耳穴压豆联合激素封闭治疗隐神经创伤性神经瘤造成TKA术后疼痛的临床观察  

Clinical Research on Auricular Point Sticking with Mone closed Pain Point Injection Treatment for Pain caused by Saphenous Traumatic Neuroma after TKA

作　　者：宋晓兰 孙永强 阎亮[3] 李帅垒[3] 赵建磊[1] 

机构地区：[1]河南中医药大学,河南郑州450002 [2]河南省骨科医院,河南郑州450002 [3]河南省中医院,河南郑州450002

出　　处：《中医药临床杂志》2017年第12期2081-2084,共4页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:观察耳穴压豆联合激素封闭治疗TKA(全膝关节置换)术后隐神经创伤性神经瘤造成疼痛的临床疗效及探讨其作用机制。方法:因隐神经创伤性神经瘤造成疼痛患者30例(32膝),根据随机数表随机分为2组,治疗组给予中医耳穴压豆联合激素封闭注射治疗,对照组给予疼痛点局部激素封闭注射治疗。采用视觉模拟量表(visual analogue scale,VAS)评定疼痛程度、日本骨科协会(Japanese orthopaedic association scores,JOA)评分评估膝关节功能。分别记录2组治疗前和随访1、3个月VAS疼痛评分及JOA功能评分。使用SPSS22.0进行数据分析。结果:所有患者均得到有效随访,时间为3-4个月,平均(3±1.2)个月。治疗后1、3个月随访治疗组和对照组VAS评分、JOA评分结果均优于治疗前,差异有统计学意义(P<0.05)。1、3个月随访时治疗组膝关节疼痛VAS评分均明显优于对照组;治疗前、1、3个月随访时JOA关节功能评分治疗组与对照组均无明显差异。2组患者均无不良事件及并发症出现。结论:耳穴压豆联合激素封闭注射治疗隐神经创伤性神经瘤引起TKA术后疼痛安全并且有效,且治疗效果优于单纯局部激素封闭注射。Objective： To observe the clinical effect and mechanism of auricular point sticking with mone closed pain point injection treatment for pain caused by saphenous traumatic neuroma after TKA. Methods： 30 cases（32 knees） pa- tients complaining about pain caused clearly by Saphenous Traumatic Neuroma after TKA. All patients were divided into two groups according to the stochastic indicator method, the treatment group was treated by Chinese medical au- ricular point sticking with mone closed pain point injection, the control group was treated by mone closed pain point injection. Visual analogue scale（VAS） scores and Japanese orthopaedic association （JOA） scores were used to evaluate the pain degree and knee function, respectively. VAS and JOA scores of pre-treatment and follow-up of 1, 3 months were recorded respectively. Using spss22.0 for data analysis. Results： All patients received effective follow up for 3-4 months, an average of 3 ± 1.2 months. The VAS and JOA scores of follow-up of 1, 3months and after treatment in 2 groups were prior to those before treatment, the difference was statistically significant（P〈0.05）. The treatment group＇ s VAS scores of follow-up of 1, 3months were prior to those of control group. The JOA scores of pre-treatment, post- treatment and follow-up of 1, 3months between two groups were no differences. Two groups of patients were no adverse events and complications. Conclusion： Treatment of Chinese medical auricular point-sticking with mone closed pain point injection for pain caused by saphenous traumatic neuroma after TKA is clinically safe and effective, and is better than unique mone closed pain point injection.

关 键 词：耳穴压豆疗法 激素 膝关节置换 疼痛 隐神经创伤性神经瘤 

分 类 号：R745.4[医药卫生—神经病学与精神病学]