针刺联合隔药饼电子灸在全髋关节置换术中的应用及对患者VAS评分的影响
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摘要
目的探究针刺联合隔药饼电子灸在全髋关节置换术中的应用及对患者VAS评分的影响。方法选取2015年11月~2017年10月期间在我院进行单侧人工全髋关节置换术的患者90例,对照组患者给予针刺治疗,研究组患者在对照组的基础上联合隔药饼电子灸治疗。观察比较两组患者的视觉模拟疼痛评分(VAS),并且观察记录两组患者不良情况的发生情况以及镇痛药的追加量。结果研究组术后24 h、48 h、72 h的VAS评分明显低于对照组(P<0.05),且研究组患者静止时的VAS评分明显低于活动时(P<0.05);研究组患者镇痛药的追加量明显少于对照组(P<0.05);研究组出现恶心、呕吐、嗜睡以及尿潴留等不良反应的例数明显少于对照组(P<0.05)。结论针刺联合隔药饼电子灸在全髋关节置换术中的应用不仅具有良好的临床治疗效果,还可以降低患者的疼痛和不良反应的发生,值得在临床上进一步推广和应用。
Objective To investigate the application of acupuncture combined with electrical herbal cake-separated moxibustion in total hip arthroplasty and its effect on VAS score. Methods A total of 90 patients undergoing unilateral total hip arthroplasty from November 2015 to October 2017 in our hospital were selected. Patients in the control group were treated with acupuncture. Patients in the study group were treated with electrical herbal cake-separated moxibustion on the basis of the control group. The visual simulated pain score(VAS) of the two groups was observed and compared and the occurrence of adverse conditions and the additional amount of analgesics were recorded. Results The VAS scores of the study group at 24 h, 48 h, and 72 h after operation were significantly lower than those of the control group(P<0.05), and the VAS score at rest was significantly lower in the study group than at the time of activity(P<0.05); The amount of drug added was significantly less than that of the control group(P<0.05). The number of adverse reactions such as nausea, vomiting, drowsiness and urinary retention was significantly less in the study group than that in the control group(P<0.05). Conclusion The application of acupuncture combined with electrical herbal cake-separated moxibustion in total hip arthroplasty not only has good clinical therapeutic effect but also can reduce the occurrence of pain and adverse reactions in patients. It is worthy of further promotion and application in clinical practice.
Objective To investigate the application of acupuncture combined with electrical herbal cake-separated moxibustion in total hip arthroplasty and its effect on VAS score. Methods A total of 90 patients undergoing unilateral total hip arthroplasty from November 2015 to October 2017 in our hospital were selected. Patients in the control group were treated with acupuncture. Patients in the study group were treated with electrical herbal cake-separated moxibustion on the basis of the control group. The visual simulated pain score(VAS) of the two groups was observed and compared and the occurrence of adverse conditions and the additional amount of analgesics were recorded. Results The VAS scores of the study group at 24 h, 48 h, and 72 h after operation were significantly lower than those of the control group(P<0.05), and the VAS score at rest was significantly lower in the study group than at the time of activity(P<0.05); The amount of drug added was significantly less than that of the control group(P<0.05). The number of adverse reactions such as nausea, vomiting, drowsiness and urinary retention was significantly less in the study group than that in the control group(P<0.05). Conclusion The application of acupuncture combined with electrical herbal cake-separated moxibustion in total hip arthroplasty not only has good clinical therapeutic effect but also can reduce the occurrence of pain and adverse reactions in patients. It is worthy of further promotion and application in clinical practice.
引文
[1]李继,柯希建,刘勇,等.腰丛联合第一骶后孔阻滞在老年患者髋关节置换术中的临床应用[J].中华医学杂志,2016,96(43):3470-3473.
[2]肖靓宜,刘未艾,吴清明,等.隔药饼灸对功能性消化不良肝郁脾虚大鼠下丘脑单胺类神经递质表达的影响[J].针刺研究,2016,41(1):60-64.
[3]Liu J.Observation on the analgesic effect of acupuncture combined with thunder fire moxibustion on acute lumbar soft tissue injury[J].Guangming Journal of Chinese Medicine,2017,25(14):123-124.
[4]郑新杰,郑丹丹,张须学.灯盏花素联合针刺对缺血性脑卒中恢复期患者血清炎性因子及肢体功能的影响[J]辽宁中医杂志,2016,25(9):1962-1964.
[5]范学科,郭林.康复训练联合针刺对中风后遗症患者神经功能和运动能力的影响[J].南京中医药大学学报,2016,32(5):428-430.
[6]Lihong LI,Sun S,Zhang X,et al.Influence of ear acupuncture and moxibustion on lysholm scales and VASof the patients with knee osteoarthritis[J].Western Journa of Traditional Chinese Medicine,2016,26(35):147-148
[7]刘慧.针刺联合穴位贴敷对慢性阻塞性肺病急性加重期患者中医证候、生活质量以及肺功能的影响[J].针刺研究,2016,41(3):251-254.
[8]王斌.针刺联合六味地黄丸治疗2型糖尿病脂代谢紊乱的临床疗效及其对胰岛素抵抗的影响研究[J].中国全科医学,2016,19(31):3878-3882.
[9]茅利玉,徐新亚.乌梅丸联合针刺疗法对失眠症患者血清5-HT、BDNF及SAS积分影响研究[J].中华中医药学刊,2017,35(12):3187-3189.
[10]Huang J,Rehabilitation DO,Hospital HP.Clinical analysis on humeroradial joint mobilization combined with acupuncture and moxibustion in treatment of tennis elbow[J].China Medicine&Pharmacy,2017,24(17):256-257.
[11]沈双,卢振产,胡正刚,等.针刺联合通心络对周围性面神经麻痹神经功能和肌电图的影响[J].中华中医药学刊,2017,35(6):1521-1523.
[12]金明卜,徐萍,张叶熙,等.穴位针刺辅助刺络拔罐治疗周围性面瘫急性期疗效及对H-B分级的影响[J].中华中医药学刊,2017,35(10):2667-2669.
[13]张爱军,朱晓东,陈哲萌,等.隔药饼灸联合盆底肌训练治疗脑卒中后尿失禁临床疗效评价[J].中华中医药学刊,2017,35(2):457-459.
[14]徐步轩,王东雁,景兆德,等.针刺康复训练联合中药醒脑静注射液对重型颅脑损伤患者功能恢复的影响[J].中国中西医结合急救杂志,2017,24(1):24-27.
[15]陈益丹,邱华平,金肖青,等.不同针灸方法对膝骨关节炎模型细胞因子及基质金属蛋白酶影响的比较研究[J].中国比较医学杂志,2016,26(1):42-45.
[16]舒晴,孙丹红,王华,等.针刺与艾灸对气虚证心率变异性的不同影响:随机对照研究[J].中国针灸,2017,37(1):25-30.
[17]陈巧玲,黄双英,陈小丽,等.穴位按摩联合温灸在全膝关节置换术后多模式消肿中的临床疗效[J].中国针灸,2016,36(5):471-475.
[18]胡尚卿,张鹏,李静,等.刺痛感对寒湿凝滞型痛经患者针刺疗效的影响[J].针刺研究,2016,41(2):154-158.
[19]周碧海,李建.大剂量伐昔洛韦联合针刺治疗带状疱疹的临床观察[J].中国药房,2016,27(26):3690-3692.
[20]谢利,刁本恕,刁灿阳,等.扶正减毒抗癌方联合艾灸对非小细胞肺癌放射治疗增效减毒作用的临床研究[J].辽宁中医杂志,2016,25(4):762-764.
[2]肖靓宜,刘未艾,吴清明,等.隔药饼灸对功能性消化不良肝郁脾虚大鼠下丘脑单胺类神经递质表达的影响[J].针刺研究,2016,41(1):60-64.
[3]Liu J.Observation on the analgesic effect of acupuncture combined with thunder fire moxibustion on acute lumbar soft tissue injury[J].Guangming Journal of Chinese Medicine,2017,25(14):123-124.
[4]郑新杰,郑丹丹,张须学.灯盏花素联合针刺对缺血性脑卒中恢复期患者血清炎性因子及肢体功能的影响[J]辽宁中医杂志,2016,25(9):1962-1964.
[5]范学科,郭林.康复训练联合针刺对中风后遗症患者神经功能和运动能力的影响[J].南京中医药大学学报,2016,32(5):428-430.
[6]Lihong LI,Sun S,Zhang X,et al.Influence of ear acupuncture and moxibustion on lysholm scales and VASof the patients with knee osteoarthritis[J].Western Journa of Traditional Chinese Medicine,2016,26(35):147-148
[7]刘慧.针刺联合穴位贴敷对慢性阻塞性肺病急性加重期患者中医证候、生活质量以及肺功能的影响[J].针刺研究,2016,41(3):251-254.
[8]王斌.针刺联合六味地黄丸治疗2型糖尿病脂代谢紊乱的临床疗效及其对胰岛素抵抗的影响研究[J].中国全科医学,2016,19(31):3878-3882.
[9]茅利玉,徐新亚.乌梅丸联合针刺疗法对失眠症患者血清5-HT、BDNF及SAS积分影响研究[J].中华中医药学刊,2017,35(12):3187-3189.
[10]Huang J,Rehabilitation DO,Hospital HP.Clinical analysis on humeroradial joint mobilization combined with acupuncture and moxibustion in treatment of tennis elbow[J].China Medicine&Pharmacy,2017,24(17):256-257.
[11]沈双,卢振产,胡正刚,等.针刺联合通心络对周围性面神经麻痹神经功能和肌电图的影响[J].中华中医药学刊,2017,35(6):1521-1523.
[12]金明卜,徐萍,张叶熙,等.穴位针刺辅助刺络拔罐治疗周围性面瘫急性期疗效及对H-B分级的影响[J].中华中医药学刊,2017,35(10):2667-2669.
[13]张爱军,朱晓东,陈哲萌,等.隔药饼灸联合盆底肌训练治疗脑卒中后尿失禁临床疗效评价[J].中华中医药学刊,2017,35(2):457-459.
[14]徐步轩,王东雁,景兆德,等.针刺康复训练联合中药醒脑静注射液对重型颅脑损伤患者功能恢复的影响[J].中国中西医结合急救杂志,2017,24(1):24-27.
[15]陈益丹,邱华平,金肖青,等.不同针灸方法对膝骨关节炎模型细胞因子及基质金属蛋白酶影响的比较研究[J].中国比较医学杂志,2016,26(1):42-45.
[16]舒晴,孙丹红,王华,等.针刺与艾灸对气虚证心率变异性的不同影响:随机对照研究[J].中国针灸,2017,37(1):25-30.
[17]陈巧玲,黄双英,陈小丽,等.穴位按摩联合温灸在全膝关节置换术后多模式消肿中的临床疗效[J].中国针灸,2016,36(5):471-475.
[18]胡尚卿,张鹏,李静,等.刺痛感对寒湿凝滞型痛经患者针刺疗效的影响[J].针刺研究,2016,41(2):154-158.
[19]周碧海,李建.大剂量伐昔洛韦联合针刺治疗带状疱疹的临床观察[J].中国药房,2016,27(26):3690-3692.
[20]谢利,刁本恕,刁灿阳,等.扶正减毒抗癌方联合艾灸对非小细胞肺癌放射治疗增效减毒作用的临床研究[J].辽宁中医杂志,2016,25(4):762-764.