耳穴贴压联合冰硝散外敷在THA术后肢体肿痛患者中的疗效研究  

Study on the Therapeutic Effect of Ear Acupoint Pressing Combined with External Application of Bingnitre Powder in Patients with Limb Swelling and Pain after THA Surgery

作　　者：邱少吒 陈勇嫦 成重玉 周兰芳 李海平 Qiu Shaozha;Chen Yongchang;Cheng Zhongyu;Zhou Lanfang;Li Haiping(Zhaoqing Traditional Chinese Medicine Hospital,Zhaoqing,Guangdong 526020)

机构地区：[1]肇庆市中医院,广东肇庆526020

出　　处：《科技与健康》2024年第9期69-72,共4页Technology and Health

基　　金：2021年度肇庆市科技创新指导类项目(2021040313038)。

摘　　要：探讨耳穴贴压联合冰硝散外敷在THA术后肢体肿痛的应用效果。选取2021年7月1日—2023年7月1日在肇庆市中医院骨伤科一区住院实施THA术的120例患者为研究对象。按患者入院时间顺序将其分为A、B、C三组,每组各40例,THA术后给予A组耳穴贴压,B组冰硝散外敷,C组耳穴贴压联合冰硝散外敷;比较3组患者术前1天、术后第1天、第3天、第5天、第7天的疼痛程度和术后术肢肿胀治疗的效果。结果显示,3组患者术前疼痛评分的比较差异无统计学意义(P>0.05),术后第1天、第3天、第5天、第7天C组的疼痛评分均低于A组和B组,差异有统计学意义(P<0.05);C组肿胀治疗总有效率为97.5%,高于A组的87.5%和B组的90.0%。研究发现,耳穴贴压联合冰硝散外敷能有效减轻THA术后的疼痛程度,提高术后肢体肿胀治疗的有效率。To explore the application effect of ear acupoint pressing combined with external application of Bingnitre powder on limb swelling and pain after THA surgery.120 patients who underwent THA surgery in the Orthopedics and Traumatology Department of Zhaoqing Traditional Chinese Medicine Hospital from July 1,2021 to July 1,2023 were selected as the study subjects.Patients were divided into three groups according to their admission time,A,B,and C,with 40 cases in each group.After THA surgery,group A was given ear acupoint pressure,group B received external application of Bingnitre powder,and group C received ear acupoint pressure combined with Bingnitre powder external application;Compare the pain levels and postoperative limb swelling treatment effects among three groups of patients on the 1st day before surgery,the 1st day,the 3rd day,the 5th day,and the 7th day after surgery.The results showed that there was no statistically significant difference in preoperative pain scores among the three groups of patients(P>0.05).On the 1st,3rd,5th,and 7th day after surgery,the pain scores of Group C were lower than those of Group A and Group B,and the difference was statistically significant(P<0.05);The total effective rate of swelling treatment in Group C was 97.5%,higher than 87.5% in Group A and 90.0% in Group B.Research has found that ear acupoint pressure combined with external application of Bingnitre powder can effectively alleviate the pain level after THA surgery and improve the effectiveness of postoperative limb swelling treatment.

关 键 词：全髋关节置换术 疼痛 肿胀 耳穴贴压 冰硝散 

分 类 号：R684.75[医药卫生—骨科学]