本文選題：耳穴壓籽療法 + 鎮(zhèn)痛泵�。� 參考：《遼寧中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：背 景：術(shù)后疼痛在過(guò)去認(rèn)為是—種不可避免的經(jīng)歷,隨著對(duì)術(shù)后疼痛病理生理認(rèn)識(shí)的提高,人們認(rèn)識(shí)到術(shù)后急性疼痛對(duì)病人的影響是多方面的�，F(xiàn)在患者可以根據(jù)需要使用鎮(zhèn)痛泵,使手術(shù)后減輕痛苦,促進(jìn)手術(shù)后的康復(fù),但臨床上常出現(xiàn)惡心、嘔吐、尿潴留等不良反應(yīng),所以目前臨床上的治療手段并不能完全解除患者的痛苦。目 的：觀察耳穴壓籽療法結(jié)合鎮(zhèn)痛泵治療骨科手術(shù)患者術(shù)后疼痛的療效。材料與方法：選擇ASA Ⅰ～Ⅱ級(jí)擇期行下肢骨科手術(shù)(膝關(guān)節(jié)半月板損傷探查清理術(shù)、PFNA內(nèi)固定術(shù)、髖關(guān)節(jié)置換術(shù)、人工股骨頭置換術(shù)、下肢骨折切開(kāi)復(fù)位內(nèi)固定術(shù))的患者60例,隨機(jī)分為耳穴按壓組30例,對(duì)照組30例,術(shù)后均行PCIA (patient controlled intravenous analgesia)治療。耳穴按壓組取同側(cè)神門、皮質(zhì)下、腎上腺、交感、內(nèi)分泌及手術(shù)部位相對(duì)應(yīng)的耳穴區(qū)域：“髖”、“膝”、“踝”。觀察兩組患者術(shù)后2h、6h、12h、24h、48h視覺(jué)模擬評(píng)分(vAS)、鎮(zhèn)痛泵按壓次數(shù)、鎮(zhèn)靜程度評(píng)分(Ramesy)及不良反應(yīng)的發(fā)生情況。結(jié)果：兩組整體鎮(zhèn)痛效果滿意,其中耳穴按壓組的VAS評(píng)分在2h、6h、12h、24h時(shí)低于對(duì)照組(P0.05),鎮(zhèn)痛泵按壓次數(shù)在0-2h、2-6h、6-12h三個(gè)時(shí)間段內(nèi)明顯少于對(duì)照組(P0.05)而Ramsay評(píng)分僅在術(shù)后12h內(nèi)明顯優(yōu)于對(duì)照組(P0.05),余時(shí)間無(wú)明顯差異,并且耳穴按壓組的不良反應(yīng)發(fā)生率為6.7%,對(duì)照組的不良反應(yīng)發(fā)生率為16.7%,說(shuō)明耳穴按壓組的療效優(yōu)于對(duì)照組。結(jié)論：耳穴壓籽療法結(jié)合鎮(zhèn)痛泵用于治療下肢骨科手術(shù)術(shù)后疼痛的療效確切且不良反應(yīng)發(fā)生率低,可安全有效的應(yīng)用于患者術(shù)后鎮(zhèn)痛。
[Abstract]:Backview: postoperative pain was considered an inevitable experience in the past. With the improvement of pathophysiological knowledge of postoperative pain, it was recognized that acute postoperative pain affects patients in many ways. Patients can now use analgesic pumps as needed to relieve pain and promote recovery after surgery. However, adverse reactions such as nausea, vomiting, and urinary retention are often found in clinical practice. Therefore, the current clinical treatment can not completely relieve the pain of patients. Objective: to observe the effect of auricular acupoint seed pressing therapy combined with analgesic pump on postoperative pain in orthopedic patients. Materials and methods: sixty patients with ASA 鈪，

本文編號(hào)：1983027