按压出针减轻毫针出针不良反应的临床观察  

Clinical observation of pressing while removing filiform needles to reduce adverse reactions

作　　者：秦文秀 赵祎然 许军峰[1,2] 王坪霏 杨婷 QIN Wenxiu;ZHAO Yiran;XU Junfeng;WANG Pingfei;YANG Ting(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学第一附属医院,天津300381 [2]国家中医针灸临床医学研究中心,天津300381 [3]天津中医药大学,天津301617

出　　处：《上海针灸杂志》2024年第11期1269-1274,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：天津市教委科研计划项目(2022ZD045)。

摘　　要：目的观察出针时按压与不按压在减轻毫针出针不良反应中的效果。方法将90例接受针刺治疗的受试者随机分为按压组和不按压组,每组45例。留针结束后按压组采用无菌棉签按压针孔两侧皮肤出针,不按压组不按压针孔直接出针。分别比较两组患者起针后头面部、躯干部及四肢部的数字等级评定量表(numerical rating scale,NRS)、出血情况、皮下瘀血情况及患者满意度。结果按压组在出针后的NRS评分、出血及皮下瘀血程度均低于不按压组(P<0.05);按压组满意度高于不按压组(P<0.05)。结论出针时按压针孔能显著减轻患者出针时的疼痛,减少出血及皮下血肿的发生,缩短出血后的按压时间。Objective To observe the effects of pressing or not pressing while removing filiform needles to reduce adverse reactions.Method Ninety participants receiving acupuncture treatment were randomly divided into a pressing group and a non-pressing group,each consisting of 45 cases.After needle retaining,needle withdrawal was performed by pressing the two sides of the pinhole with a sterile cotton swab in the pressing group,and the non-pressing group received needle removal directly without pressing the pinhole.The numerical rating scale(NRS)scores of the head and face region,trunk,and limbs,bleeding,hematoma,and the patient’s satisfaction degree were compared between the two groups after needle removal.Result The NRS scores and the intensities of bleeding and hematoma were lower in the pressing group than in the non-pressing group(P<0.05).Patients in the pressing group showed a higher degree of satisfaction than those in the non-pressing group(P<0.05).Conclusion Pressing the pinhole while removing needles can significantly reduce pain,bleeding,and hematoma,shorten the time required to cease the bleeding.

关 键 词：毫针 按压 疼痛 出血 不良反应 

分 类 号：R245[医药卫生—针灸推拿学]