一种用于推拨病筋的组合型棍针的设计与应用效果研究  

Research on Design and Application Effect of a Combined Rod Needle for Manipulation of Affected Tendon

作　　者：肖婷 马晴 谢阳春[3] 陈思依 龚小珍[5] Xiao Ting;Ma Qing;Xie Yang-chun;Chen Si-yi;Gong Xiao-zhen(First Surgery Department,Dade Lu Headquarter of Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,Guangdong Province,China;School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou 510120,Guangdong Province,China;Nursing Department,Higher Education Mega Center Branch of Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,Guangdong Province,China;Third Encephalopathy Department,Dade Lu Headquarter of Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,Guangdong Province,China;Nursing Department,Dade Lu Headquarter of Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,Guangdong Province,China)

机构地区：[1]广东省中医院大德路总院外一科,广东广州510120 [2]广州中医药大学护理学院,广东广州510120 [3]广东省中医院大学城医院护理部,广东广州510120 [4]广东省中医院大德路总院脑病三科,广东广州510120 [5]广东省中医院大德路总院护理部,广东广州510120

出　　处：《中国社区医师》2022年第33期82-84,共3页Chinese Community Doctors

基　　金：广东省中医药局科研项目(编号20191166)。

摘　　要：目的:自行设计组合型棍针,探讨其在宣氏软组织压痛点推拿法中的应用效果。方法:选取2020年3-10月广东省中医院收治的102痛经患者作为研究对象,根据治疗方法分为对照组和试验组,各51例。试验组采用自行设计的组合型棍针进行软组织压痛点推拿,对照组由护士用拇指指端部位进行压痛点推拿。比较两组患者治疗前后痛经程度、治疗过程中舒适度评分及治疗后护士手指、肩、肘部的疼痛评分。结果:治疗前,两组患者视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05)。治疗后,两组患者VAS评分均低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05)。试验组患者的舒适度评分高于对照组,差异有统计学意义(P<0.05)。试验组护士手指、肩、肘部的疼痛评分低于对照组,差异有统计学意义(P<0.05)。结论:本研究设计的组合型棍针结构简单、设计合理,能有效缓解患者痛经程度,提高患者在治疗过程中的舒适度,减轻护士手指、肩、肘部的疼痛感,值得临床推广。Objective:To investigate the application effect of self-designed combined rod needle in Xuan’s soft tissue tenderness point massage.Methods:A total of 102 patients with dysmenorrhea who were admitted to Guangdong Provincial Hospital of Chinese Medicine from March 2020 to October 2020 were selected as the study subjects.According to the treatment methods,they were divided into the control group and the experimental group,with 51 cases in each group.The experimental group received soft tissue tenderness point massage with self-designed combined rod needle,and the control group received tenderness point massage at the thumb finger tip by the nurse.The degree of dysmenorrhea before and after treatment,comfort score during treatment,and pain scores of fingers,shoulders and elbows of nurses after treatment were compared between two groups.Results:Before treatment,there was no significant difference in visual analogue scale(VAS)scores between the two groups(P>0.05).After treatment,the VAS scores in two groups were lower than those before treatment,and the experimental group was lower than the control group,and the difference was statistically significant(P<0.05).The comfort score of patients in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The pain scores of fingers,shoulders and elbows of nurses in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The combined rod needle designed in this study has simple structure and reasonable design.It effective relieve the degree of dysmenorrhea,improves the comfort of patients in the treatment process,and reduces the pain of nurses’fingers,shoulders and elbows,which is worthy of clinical promotion.

关 键 词：组合型棍针 软组织压痛点推拿法 原发性痛经 

分 类 号：R472[医药卫生—护理学]