揿针联合五音疗法对老年髋关节置换术后应用自控式镇痛泵辅助镇痛疗效观察  

Observation of Curative Effect of Thumb-Tack Needling for Subcutaneous Embedding Combined with Five Notes Therapy in Assisting Analgesia of Elderly Patients After Hip Replacement Surgery Using Self-Controlled Analgesia Pump

作　　者：郭灵敏 潘莉 严春文 庞海清 杨巧倩 GUO Lingmin;PAN Li;YAN Chunwen;PANG Haiqing;YANG Qiaoqian(Bone Injury Center,Hainan Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine,Haikou Hainan 570100,China)

机构地区：[1]广州中医药大学附属海南中医院骨伤中心,海南海口570100

出　　处：《新中医》2025年第6期127-131,共5页New Chinese Medicine

基　　金：海南省自然科学基金高层次人才项目(820RC772)。

摘　　要：目的:观察揿针联合五音疗法对老年髋关节置换术后应用自控式镇痛泵辅助镇痛的效果。方法:选取2023年1月—2024年1月在广州中医药大学附属海南中医院骨伤中心行髋关节置换术的老年髋部骨折患者84例,按随机信封法分为试验组和对照组各42例。2组均使用自控镇痛(PCA)干预,试验组采用揿针埋针和五音疗法治疗,对照组假揿针埋针(选取穴位后仅使用胶布贴、不按压)、假五音疗法(选取音频播放内容为新闻联播)治疗。干预周期为术后3 h至术后3天。比较2组数字疼痛评分量表(NRS)评分、恶心呕吐分级程度、心率和呼吸频率以及术后72 h内镇痛泵首次按压时间和按压次数。结果:术前1天和术后2 h,2组NRS评分差异无统计学意义(P>0.05)。术后4、24、48、72 h,试验组NRS评分均低于对照组(P<0.05)。术后30 min,2组恶心呕吐分级程度比较,差异无统计学意义(P>0.05);术后4、24、48、72 h,试验组恶心呕吐分级程度优于对照组(P<0.05)。试验组镇痛泵首次按压时间长于对照组(P<0.05),镇痛泵按压次数少于对照组(P<0.05)。术前1天,2组心率和呼吸频率比较,差异无统计学意义(P>0.05);术后72 h,2组心率和呼吸频率均较术前1天下降(P<0.05),且试验组心率和呼吸频率均低于对照组(P<0.05)。术后72 h内,2组头晕、食欲不振、口干、寒战发生率比较,差异均无统计学意义(P>0.05)。结论:揿针埋针联合五音疗法可有效辅助药物镇痛,同时能减轻术后恶心呕吐症状,并对心率、呼吸频率等生命体征起到平稳效果。Objective:To observe the effect of thumb-tack needling for subcutaneous embedding and the five notes therapy in assisting postoperative analgesia in elderly patients undergoing hip replacement surgery using a self-controlled analgesia pump.Methods:A total of 84 elderly patients with hip fractures who underwent hip replacement surgery at the Bone Injury Center of Hainan Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine from January 2023 to January 2024 were randomly divided into the trial group and the control group,with 42 patients in each group,using the random envelope method.Both groups were intervened with Patient-Controlled Analgesia(PCA).The trial group was treated with thumb-tack needling for subcutaneous embedding and the five notes therapy,while the control group was treated with false thumb-tack needling for subcutaneous embedding(only adhesive tape was used after selecting the acupoints,without pressing)and false five notes therapy(the audio broadcast content was CCTV News).The intervention period was from three hours to three days after surgery.Compared the scores of National Rating Scale for Pain(NRS),the severity of nausea and vomiting,heart rates and respiratory rates,as well as the time and number of first presses of the analgesic pump within 72 hours after surgery between the two groups.Results:There was no significant difference in NRS scores between the two groups one day before surgery and two hours after surgery(P>0.05).At 4,24,48,and 72 hours after surgery,the NRS scores in the trial group were lower than those in the control group(P<0.05).At 30 minutes after surgery,there was no significant difference in the severity of nausea and vomiting between the two groups(P>0.05);at 4 hours,24 hours,48 hours,and 72 hours after surgery,the severity of nausea and vomiting in the trial group was better than that in the control group(P<0.05).The first compression time of the analgesic pump in the trial group was longer than that in the control group(P<0.05),and

关 键 词：髋关节置换术 髋部骨折 围手术期 揿针 五音疗法 疼痛 老年人 

分 类 号：R687.4[医药卫生—骨科学]