摘要
目的:观察耳穴压豆联合心理暗示治疗椎体成形术后疼痛的临床疗效。方法:采用随机数字表法将183例拟行椎体成形术的骨质疏松性椎体压缩性骨折患者分为对照组、试验A组、试验B组各61例。3组均给予椎体成形术治疗,术后予萘普生注射液治疗,在此基础上,对照组联用心理暗示治疗,试验A组联用耳穴压豆治疗,试验B组联用耳穴压豆与心理暗示治疗。比较3组住院时间、镇痛起效时间、镇痛持续时间、术后疼痛管理满意度评分及治疗前后修订版脸部疼痛评定量表(FPS-R)、Oswestry功能障碍指数(ODI)、阿森斯失眠量表(AIS)评分。结果:试验B组住院时间、镇痛起效时间较对照组、试验A组缩短(P<0.05),试验B组镇痛持续时间较对照组、试验A组延长(P<0.05)。治疗后,3组FPS-R评分、ODI评分及AIS维度(入睡时间、比期望的时间早醒、夜间苏醒、白天情绪、白天身体功能、白天思睡、总睡眠时间、总睡眠质量)评分均较治疗前降低(P<0.05),且试验B组FPS-R评分、ODI评分及AIS维度评分低于对照组、试验A组(P<0.05)。试验B组术后疼痛管理满意度评分均较对照组、试验组A组升高(P<0.05)。结论:耳穴压豆联合心理暗示治疗能够缓解椎体成形术后疼痛程度,缩短住院时间,改善睡眠质量,患者满意度高。
Objective:To observe the clinical effect of auricular point seed-pressing combined with psychological implications for pain after vertebroplasty.Methods:A total of 183 cases of patients with osteoporotic vertebral compression fracture who planned to undergo vertebroplasty were divided into the control group,the trial group A,and the trial group B according to the random number table method,with 61 cases in each group.All the three groups were treated with vertebroplasty,followed by Naproxen Injection after surgery.On this basis,the control group received psychological implication therapy,the trial group A received auricular point seed-pressing,and the trial group B received auricular point seedpressing combined with psychological implication therapy.The scores of Revised Facial Pain Rating Scale(FPS-R),Oswestry Dysfunction Index(ODI),and Asens Insomnia Scale(AIS)before and after treatment,as well as the hospitalization time,analgesic onset time,analgesic duration,satisfaction scores of postoperative pain management were compared among the three groups.Results:The hospitalization time and analgesic onset time in the trial group B were shorter than those in the control group and the trial group A(P<0.05),and the analgesic duration in the trial group B was longer than that in the control group and the trial group A(P<0.05).After treatment,the scores of FPS-R,ODI,and AIS dimension(sleep onset time,waking up earlier than expected,nighttime awakening,daytime mood,daytime physical function,daytime drowsiness,total sleep time,and total sleep quality)in three groups were decreased when compared with those before treatment(P<0.05),and the scores of FPS-R,ODI,and AIS dimension in the trial group B were lower than those in the control group and the trial group A(P<0.05).The satisfaction scores of postoperative pain management in the trial group B were higher than those in control group and the trial group A(P<0.05).Conclusion:Auricular point seed-pressing combined with psychological implications can alleviate postoperative pain,shorten hospitalization time,and improve sleep quality,with high patient satisfaction.
作者
廖飞飞
倪耀平
陈琦凡
陈茫茫
LIAO Feifei;NI Yaoping;CHEN Qifan;CHEN Mangmang(Department of Orthopedics,Wenzhou Central Hospital,Wenzhou Zhejiang 325000,China)
出处
《新中医》
CAS
2024年第11期177-181,共5页
New Chinese Medicine
基金
温州市科研计划项目(Y20210403)。
关键词
椎体成形术
疼痛
耳穴压豆
心理暗示
睡眠
Vertebroplasty
Pain
Auricular point seed-pressing
Psychological implications
Sleep
