改良式耳穴贴压在气滞血瘀型膝骨关节炎患者中的应用  

Application of improved auricular acupoint pressing in patients with knee osteoarthritis of Qi stagnation and blood stasis type

作　　者：许文 郭珈宜 张曼 程梦华 郭亚丽 XU Wen;GUO Jiayi;ZHANG Man;Cheng Menghua;GUO Yali(Department of Bone and Joint Diseases,Luoyang Orthopedic-Traumatological Hospital of Henan Province Henan Provincial Orthopedic Hospital,Zhengzhou,Henan,450000)

机构地区：[1]河南省洛阳正骨医院河南省骨科医院骨关节病科,河南郑州450000

出　　处：《中西医结合护理》2025年第3期53-59,共7页Chinese Journal of Integrative Nursing

基　　金：2023年河南省中医药科学研究专项课题(2023ZY2132)。

摘　　要：目的观察改良式耳穴贴压在气滞血瘀型膝骨关节炎(KOA)患者中的应用效果。方法64例气滞血瘀型KOA患者按照随机数字表法分为对照组和试验组,各32例。对照组给予骨科常规耳穴贴压,将含有王不留行籽的脱敏胶布对准穴位进行贴压;试验组在对照组基础上实施改良式耳穴贴压,将舒筋活血祛痛膏制备成0.6 cm×0.6 cm尺寸,加王不留行籽制备耳穴贴压。两组均以指腹对捏按压3~5次/d,每个穴位0.5~2 min/次,连续干预10 d。采用视觉模拟疼痛评分(VAS)、β-内啡肽(β-EP)水平、膝关节炎指数评分(WOMAC)比较两组患者的疼痛症状和膝关节功能状态,评价干预效果。结果干预3 d、7 d两组的VAS评分均降低,但差异无统计学意义(P>0.05);干预10 d、14 d后试验组的VAS评分低于对照组,差异有统计学意义(P<0.05)。干预后7 d两组的β-EP水平均升高,但差异无统计学意义(P>0.05);干预14 d后试验组的β-EP水平高于对照组,差异有统计学意义(P<0.05)。干预后7 d两组的WOMAC评分均降低,但差异无统计学意义(P>0.05);干预14 d后试验组的WOMAC评分低于对照组,差异有统计学意义(P<0.05)。试验组有效率(93.75%)高于对照组(81.25%),差异有统计学意义(P<0.05)。结论改良式耳穴贴压能缓解气滞血瘀型KOA患者的慢性疼痛症状,改善关节僵硬,增加关节活动度。Objective To observe the application effect of improved auricular acupoint press⁃ing therapy in patients with knee osteoarthritis(KOA)of Qi stagnation and blood stasis type.Methods A total of 64 patients with KOA of Qi stagnation and blood stasis type were selected as the research subjects,and were randomly divided into a control group and an experimental group,with 32 cases in each group,according to the random number table method.The control group was given routine auricular acupoint pressing therapy,and desensitization tape containing Wang⁃buliuxing seeds was applied to the acupoints.The experimental group implemented an improved auricular acupoint pressing on the basis of the control group,preparing Shujin Huoxue Qutong ointment with a size of 0.6 cm×0.6 cm and adding Wangbuliuxing seeds for auricular acupoint.Both groups were given 3~5 times a day of treatment,0.5~2 minutes per time per acupoint.The intervention lasted for 10 consecutive days.Visual Analog Scale(VAS),Beta Endorphin(β-EP)levels,and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)were used to compare the pain symptoms and knee joint function status between two groups of pa⁃tients.Results The VAS scores of the intervention groups were both reduced after 3 days and 7 days,but the difference was not statistically significant(P>0.05);After 10 days and 14 days of intervention,the VAS scores of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).After 7 days of intervention,the levels ofβ-EP in both groups increased,but there was no statistical significance(P>0.05);After 14 days of intervention,the levels ofβ-EP in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).After 7 days of intervention,the WOMAC scores of both groups decreased,but there was no statistical significance(P>0.05);After 14 days of intervention,the WOMAC scores of the experimental group were lower than those

关 键 词：膝骨关节炎 耳穴贴压 疼痛 中医护理 

分 类 号：R473.5[医药卫生—护理学]