| 耳穴贴压干预胫腓骨骨折术后疼痛的临床观察 |
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| 引用本文： | 陆巍,姚若愚,王晶青. 耳穴贴压干预胫腓骨骨折术后疼痛的临床观察[J]. 上海中医药杂志, 2018, 52(5): 55-57, 60 |
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| 作者姓名： | 陆巍 姚若愚 王晶青 |
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| 作者单位： | 上海中医药大学附属龙华医院护理部;上海中医药大学附属龙华医院骨伤科;上海中医药大学附属龙华医院麻醉科 |
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| 摘 要： | 目的观察耳穴贴压疗法干预胫腓骨骨折术后疼痛的临床疗效。方法将66例胫腓骨骨折患者随机分为治疗组与对照组,每组33例。两组均在连续硬膜外麻醉下行胫骨骨折髓内钉内固定联合腓骨骨折切开复位内固定术,术后予电控式止痛注液泵注射预混镇痛液。对照组术后采用基础护理干预,治疗组在基础护理的基础上加用耳穴贴压治疗。两组疗程均为术后72 h,观察评价术后护理满意度,比较疼痛数字评分(NRS)、镇痛泵残液量及镇痛液追加次数。结果 (1)术后各时点与术前组内比较,两组NRS评分均明显降低(P0.05),且呈随时间增加而降低程度更加明显的趋势(P0.05)。组间术后各时点比较,NRS评分差异均有统计学意义,治疗组均明显低于对照组(P0.05)。(2)术后72 h回收时发现,治疗组镇痛泵残液量明显多于对照组(P0.05);治疗组镇痛泵追加次数明显少于对照组(P0.05)。(3)术后3 d评价,治疗组、对照组护理总体满意度分别为90.0%、69.7%;组间护理满意度比较,差异均有统计学意义(P0.05)。结论耳穴贴压可明显缓解胫腓骨骨折术后患者的疼痛不适,提高其护理满意度。
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| 关 键 词： | 胫腓骨骨折 术后疼痛 耳穴贴压 镇痛 中医外治 |
| 收稿时间： | 2017-12-06 |
Clinical observation of intervention of auricular application on postoperative pain of tibia and fibula fracture |
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| LU Wei,YAO Ruoyu and WANG Jingqing. Clinical observation of intervention of auricular application on postoperative pain of tibia and fibula fracture[J]. Shanghai Journal of Traditional Chinese Medicine, 2018, 52(5): 55-57, 60 |
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| Authors: | LU Wei YAO Ruoyu WANG Jingqing |
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| Affiliation: | Department of Nursing, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China,Department of Orthopedics and Traumatology, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China and Department of Anesthesiology, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China |
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| Abstract: | |
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| Keywords: | tibia and fibula fracture postoperative pain auricular application analgesia external treatment of traditional Chinese medicine |
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