotator cuff is mainly composed of four tendons:subscapularis,supraspinatus,infraspinatus,and teres minor tendons.These tendons are crucial in shoulder joint movement,such as lifting,rotating,and swinging the shoulder arm.Among them,supraspinatus tendon injury is higher in rotator cuff injury,accounting for more than 85%.The incidence of rotator cuff injury increases gradually with age,associated with muscle and bone degradation in the body.In addition,high-risk groups such as those engaged in heavy physical labor,repetitive shoulder activities,strenuous exercise,and sports athletes are also more likely to develop rotator cuff injuries.The auricular point is an essential part of the human meridian system.Stimulating the acupuncture points of the ear can stimulate the meridians,promote the circulation of qi and blood,and achieve the role of treating diseases.Although studies have proved the existence of auricular meridians,it is still necessary to further understand its essence,its connection with the viscera,and whether auricular points,spleen,liver,heart,and other points have the effect of treating the diseases related to the circulation meridians.Therefore,more evidence-based medical evidence is needed to confirm the role of auricular point sticking therapy.Objective To explore the application of auricular point sticking therapy in perioperative shoulder arthroscopy in elderly patients.Methods From January 2022 to January 2023,60 elderly patients with rotator cuff injuries underwent shoulder arthroscopic surgery in the Department of Orthopedics of Beijing Longfu Hospital.The patients were equally divided into the control group and the treatment group.Based on routine analgesia,auricular point sticking therapy was added.The visual analog scale(VAS)and patient satisfaction survey were used to evaluate the pain numerical scores and patients'satisfaction with the analgesic effect on the 1st,2nd,and 3rd day after surgery in the two groups.Results The VAS scores of the treatment group were significantly lower than those of the control group on the 1st,2nd,and 3rd day after operation,and the difference in pain values between the two groups was statistically significant.The patient satisfaction rate in the treatment group was 97%,which was significantly higher than that in the control group(67%),and the comparison between the groups was statistically significant(P<0.05).The improvement of the range of motion in the treatment group was significantly higher than that in the control group,and the comparison between the groups was statistically significant(P<0.05).Conclusion Perioperative application of auricular point sticking and pressing therapy in elderly patients with rotator cuff injury can reduce postoperative pain scores and improve patients'satisfaction with analgesia.
作者
杨坤
梁欢
曹红京
李月茹
寇春梅
汤虹
王秀燕
李林
王元利
丁小方
Kun Yang;Huan Liang;Hongjing Cao;Yueru Li;Chunmei Kou;Hong Tang;Xiuyan Wang;Lin Li;Yuanli Wang;Xiaofang Ding(Department of Orthopedics,Beijing Long Fu Hospital,Beijing 100010,China)
出处
《中华肩肘外科电子杂志》
2023年第2期150-154,共5页
Chinese Journal of Shoulder and Elbow(Electronic Edition)
基金
北京市中医药科技发展资金项目(JJ-2020-23)。
关键词
肩袖损伤
肩关节镜
耳穴贴压
疼痛管理
Rotator cuff injury
Shoulder arthroscopy
Auricular point sticking
Pain management
作者简介
通信作者:丁小方,Email:dxfleon@sina.com。
