腹针疗法结合PCEA治疗全膝关节置换术术后早期疼痛疗效观察  

Therapeutic Effect of Abdominal Needling Therapy Combined with Patient-controlled Epidural Aalgesia on Early Pain After Total Knee Arthroplasty

作　　者：邓忠明[1] 陈磊[1] 许少健[1] 奎瑜[1] 

机构地区：[1]广东省中医院传统疗法科,广东广州510120

出　　处：《新中医》2010年第11期84-86,共3页New Chinese Medicine

摘　　要：目的:观察腹针疗法结合硬膜外自控镇痛(PCEA)对全膝关节置换术(TKA)术后早期疼痛的临床疗效。方法:将57例符合纳入标准的TKA术后受试者随机分为试验组28例和对照组29例,对照组采用PCEA,试验组在对照组治疗基础上加用腹针治疗。使用视觉模拟量表(visualanaloguescales,VAS)评定患者术后各时点的静息时疼痛,并观察不良反应。结果:2组术后2小时静息VAS评分比较,差异无显著性意义(P>0.05);2组术后第3天对疼痛减轻作用也接近,差异无显著性意义(P>0.05);2组术后第6天静息VAS评分比较,差异有显著性意义(P<0.05)。术后第6天对治疗过程中所发生的不良反应进行统计,其中恶心呕吐、腹胀便秘症状2组发生情况比较,差异有显著性意义(P<0.05),而尿潴留、头痛症状2组比较,差异无显著性意义(P>0.05),提示试验组可减轻镇痛药物胃肠道反应。结论:腹针疗法对TKA术后早期镇痛疗效肯定。Objective：To observe the therapeutic effect of abdominal needling therapy combined with patient-controlled epidural analgesia（PCEA） on early pain af-ter total knee arthroplasty（TKA）.Methods：Fifty-seven qualified patients were ran-domized into 2 groups：29 patients in the control group were given PCEA,and 28 in the experimental group received PCEA combined with abdominal needling therapy.Visual analogue scale（VAS） was used to evaluated the rest pain at different time points.Meanwhile,the adverse reaction was monitored.Results：VAS score of rest pain was similar in the two groups 2 hours after TKA（P 0.05）,and the effect on relieving pain was also similar 3 days after the operation（P0.05）.Till the sixth day of the operation,the difference of VAS score of rest pain was significant between the two groups（P0.05）,and the incidences of symptoms of nausea and vomiting,abdominal distention and constipation were lower in the experimental group than those in the control group（P0.05）.Conclusion：Abdominal needling therapy combined with PCEA exerts certain effect on early pain after total knee arthroplasty.

关 键 词：人工全膝关节置换术后 针灸疗法 腹针疗法 硬膜外自控镇痛 

分 类 号：R687.4[医药卫生—骨科学]