耳穴压籽法联合静脉镇痛在下肢骨科手术的临床应用

目的:评价耳穴压籽法联合静脉镇痛在下肢骨科手术术后止痛的临床效果。方法:择期骨科下肢手术患者120例,随机均分为耳穴压籽联合静脉镇痛组和单纯静脉自控镇痛组,以视觉模拟评分评价各组术后的疼痛程度,并记录患者满意度和镇痛期间不良反应发生情况。结果:耳穴压籽联合静脉镇痛组镇痛效果明显优于单纯静脉自控镇痛组,且不良反应发生率较低(均P<0.05),两组总体满意度比较差异无统计学意义(P>0.05)。结论:耳穴压籽法联合静脉镇痛用于下肢骨科手术术后止痛,可达到满意的镇痛效果,且不良反应少。

Clinical Application of Otopoint-pellet Pressure Combined with Patient Controlled Intravenous Analgesia to Lower Limb Orthopedic Operation

Objective To observe the therapeutic effect of otopoint-pellet pressure(OPP) combined with patient controlled intravenous analgesia(PCIA) for lower-limb surgery of orthopedics.Methods A total of 120 lower-limb orthopedic operation patients were randomized into OPP+PCIA group(n=60) and PCIA group(n=60).The patient’s pain degree was evaluated by visual analogue score(VAS).Results In comparison with the simple PCIA group,VAS levels were significantly lower in the OPP+PCIA group than in the PCIA group 2,6,24 and 48 h after operation.The number of patients with post-operative reactions of nausea,vomiting and urinary retention in the OPP+PCIA group was remarkably lower than that of OPP group(P<0.05).Conclusion OPP+PCIA is superior to simple PCIA in post-operative analgesia and reducing post-operative adverse reactions in lower-limb orthopedic operation patients.