耳穴压豆配合中药熏蒸在全膝关节置换术后早期镇痛中的应用

目的 :观察耳穴压豆及中药熏蒸在全膝关节置换术后早期镇痛的疗效。方法 :选取50例行单侧全膝关节置换术的患者,随机分为对照组和观察组各25例,对照组给予非甾体类药物镇痛,观察组在对照组基础上增加耳穴压豆、中药熏蒸辅助镇痛。观察记录两组患者术后3 d内膝关节的疼痛情况及关节主动活动度,并进行组间对比。结果:术后观察组疼痛缓解情况好于对照组,48 h后两组患者视觉模拟评分(VAS)分值差异具有统计学意义(P0.05)。观察组患者膝关节主动活动度(ROM)高于对照组,差异具有统计学意义。结论:耳穴压豆配合中药熏蒸在全膝关节置换术后早期具有较好辅助镇痛作用。

Application of Auricular Point Therapy Combined with Herbal Fumigation in Early Analgesia after Total Knee Replacement

Objective:To observe the effect of using auricular point therapy combined with herbal fumigation in early analgesia after total knee replacement(TKR). Methods:There were 50 patients after TKR randomly divided into the control group and intervention group,25 patients in each group. Patients in the control group were treated with non-steroidal anti-inflammatory drug(NSAID) to relieve pain,while in the intervention group patients were given auricular point therapy and herbal fumigation in addition to the NSAID. The pain of knees and active range of motions(AROM) 3 days after operation were observed,recorded and compared.Results:In the intervention group,postoperative pain was relieved more obvious than that in the control group,there were difference on visual analogue scale(VAS) scores between the two groups after 48 hours,and the difference were statistical significance(P<0.05). The AROM of knees in the intervention group was higher than that in the control group,with statistical difference. Conclusion:Auricular point therapy combined with herbal fumigation showed good adjuvant analgesic effect in the early stage after TKR.