耳穴压豆联合穴位贴敷对骨科手术术后康复的影响
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R687

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温州市科技计划项目(Y20180811)


Effect of Auricular Point Seed-Pressing Combined with Acupoint Application on Reha⁃ bilitation After Orthopedic Surgery
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    摘要:

    目的:观察耳穴压豆联合穴位贴敷对骨科手术术后康复的影响。方法:选取106 例行骨科手术治 疗的患者,采用随机数字表法分为观察组和对照组各53 例。2 组术后均行常规护理与治疗,对照组在此基础 上给予穴位贴敷治疗,观察组在对照组基础上联合耳穴压豆治疗。2 组均干预1 周。比较2 组汉密尔顿抑郁量 表(HAMD)、生活质量综合评定问卷(GQOL-74) 及视觉模拟评分法(VAS) 评分,记录满意度及不良事件 发生率。结果:术后7 d,2 组HAMD 评分均较术前降低,GQOL-74 评分均较术前升高,差异均有统计学意 义(P<0.05);观察组HAMD 评分低于对照组,GQOL-74 评分高于对照组,差异均有统计学意义(P< 0.05)。术后12 h、24 h,观察组VAS 评分均低于同期对照组,差异均有统计学意义(P<0.05)。观察组总满 意率94.34%,高于对照组81.13%,差异有统计学意义(P<0.05)。观察组术后不良事件发生率3.77%,低于 对照组16.98%,差异有统计学意义(P<0.05)。结论:耳穴压豆联合穴位贴敷可有效改善骨科手术术后患者 的不良情绪和生活质量,减轻其术后疼痛感,提高满意度,降低不良事件发生率。

    Abstract:

    Abstract:Objective:To observe the effect of auricular point seed- pressing combined with acupoint application on rehabilitation after orthopedic surgery. Methods:A total of 106 cases of patients underwent orthopedic surgery were selected and divided into the observation group and the control group according to the random number table method, with 53 cases in each group. After surgery, both groups were given routine nursing and treatment;the control group was additionally treated with acupoint application,and the observation group was additionally treated with auricular point seed-pressing based on the treatment of the control group. Both groups were treated for 1 week. The scores of Hamilton Depression Scale (HAMD), Generic Quality of Life Inventory 74 (GQOL-74) and Visual Analogue Scale (VAS) were compared between the two groups; satisfaction and incidence of adverse events were recorded. Results: In 7 days after surgery,HAMD scores in the two groups were decreased when compared with those before surgery,and GQOL-74 scores were increased when compared with those before surgery,differences being significant (P<0.05). HAMD score in the observation group was lower than that in the control group,and GQOL-74 score was higher than that in the control group, differences being significant (P<0.05). In 12 hours and 24 hours after surgery,VAS scores in the observation group were lower than those in the control group in the same period, differences being significant (P<0.05). The total satisfaction rate was 94.34% in the observation group,higher than that of 81.13% in the control group,the difference being significant (P< 0.05). The incidence of postoperative adverse events in the observation group was 3.77%,lower than that of 16.98% in the control group, the difference being significant (P<0.05). Conclusion: Auricular point seed-pressing combined with acupoint application can effectively improve the poor mood and quality of life of patients after orthopedic surgery,relieve their postoperative pain,increase satisfaction,and reduce the incidence of adverse events.

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徐冬冬,周佳,薛晓静.耳穴压豆联合穴位贴敷对骨科手术术后康复的影响[J].新中医,2024,56(4):164-167

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  • 在线发布日期: 2024-02-28
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