针灸联合自控镇痛泵治疗漏斗胸术后疼痛的效果观察  

Effect of Acupuncture Combined with Patient Controlled Analgesia Pump in the Treatment of Postoperative Pain in Patients with Pectus Excavatum

作　　者：陈春梅[1] 耿峰[1] 陈敏[1] 陈雪欢 王文林[1] CHEN Chun-mei;GENG Feng;CHEN Min;CHEN Xue-huan;WANG Wen-lin(Department of Chest Wall Surgery,Guangdong Second Provincal General Hospital,Guangzhou 510317,Guangdong Province,China;Rehabilitation Centre,Guangdong Second Provincal General Hospital,Guangzhou 510317,Guangdong Province,China)

机构地区：[1]广东省第二人民医院胸壁外科,广东广州510317 [2]广东省第二人民医院康复中心,广东广州510317

出　　处：《罕少疾病杂志》2024年第9期70-73,共4页Journal of Rare and Uncommon Diseases

基　　金：广东省中医药科研项目(No.20222003)。

摘　　要：目的 探讨针灸联合自控镇痛泵(PCAP)治疗漏斗胸患者术后疼痛的疗效。方法 选取2022年1月至2022年12月在广东省第二人民医院胸壁外科行改良Nuss手术治疗的中重度漏斗胸患者作研究对象,共纳入74人,随机分为对照组和观察组。对照组采用自控镇痛泵治疗术后疼痛,观察组在对照组的基础上行双侧神门、内关、合谷、太冲、公孙、阳陵泉穴针灸治疗。采用0~10视觉模拟量表法(VAS)记录并比较两组患者术后疼痛情况,并对两组患者术后下床活动时间,术后不良反应发生情况进行对比。结果 两组患者术后均出现中重度疼痛,经针灸联合镇痛泵治疗96h后,观察组患者VAS评分较对照组下降更快。观察组患者PCAP自控单次给药次数、术后第一次下床活动间隔时间、术后不良反应发生次数均小于对照组(P<0.05)。结论 针灸治疗有助于缓解中重度漏斗胸患者术后疼痛,降低术后不良反应发生的几率,促进漏斗胸患者术后快速康复。Objective To observe the curative effect of acupuncture combined with patient-controlled analgesia pump(PCAP)on postoperative pain in patients with pectus excavatum.Methods From January 2022 to December 2022,74 patients with moderate to severe pectus excavatum who underwent modified Nuss procedure in the Department of Chest Wall Surgery of the Guangdong Second Provincial General Hospital were enrolled and randomly divided into control group and observation group.Patients in control group accepted PCAP to treat postoperative pain,and the rest in observation group were performed bilateral acupuncture treatment of Shenmen,Neiguan,Hegu,Taichong,Gongsun and Yanglingquan Points beside treating with PCAP at the same time.Postoperative pain was recorded and compared between the two groups by 0~10 visual analogue scale(VAS),and the time of PCAP usage,the time between surgery and first post operative ambulation and postoperative adverse reactions were compared between the two groups.Results Moderate and severe pain occurred in both groups after surgery.After 96h of acupuncture combined with PCAP treatment,VAS score in the observation group decreased faster than that in the control group.The time of PCAP usage,the time between surgery and first postoperative ambulation and postoperative adverse reactions in the observation group were smaller than those in the control group(P<0.05).Conclusion Acupuncture treatment can help relieve postoperative pain in patients with moderate to severe pectus excavatum,reduce the probability of postoperative adverse reactions,and promote rapid post operative recovery.

关 键 词：针灸 镇痛泵 漏斗胸 疼痛 

分 类 号：R619.5[医药卫生—外科学]