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Open Access Article

International Research in Chinese Medicine. 2024; 4: (1) ; 74-77 ; DOI: 10.12208/j.ircm.20240017.

The effect of ear acupoint pressure on postoperative pain and joint function in patientswith distal radius fractures
耳穴贴压对桡骨远端骨折患者术后疼痛及关节功能的影响

作者: 张宏扬, 陈国义, 马大安, 卢国华 *

象山县中医医院医疗健康集团西周分院 浙江宁波

*通讯作者: 卢国华,单位:象山县中医医院医疗健康集团西周分院 浙江宁波;

发布时间: 2024-03-22 总浏览量: 336

摘要

目的 分析桡骨远端骨折患者采取耳穴贴压对术后疼痛及关节功能的影响。方法 纳入本院2020年11月至2023年11月行手术治疗桡骨远端骨折病人,将全部98例双盲法随机分组,两组分别49例。对照组术后采取常规疼痛干预,观察组在此基础上予以耳穴贴压。评价术后疼痛及关节功能。结果 干预后1天、3天、5天,观察组其视觉模拟评分(VAS)下降幅度相比对照组更明显(P<0.05)。干预后2周、1月、3月,观察组其Cooney腕关节功能评分升高幅度相比对照组更明显(P<0.05)。结论 桡骨远端骨折患者采取耳穴贴压能够明显缓解术后疼痛感,有助于关节功能恢复。

关键词: 桡骨远端骨折;耳穴贴压;术后疼痛;关节功能

Abstract

Objective To analyze the effects of auricular point compression on postoperative pain and joint function in patients with distal radius fracture.
Methods From November 2020 to November 2023, all 98 patients who underwent surgery for distal radius fracture were randomized by double-blind method, 49 cases in each group. The control group received routine pain intervention after operation, and the observation group was treated with auricular point sticking on the basis of this. Postoperative pain and joint function were evaluated.
Results On day 1, 3 and 5 after intervention, the visual analogue score (VAS) of observation group decreased more significantly than that of control group (P < 0.05). At 2 weeks, 1 month and 3 months after intervention, the Cooney wrist function score in the observation group increased more significantly than that in the control group (P < 0.05).
Conclusion   Auricular point compression can significantly relieve postoperative pain and contribute to the recovery of joint function in patients with distal radius fracture.

Key words: Distal radius fracture; Auricular point sticking; Postoperative pain; Joint function

参考文献 References

[1] 汤艳玲,姚卫兵. 磁珠耳穴贴压与吴茱萸贴敷涌泉穴对老年股骨转子间骨折患者术后疼痛和睡眠质量的影响[J]. 中国中医药科技,2023,30(5):1013-1015.

[2] 万冬华,万小妹,刘虹. 耳穴压豆联合中医定向透药对全膝关节置换术患者术后早期疼痛及关节功能的影响[J]. 医疗装备,2022,35(3):148-150. 

[3] 孙国丽,金瑛,胡雪蓉. 耳穴压豆联合中医定向透药对全膝关节置换术后患者早期疼痛的干预研究[J]. 中华全科医学,2020,18(6):1010-1013. 

[4] 张艳,李冰冰,张晓萌,等. 耳穴贴压在肩袖损伤住院患者关节镜术后早期疼痛管理中的应用[J]. 中华肩肘外科电子杂志,2020,8(1):68-71. 

[5] 倪佳萍. 穴位贴敷联合耳穴压豆对股骨粗隆间骨折围手术期患者术后便秘、疼痛和负性情绪的影响[J]. 中国中医药科技,2022,29(5):888-890.

[6] 刘筱芳. 耳穴压豆联合情志护理对老年骨折患者术后疼痛应激反应及生活质量的影响[J]. 基层医学论坛, 2021, 25(9):1290-1291.

[7] 王旨意,金昕. 耳穴压豆联合中药内服对胫骨平台骨折围手术期患者术后疼痛、睡眠和负性情绪的影响[J]. 中国中医药科技,2022,29(6):1020-1021.

[8] 赵楠,史伟伟,温曼. 耳穴贴压结合中药热奄包干预对下肢骨折患者术后肿胀、疼痛及恢复进程的影响[J]. 包头医学,2022,46(4):52-54.

[9] 钟伟华,苟凌云,廖明军,等. 耳穴压丸法辅助镇痛对原发性全膝关节置换术后下肢疼痛和膝关节功能的影响[J]. 亚太传统医药,2023,19(3):88-93. 

[10] 陈娟,朱璐,王玲. 耳穴压豆法对桡骨远端骨折术后中重度疼痛的效果观察[J]. 实用手外科杂志,2019,33(4): 465-467.

引用本文

张宏扬, 陈国义, 马大安, 卢国华, 耳穴贴压对桡骨远端骨折患者术后疼痛及关节功能的影响[J]. 国际中医药研究, 2024; 4: (1) : 74-77.