髋关节置换术后腕踝针联合镇痛泵的镇痛效果  

The Analgesic Effect of Wrist-ankle Acupuncture Combined with Pain Pump after Hip Replacement Surgery

作　　者：黄琼 华雅琪 赵红[1] 涂萍[1] HUANG Qiong;HUA Yaqi;ZHAO Hong;TU Ping(Anesthesia and Resuscitation Room,The Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330006,China;Grade 2021 Graduate,School of Nursing,Nanchang University,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院麻醉苏醒室,江西南昌330006 [2]南昌大学护理学院,江西南昌330006

出　　处：《光明中医》2024年第11期2256-2259,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的 探讨麻醉恢复期使用腕踝针联合镇痛泵在髋关节置换术后患者中的应用效果。方法 选取2022年6月—2023年2月入麻醉苏醒室的髋关节置换术后患者60例,每组30例。其中对照组实施常规的镇痛泵镇痛,试验组在对照组的基础上联合腕踝针镇痛。结果 术后1、2 h,试验组患者术后疼痛NRS评分均低于对照组,差异具有统计学意义(P<0.05);术后12、24、48 h,试验组患者静息和活动视觉模拟评分法(Verbal analogue scale, VAS)均低于对照组,差异有统计学意义(P<0.05);术后12~48 h,试验组患者自控镇痛泵(Patient controlled analgesia, PCA)的按压次数显著低于对照组,差异有统计学意义(P<0.01)。结论 对于髋关节置换术(Total hip arthroplasty, THA)后髋关节疼痛,腕踝针联合PCA较单纯PCA镇痛效果好、有利于髋关节功能恢复,患者满意率高。Objective To explore the application effect of combined wrist-ankle acupuncture with pain pump during the anesthesia recovery period for patients undergoing hip replacement surgery. Methods 60 patients who underwent hip replacement surgery admitted to the anesthesia recovery room from June 2022 to February 2023 were selected. The control group received conventional pain pump analgesia, while the experimental group received wrist-ankle acupuncture in addition to pain pump analgesia based on the control group. Results After 1 and 2 hours postoperatively, the NRS pain scores of patients in the experimental group were lower than those in the control group, and the difference was statistically significant(P<0.05). At 12, 24, and 48 hours postoperatively, the VAS scores for both rest and activity were lower in the experimental group than in the control group, and the difference was statistically significant(P<0.05). From 12 to 48 hours postoperatively, the number of presses on the patient-controlled analgesia(PCA) pump by patients in the experimental group was significantly lower than that in the control group, and the difference was statistically significant(P<0.01). Conclusion The results of this study indicate that, for postoperative hip pain following total hip arthroplasty(THA), wrist-ankle acupuncture combined with PCA has a better analgesic effect than simple PCA, is beneficial to hip function recovery, and leads to high patient satisfaction.

关 键 词：髋关节置换术 麻醉后护理 针刺疗法 脘躁针 镇痛泵 

分 类 号：R687.4[医药卫生—骨科学]