耳穴压籽在肩袖损伤围手术期镇痛效果观察  被引量:5

Clinical Observation of the Analgesic Effect of Ear Seeds in the Perioperative Stage of Rotator Cuff Injury

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作  者:冯瑞萍[1] 谢晓晓 孙晓亭 FENG Ruiping XIE Xiaoxiao SUN Xiaoting Luoyang Orthopedic Hospital;Henan Luoyang 471002;China

机构地区:[1]河南省洛阳正骨医院,河南洛阳471002

出  处:《中医药临床杂志》2018年第5期965-967,共3页Clinical Journal of Traditional Chinese Medicine

摘  要:目的:探讨耳穴压籽在肩袖损伤围手术期疼痛护理中的镇痛效果观察。方法:选择接受肩关节镜手术治疗的肩袖损伤患者40例,采用随机数字表法分为观察组和对照组,每组20例,所有患者手术治疗所选用的麻醉方式均为全身麻醉。对照组进行围手术期常规护理;观察组在常规护理的基础上,于患者手术前及术后用生王不留行籽按压心、神门、交感、皮质下、肩5个耳穴,分别记录患者术后6h、12h、24h、48h的疼痛数值评分,以及患者对镇痛满意度。结果:观察组术后6h、12h、24h、48h的NRS评分(3.45±0.78)(3.97±0.65)(2.83±0.56)(2.35±0.57)明显低于对照组(3.78±0.63)(4.59±0.83)(3.78±0.41)(3.51±0.69),2组比较差异有统计学意义;观察组患者满意度95%,明显高于对照组60%,2组比较差异有统计学意义。结论:肩袖损伤围手术期耳穴压籽,可减轻肩袖损伤术后疼痛,提高患者镇痛满意度和功能锻练依从性,积极配合治疗与护理。Objective: To investigate the analgesic effect of auricular pressure seed in pain nursing during the perio- perative period of shoulder cuff injury. Method:Selection 40 cases of shoulder cuff injury were treated with shoulder arthroscopic surgery, using the random number table method was divided into observation group and control group, each group 20 cases, all patients surgery anesthesia were chosen for general anesthesia. The control group performed routine nursing during perioperative period, observation group on the basis of conventional nursing, before and af- ter the operation of the patient, cowherb seed was pressed to the heart, the god door, the sympathetic, the subcorti- cal and the shoulder these five points in the ear. The pain scores of 6h, 12h, 24h and 48h were recorded respectively, and the patient' s satisfaction with the analgesia was recorded. Results: The NRS scores of 6h, 12h, 24h, 48h after observation group(3.45 ± 0.78), (3.97 ±0.65), (2.83 ±0.56), (2.35± 0.57) were significantly lower than the control group (3.78 ± 0.63), (4.59 ± 0.83), (3.78 ± 0.41), (3.51± 0.69). The difference between the two groups was statistically significant(P〈0.05). The satisfaction rate of patients in the observation group was 95%, significantly higher than that in the control group, and the difference between the two groups was statistically significant(P〈0.05). Conclusion: Shoulder cuff injury perioperative auricular pressure seed can reduce postoperative pain of shoulder sleeve injury, improve the patient' s analgesia satisfaction and functional exercise compliance, and actively cooperate with treatment and nursing.

关 键 词:耳穴疗法 肩袖损伤 围手术期 镇痛 

分 类 号:R274.9[医药卫生—中西医结合]

 

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