腕踝针在急诊手外伤患者镇痛中的效果  

Effect of Wrist-Ankle Acupuncture on Analgesia in Patients With Emergency Hand Trauma

作　　者：黄秀丹 庄丽玲 郑桂凤 HUANG Xiudan;ZHUANG Liling;ZHENG Guifeng(Department of Emergency,Quanzhou Orthopedic-Traumatological Hospital,Fujian Province,Quanzhou Fujian 362000,China)

机构地区：[1]福建省泉州市正骨医院急诊科,福建泉州362000

出　　处：《中国卫生标准管理》2025年第4期166-169,共4页China Health Standard Management

摘　　要：目的 探讨腕踝针(wrist-ankle acupuncture,WAA)在急诊手外伤患者镇痛中的效果。方法 选取福建省泉州市正骨医院急诊科2022年1月—2023年12月收治的400例急诊手外伤患者,按随机数字表法分为对照组与观察组,各200例。对照组采用常规措施加止痛药治疗,观察组在此基础上采用WAA治疗。收集2组一般资料、施针前与施针后30、45 min的视觉模拟量表(visual analogue scale,VAS)评分、补救镇痛例数、疗效评估及镇痛满意度,并进行统计学分析各指标差异。结果 施针前与施针后30、45min,2组VAS评分比较,差异无统计学意义(P> 0.05);施针后30、45min,2组VAS评分均低于施针前,差异有统计学意义(P <0.05)。观察组的镇痛满意度评分为(3.69±0.13)分,高于对照组的(3.08±0.22)分,差异有统计学意义(P <0.001);观察组补救镇痛比例为1.50%,低于对照组的8.00%,差异有统计学意义(P <0.05)。观察组总有效率为85.50%,高于对照组的62.00%,差异有统计学意义(P <0.001)。结论 WAA能够有效改善急诊手外伤患者疼痛,疗效较高。Objective To explore the effect of wrist-ankle acupuncture(WAA)on analgesia in patients with emergency hand trauma.Methods A total of 400 patients with emergency hand trauma admitted to the department of emergency,Quanzhou Orthopedic-Traumatological Hospital,Fujian Province from January 2022 to December 2023 were selected and divided into control group and observation group by random number table method,with 200 cases in each group.The control group was treated with routine measures and painkillers,and the observation group was treated with WAA on this basis.The general data,visual analogue scale(VAS)scores before acupuncture,30 minutes and 45 minutes after acupuncture,the number of rescue analgesia cases,efficacy evaluation,and analgesic satisfaction of the two groups were collected and statistically analyzed.Results There was no significant difference in VAS scores between the two groups before acupuncture, 30 minutes and 45 minutes after acupuncture (P > 0.05). 30 minutes and 45 minutes after acupuncture, VAS scores in two groups were lower than before acupuncture, the differences were statistically significant (P < 0.05). The analgesic satisfaction score of the observation group was (3.69±0.13) points, which was higher than (3.08±0.22) points of the control group, the difference was statistically significant (P < 0.001). The proportion of relief analgesia in the observation group was 1.50%, which was lower than 8.00% in the control group, and the difference was statistically significant (P < 0.05). The total effective rate of the observation group was 85.50%, which was higher than 62.00% of the control group, and the difference was statistically significant (P < 0.001). Conclusion WAA can effectively improve the pain of emergency hand trauma patients with high curative effect.

关 键 词：腕踝针 急诊手外伤 术前 镇痛 疼痛 效果 

分 类 号：R264[医药卫生—中医外科学]