揿针对髋关节置换术患者术后疼痛及髋关节功能的影响
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R246.2

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Effect of Thumbtack Needle on Postoperative Pain and Hip Joint Function in Patients Undergoing Hip Replacement
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    摘要:

    目的:观察揿针对髋关节置换术患者术后疼痛及髋关节功能的影响。方法:选取80 例行髋关节置换术患者,随机分为对照组和观察组,每组40 例。对照组采用多模式镇痛与静脉自控镇痛,观察组在对照组基础上给予揿针治疗。比较2 组治疗前后疼痛程度、髋关节功能及血清炎症因子水平,记录不良反应。结果:术后1 周,观察组Harris 评分高于对照组(P<0.05)。术后3 h、6 h、12 h、24 h,观察组疼痛数字评分法(NRS) 评分均低于对照组(P<0.05);术后36 h,2 组NRS 评分比较,差异无统计学意义(P>0.05)。治疗后,观察组血清白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)、脂联素(ADP) 水平均低于对照组(P<0.05)。观察组不良反应发生率为12.50%,低于对照组的32.50%(P<0.05)。结论:揿针可减轻髋关节置换术患者术后疼痛,降低血清炎症因子水平,有利于髋关节功能恢复,且安全性较高。

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    Abstract:Objective:To observe the effect of thumbtack needle on postoperative pain and hip joint function in patients undergoing hip replacement. Methods:A total of 80 cases of patients undergoing hip replacement were randomly divided into the control group and the observation group, 40 cases in each group. The control group was treated with multimodal analgesia and patient- controlled intravenous analgesia,and the observation group was additionally treated with thumbtack needle based on the treatment of the control group. Pain degree,hip joint function and serum inflammatory factors before and after treatment in the two groups were compared, and adverse reactions were recorded. Results: At one week after operation,the Harris scores in the observation group were higher than those in the control group(P<0.05). At 3th, 6th, 12th and 24th hour after operation respectively,the scores of Numerical Rating Scale(NRS) of pain in the observation group were lower than those in the control group(P<0.05);at 36th hour after operation,there was no significant difference being found in the comparison of NRS scores between the two groups(P>0.05). After treatment, the levels of interleukin- 1β(IL- 1β), tumor necrosis factor-α(TNF-α) and adiponectin(ADP) in serum in the observation group were lower than those in the control group(P<0.05). The incidence of adverse reactions was 12.50% in the observation group,lower than that of 32.50% in the control group(P<0.05). Conclusion: The application of thumbtack needle can relieve postoperative pain of patients undergoing hip replacement, lower the level of inflammatory factors in serum, which benefits the recovery of hip joint function with high safety.

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钱美玉.揿针对髋关节置换术患者术后疼痛及髋关节功能的影响[J].新中医,2021,53(15):132-135

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  • 在线发布日期: 2021-08-10
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