摘要
目的探讨耳穴压豆用于跟骨骨折术后辅助镇痛的疗效及其安全性。方法按照纳入与排除标准,选取2018年1月—2018年6月医院收治的68例跟骨骨折患者作为研究对象,以抽信封方式随机分为治疗组35例与对照组33例,对照组使用硬膜外自控镇痛泵进行术后镇痛,治疗组在对照组的基础上配合耳穴压豆治疗,耳穴留置时间为3天。采用视觉模拟评分(VAS评分)比较两组术前、术后6 h、12 h、24 h和48 h的疼痛情况,观察并记录两组术后镇痛泵中的药物使用量以及不良反应发生情况。结果两组患者术前、术后6 h和12 h的VAS评分比较,差异均无统计学意义(P>0.05);治疗组术后24 h和48 h的VAS评分显著低于对照组(P<0.05);治疗组的术后不良反应总发生率低于对照组(P<0.05)。治疗组术后镇痛泵中的药物使用量为(61.63±7.01)m L,对照组术后镇痛泵中的药物使用量为(68.36±6.80)m L(P<0.05)。结论跟骨骨折术后使用硬膜外自控镇痛泵镇痛并配合耳穴压豆治疗,可进一步提升止痛效果,减少镇痛药物用量,并减少术后不良反应的发生,值得临床推广。
Objective To investigate the clinical effect and safety of auricular plaster therapy for postoperative assistant analgesia to calcaneal fracture patients.Methods A total of 68 calcaneal fracture patients from January 2018 to June 2018 administrated in our hospital were selected as the research subjects,and were randomly divided into the treatment group(n=35)and the control group(n=33).In the control group,patient-controlled epidural analgesia was applied as the basic therapy for relieving postoperative pain.And the treatment group was additionally treated with auricular plaster treatment.Visual analogue scale(VAS)scores before the operation,and at 6 th,12 th,24 th and 48 th hour after the operation were compared.The dosage of the drug and the occurrence of side effects were recorded and compared between the two groups.Results Before the operation and at the 6 th and 12 th hour after the operation,no significant differences were found in VAS score between the two groups(P>0.05).At 24 th and 48 th hour after the operation,the the treatment group had significantly lower VAS scores than those in the control group(P<0.05).The overall incidence rate of adverse events in the treatment group was lower than that in the control group(P<0.05).The postoperative use of the drug in analgesia pump in the treatment group was(61.63±7.01)m L,which was significantly less than that in the control group[(68.36±6.80)m L](P<0.05).Conclusion Patient-controlled epidural analgesia therapy combined with auricular plaster therapy using for the treatment of calcaneal fracture patients who undergone operation can increase the analgesic effect,decrease the analgesic drugs dosage,and has few adverse reaction.
作者
姚丽云
易红
杨广钢
YAO Liyun;YI Hong;YANG Guanggang(Department of Foo&Ankle Orthopedics,Guangzhou Orthopedic Hospital,Guangzhou 510045,Guangdong,China)
出处
《实用中医内科杂志》
2020年第10期83-86,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
广州市科技计划(2017-WS-014)。
关键词
耳穴压豆
硬膜外自控镇痛泵
跟骨骨折
术后
辅助
镇痛
视觉模拟评分
不良反应
疗效
auricular plaster therapy
patient-controlled epidural analgesia
calcaneal fracture
postoperative
assistant analgesia
visual analogue scale
adverse reaction
clinical effect
