偏振光联合移疼住痛法扬刺阿是穴治疗Pilon骨折术后疼痛的疗效  

Curative Effect:Combined Treatment of Postoperative Pain of Pilon Fracture with Polarized Light and Pain Relieving Acupuncture(Five Needles around Ashi Point)

作　　者：刘继业 孟红[1] LIU Ji-ye;MENG Hong(Department of Rehabilitation Medicine,the Central Hospital of Huludao City,Huludao 125000,China)

机构地区：[1]葫芦岛市中心医院康复医学科,葫芦岛市125000

出　　处：《中国激光医学杂志》2021年第5期252-257,共6页Chinese Journal of Laser Medicine & Surgery

摘　　要：目的探讨偏振光联合移疼住痛法扬刺阿是穴治疗Pilon骨折术后疼痛的疗效。方法选择2015年4月至2020年8月,Pilon骨折术后患者57例,按随机数字表法分为两组,对照组患者28例,采用偏振光照射阿是穴;观察组患者29例,采用偏振光照射联合针灸针移疼住痛法扬刺阿是穴治疗。分别于治疗后4、8周采用简化McGill疼痛问卷评分,美国足踝外科协会(american orthopedic foot ankle society,AOFAS)踝-足功能评分,Olerud-Molander踝关节骨折疗效评分判定临床疗效以及安全性。结果治疗后4和8周,对照组简化McGill疼痛问卷评分分别为(35.6±6.2)分、(27.2±6.0)分;AOFAS踝-足功能评分分别为(50.5±8.6)分、(65.7±7.8)分;Olerud-Molander踝关节骨折疗效评分分别为(52.1±8.1)分、(63.5±7.2)分,三项评分较治疗前均明显改善(P<0.05)。治疗后4和8周,观察组简化McGill疼痛问卷评分分别为(24.9±6.0)分、(15.4±6.0)分;AOFAS踝-足功能评分分别为(62.0±8.0)分、(77.1±8.9)分;Olerud-Molander踝关节骨折疗效评分分别为(64.8±9.2)分、(79.1±9.5)分,三项评分较治疗前均明显改善(P<0.05)。观察组治疗后4和8周的三项评分均优于对照组(P<0.05),且两组均无不良反应发生。结论偏振光联合针灸针移疼住痛法扬刺阿是穴可显著降低Pilon骨折术后疼痛,且安全可靠。Objective To investigate the curative effect of the combined treatment of postoperative pain of Pilon fracture with polarized light and the pain relieving acupuncture using five needles around Ashi point.Methods Totally 57 patients of Pilon fracture given operation during the period from Apr.2015 to Aug.2020 were randomly divided into two groups.While the 28 patients in the control group being given polarized light irradiation on Ashi point,the 29 patients in the observation group were treated with polarized light irradiation plus acupuncture and moxibustion,during which the Ashi point was pricked via moving pain and living pain method.The simplified McGill Pain Questionnaire score,American Association of Foot and Ankle Surgeons(AOFAS) ankle foot function score,Olerudmolander ankle fracture efficacy score,clinical efficacy and safety indexes of the two groups were observed 4 weeks and 8 weeks respectively after the treatment.Results For the control group,4 and 8 weeks after the treatment,the scores of simplified McGill Pain Questionnaire were(35.6±6.23) and(27.2±6.0) respectively,the AOFAS ankle foot function scores(50.5±8.6) and(65.7±7.8) respectively,and the Olerudmolander ankle fracture efficacy scores(52.1±8.1) and(63.5±7.2) respectively,which were significantly better than those before the treatment(P<0.05).As to the observation group,the scores of simplified McGill Pain Questionnaire were(24.9±6.0)and(15.4±6.0) respectively,the AOFAS ankle foot function scores(62.0±8.0) and(77.1±8.9) respectively,and the Olerudmolander ankle fracture efficacy scores(64.8±9.2) and(79.1±9.5) respectively,which were also much better than those before the treatment(P<0.05).However,the scores of the observation group were better than those of the control group(P<0.05) at each time point.After the treatment,the effective rate of the observation group was significantly higher than that of the control group at each time point(P<0.05),and no adverse event occurred in either group.Conclusions It is safe and reliable to us

关 键 词：偏振光 PILON骨折 扬刺 疼痛 移疼住痛法 

分 类 号：R616.4[医药卫生—外科学] R683[医药卫生—临床医学]