耳穴疗法治疗四肢创伤早期疼痛的临床观察

摘要

目的:观察在常规治疗基础上运用耳穴贴压疗法治疗四肢创伤早期疼痛的效果.方法:将符合纳入标准的100例急性软组织损伤或急性闭合性骨折的患者按入院先后随机分为观察组和对照组,每组50例.两组均予常规治疗,包括病情观察、按需外固定、牵引、抬高患肢等,并给予中药(消肿止痛散)冷敷.对照组在常规治疗基础上口服去痛片,每次1片,2次/d,疼痛减轻后改必要时服用或停服.观察组在常规治疗基础上予以耳穴贴压.患者疼痛缓解后,比较两组患者的疼痛程度数字量表(NRS),疗效和不良反应.结果:治疗后,两组NRS评分均较本组治疗前明显降低,组内差异均有统计学意义(均P<0.01);观察组NRS评分低于对照组,组间差异有统计学意义(P<0.05).观察组总有效率优于对照组(P<0.05).两组均未发生严重不良反应.结论:在常规治疗基础上运用耳穴贴压疗法治疗四肢创伤早期疼痛效果优于加服去痛片,能有效减轻患肢疼痛症状,减少并发症,且方法操作简单、安全,患者易学易懂,疗效确切,有效提高住院患者满意度,值得临床推广应用.%Objective:To observe the efficacy of auricular acupoint sticking based on conventional treatment in treating pain in early-stage extremity trauma.Methods:A hundred eligible patients with acute soft tissue injury or acute closed fracture were randomized into an observation group and a control group by their admission sequence, 50 cases in each group. The two groups both received routine management including routine checking, external fixing, traction, raising up the affected limb, etc., as well as cold compress with Chinese medication (Xiao Zhong Zhi Tong Powder). In addition to the routine management, the control group was given oral administration of amidopyrine and phenacetin compound tablet, 1 tablet per dose, twice a day, which was then taken only when necessary or terminated after pain subsided. The observation group was given auricular acupoint sticking in addition to the routine management. The two groups were compared in terms of numerical rating scale (NRS) score, therapeutic efficacy and adverse reactions after pain was relieved.Results:After the intervention, the NRS scores dropped significantly in both groups (P<0.01); the NRS score in the observation group was significantly lower than that in the control group (P<0.05).The total effective rate in the observation group was superior to that in the control group (P<0.05).There were no severe adverse reactions in the two groups.Conclusion:Based on routine management, auricular acupoint sticking can produce a more significant efficacy in treating pain in early-stage extremity trauma compared to amidopyrine and phenacetin compound tablet; it can effectively reduce pain of the affected limb and prevent complications; it's easy-to-operate and safe; patients can learn and understand it easily; its efficacy is confirmed; it enhances the satisfaction degree of the inpatients. Therefore, this method is worth promoting in clinic.