辰时及酉时经穴按摩联合西医常规治疗胫骨骨折术后夜间疼痛气滞血瘀证43例临床观察  

Intervention effect of acupoint massage at Chenshi and Youshi combined with conventional western medicine on postoperative night pain with syndrome of qi stagnation and blood stasis in patients with tibial fracture

作　　者：范东英[1] 高雪华[1] 朱芸娟 高银玉 FAN Dongying;GAO Xuehua;ZHU Yunjuan;GAO Yinyu(Department of Osteoporosis,Gansu Provincial Hospital of Chinese Medicine,Lanzhou,Gansu,730050,China;College of Nursing,Gansu University of Chinese Medicine,Lanzhou,Gansu,730101,China)

机构地区：[1]甘肃省中医院骨质疏松科,甘肃兰州730050 [2]甘肃中医药大学护理学院,甘肃兰州730101

出　　处：《甘肃中医药大学学报》2023年第6期83-87,共5页Journal of Gansu University of Chinese Medicine

基　　金：甘肃省自然科学基金项目(20JR5RA161)。

摘　　要：目的观察辰时及酉时经穴按摩联合西医常规治疗胫骨骨折术后夜间疼痛气滞血瘀证的临床疗效。方法将86例胫骨骨折术后夜间疼痛气滞血瘀证患者采用随机数字表法分为对照组和治疗组,各43例。对照组给予患肢抬高、药物镇痛(依托考昔片口服,每次60 mg,每日1次)、功能锻炼等西医常规治疗;治疗组在对照组治疗方法的基础上在辰时、酉时按摩足阳明胃经和足少阴肾经以及2条经络上的井穴和输穴,包括涌泉、太溪、厉兑、陷骨穴,每次20 min,每日2次。2组均以7 d为1个疗程,共治疗1个疗程。比较2组疼痛管理满意度、临床疗效,以及治疗前后肿胀程度、数字等级评定量表(NRS)评分、睡眠状况自评量表(SRSS)评分。结果治疗后2组NRS评分、肿胀程度、SRSS评分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05或P<0.01),且治疗组降低更明显,与对照组治疗后比较差异均有统计学意义(P<0.05或P<0.01);对照组疼痛管理满意度评分为(4.62±0.91)分,治疗组为(7.39±1.32)分,2组比较差异有统计学意义(P<0.05);对照组总有效率为88.37%(38/43),治疗组为100.00%(43/43),2组比较差异有统计学意义(P<0.01)。结论辰时及酉时经穴按摩联合西医常规治疗胫骨骨折术后夜间疼痛气滞血瘀证疗效显著,可明显减轻患者肿胀程度,改善睡眠质量,提高疼痛管理满意度,值得临床推广应用。Objective To observe the clinical effect of acupoint massage at Chenshi(from 7 a.m to 9 a.m)and Youshi(from 5 p.m.to 7 p.m)combined with conventional western medicine in the treatment of night pain with syndrome of qi stagnation and blood stasis after tibial fracture surgery.Methods 86 patients with night pain syndrome of qi stagnation and blood stasis after tibial fracture surgery were divided into control group and treatment group by random number table method,43 cases in each group.The control group received conventional western medicine treatment such as limb elevation,drug analgesia(oral administration of etoricoxib tablets,60 mg each time,once a day),functional exercise,etc.On the basis of the treatment as the control group,the patients in the treatment group were treated with massage on the kidney meridian of foot Shaoyin,the stomach meridian of foot Yangming,and the jing-well points and acupoints on these two meridians,including Yongquan(KI1),Taixi(KI3),Lidui(ST45)and Xiangu(ST43)points,20 min each time,twice a day.7 days was a course of treatment in both groups,and a total of 1 course of treatment was given.The pain management satisfaction,clinical efficacy,swelling degree,numerical rating scale(NRS)score and sleep status self-rating scale(SRSS)score before and after treatment were compared between the two groups.Results After treatment,NRS score,swelling degree and SRSS score of 2 groups were significantly decreased,and the difference was statistically significant compared with that before treatment(P<0.05 or P<0.01);the decrease was more obvious in treatment group,and the difference was statistically significant compared with control group after treatment(P<0.05 or P<0.01).The pain management satisfaction score of the control group was 4.62±0.91,and that of the treatment group was 7.39±1.32,and the difference between the two groups was statistically significant(P<0.05).The total effective rate was 88.37%(38/43)in the control group and 100.00%(43/43)in the treatment group,and this difference was stati

关 键 词：胫骨骨折 术后 夜间疼痛 气滞血瘀证 经穴按摩 辰时 酉时 临床疗效 

分 类 号：R246.1[医药卫生—针灸推拿学]