颊针疗法对桡骨骨折患者术前疼痛的影响  

Effect of buccal acupuncture therapy on preoperative pain in patients with fracture of radius

作　　者：许琦琦 李登科[2] 张先龙[1] 李法印[1] 高鹏飞 XU Qiqi;LI Dengke;ZHANG Xianlong;LI Fayin;GAO Pengfei(Department of Anesthesiology,Huai′an First Hospital Affiliated to Nanjing Medical University,Huai′an,Jiangsu,223300;Department of Acupuncture of Traditional Chinese Medicine,Huai′an First Hospital Affiliated to Nanjing Medical University,Huai′an,Jiangsu,223300)

机构地区：[1]南京医科大学附属淮安第一医院麻醉科,江苏淮安223300 [2]南京医科大学附属淮安第一医院中医针灸科,江苏淮安223300

出　　处：《实用临床医药杂志》2022年第12期19-22,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨颊针疗法对桡骨骨折患者术前疼痛的影响。方法将54例闭合性桡骨骨折患者随机分为颊针组和药物组,每组27例。颊针组给予针刺患侧肘穴和腕穴,留针30 min;药物组给予静脉滴注帕瑞昔布钠40 mg镇痛。记录处理前、处理后即刻及6、12、24 h视觉模拟评分法(VAS)评分;记录处理前、处理后24 h失眠严重指数量表(ISI)评分;记录吗啡追加情况以及不良反应发生情况;比较2组患者对术前镇痛的满意度。结果与处理前比较,颊针组处理后即刻及6、12、24 h的VAS评分下降,药物组处理后6、12、24 h的VAS评分下降,差异均有统计学意义(P<0.01);颊针组处理后即刻的VAS评分低于药物组,差异有统计学意义(P<0.01)。与处理前比较,颊针组处理后24 h的ISI评分下降,差异有统计学意义(P<0.01);处理后24 h,颊针组ISI评分低于药物组,差异有统计学意义(P<0.01)。2组恶心呕吐发生率、追加吗啡镇痛情况比较,差异无统计学意义(P>0.05)。颊针组患者总体满意度为(4.19±0.68)分,高于药物组的(3.74±0.66)分,差异有统计学意义(t=2.467,P=0.017)。结论颊针疗法能快速有效地缓解桡骨骨折患者的术前疼痛,改善睡眠状态,患者的总体满意度高。Objective To explore the effect of buccal acupuncture therapy on preoperative pain in patients with fracture of radius.Methods A total of 54 patients with closed fracture of radius were randomly divided into buccal acupuncture group and drug group,with 27 cases in each group.Buccal acupuncture group was given acupuncture at points of elbow and wrist on the affected side,and the needle was kept for 30 minutes;the drug group was given intravenous drip of 40 mg parecoxib sodium for analgesia.The scores of Visual Analogue Scale(VAS)before treatment and immediate time point,6,12 and 24 hours after treatment were recorded;the scores of Insomnia Severity Index(ISI)before treatment and 24 hours after treatment were recorded;morphine supplementation and adverse reactions were recorded;patients′satisfaction degree to preoperative analgesia was compared between two groups.Results Compared with VAS score before treatment,the VAS scores at the time points of immediately,6,12 and 24 hours after treatment decreased significantly in buccal acupuncture group,while VAS scores at 6,12 and 24 hours after treatment decreased significantly in drug group(P<0.01);the VAS score immediately after treatment in the buccal acupuncture group was significantly lower than that in the drug group(P<0.01).Compared with ISI score before treatment,the ISI score of the buccal acupuncture group decreased significantly at 24 hours after treatment(P<0.01);at 24 hours after treatment,the ISI score of the buccal acupuncture group was significantly lower than that of the drug group(P<0.01).There were no significant differences in the incidence of nausea and vomiting and additional morphine consumption for analgesia between the two groups(P>0.05).The overall satisfaction degree of patients in the buccal acupuncture group scored(4.19±0.68),which was significantly higher than(3.74±0.66)in the drug group(t=2.467,P=0.017).Conclusion Buccal acupuncture therapy can quickly and effectively alleviate the preoperative pain of patients with fracture of radius,imp

关 键 词：颊针疗法 桡骨骨折 帕瑞昔布钠 镇痛 不良反应 

分 类 号：R614[医药卫生—麻醉学] R245.3[医药卫生—外科学]