颊针疗法对行肩关节镜手术患者围术期镇痛效果的影响  

Effect of Buccal Needle Therapy on Perioperative Analgesia in Patients Undergoing Shoulder Arthroscopic Surgery

作　　者：崔珊珊 周倩倩 孙昕培 单靖华 高栋 CUI Shanshan;ZHOU Qianqian;SUN Xinpei;SHAN Jinghua;GAO Dong(Department of Anesthesiology,Affiliated Hospital of Shandong Second Medical University,Weifang 261031,China)

机构地区：[1]山东第二医科大学附属医院麻醉科,山东潍坊261031

出　　处：《反射疗法与康复医学》2024年第23期12-16,共5页Reflexology And Rehabilitation Medicine

基　　金：潍坊市卫生健康委员会中医药科研项目计划(WFZYY2024-4-073)。

摘　　要：目的观察颊针疗法用于行肩关节镜手术患者围术期镇痛的临床效果。方法选取2024年4—8月山东第二医科大学附属医院收治的60例行肩关节镜手术患者为研究对象,按随机数字表法将其分为对照组和颊针组,每组30例。对照组采用静脉麻醉方式完成肩关节镜手术,术后进行患者静脉自控镇痛(PCIA)。颊针组在对照组基础上采用颊针治疗。比较两组的麻醉药物用量、术后镇痛情况、术后疼痛程度、术后恢复情况及不良反应发生情况。结果颊针组术中丙泊酚、瑞芬太尼用量及镇痛泵按压次数均少于对照组,组间差异有统计学意义(P<0.05);两组补救镇痛率比较,差异无统计学意义(P>0.05)。术后6 h、12 h,两组疼痛视觉模拟(VAS)评分比较,组间差异无统计学意义(P>0.05);术后24 h、48 h,颊针组VAS评分均低于对照组,组间差异有统计学意义(P<0.05)。术后48 h,颊针组15项恢复质量量表、美国肩肘外科协会评分均高于对照组,组间差异有统计学意义(P<0.05)。颊针组恶心、呕吐发生率分别为6.67%、0.00%,均低于对照组的26.67%、13.33%,组间差异有统计学意义(P<0.05);两组皮肤瘙痒、头晕发生率比较,组间差异无统计学意义(P>0.05)。结论行肩关节镜手术患者围术期采用颊针治疗可有效缓解疼痛,促进术后恢复,减少不良反应。Objective To observe the clinical effect of buccal needle therapy on perioperative analgesia in patients undergoing shoulder arthroscopic surgery.Methods Sixty patients undergoing shoulder arthroscopic surgery admitted to the Affiliated Hospital of Shandong Second Medical University from April to August 2024 were selected as the research objects,and were divided into a control group and a buccal needle group according to random number table method,with 30 cases in each group.The control group underwent shoulder arthroscopic surgery with intravenous anesthesia and patient-controlled intravenous analgesia(PCIA)analgesia after surgery.Buccal needle group was treated with buccal needle treatment on the basis of control group.The dosage of anesthetic drugs,postoperative analgesia,postoperative pain degree,postoperative recovery and occurrence of adverse reactions were compared between the two groups.Results The amount of propofol,remifentanil the number of analgesic pump compression in the buccal needle group were less than those in the control group,the differences between the groups were statistically significant(P<0.05);there was no significant difference in the rate of relief analgesia between the two groups(P>0.05).At 6 hour and 12 hour after surgery,there were no significant differences in the pain Visual Analogue Scale(VAS)scores between the two groups(P>0.05);24 hour and 48 hour after surgery,VAS scores in the buccal needle group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).48 hours after surgery,15-item Quality of Recovery scale and American Shoulder Elbow Surgeons score in the buccal needle group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of nausea and vomiting in buccal needle group were 6.67%、0.00%,which were lower than 26.67%、13.33%in the control group,and the differences between the groups were statistically significant(P<0.05);there

关 键 词：肩关节镜 颊针疗法 疼痛程度 患者静脉自控镇痛 康复 

分 类 号：R687.4[医药卫生—骨科学]