耳穴贴压联合塞来昔布超前镇痛在全膝关节置换术中的应用.pdfVIP

·l34 · Shan~haiJAcu．mox．Feb2015．Vo．134．No2 文章编号：1005—0957(2015)02—0134—03 · 临床研究 · 耳穴贴压联合塞来昔布超前镇痛在全膝关节置换术中的应用 张升娟 (浙江省中医院，杭州 310006) 【摘要】 目的 观察耳穴贴压联合塞来昔布超前镇痛在全膝关节置换术中的镇痛效果。方法 选择行单侧全膝关节置换术 的患者46例，随机分为治疗组和对照组，每组23例。治疗组患者于术前3天开始予耳穴贴压联合塞来昔布 口服超前镇痛，对 照组单予塞来昔布 口服。比较两组患者术后 6h、12h、24h、48h的疼痛评分和术后追加盐酸哌替啶例数及不 良反应发生 情况。结果 治疗组术后6h、12h、24h疼痛评分均低于对照组 (P0．05)，两组48h的疼痛评分差异无统计学意义 (尸 0．05) 治疗组追加盐酸哌替啶例数和不 良反应发生例数均低于对照组 (P0．05)。结论 耳穴贴压联合塞来昔布 口服超前镇 痛在全膝关节置换术中镇痛效果明显，其镇痛作用强于单用塞来昔布，并能减少使用术后镇痛药物，降低不 良反应发生率。 【关键词】 耳穴贴压；塞来昔布 ；镇痛：全膝关节置换术 ：疼痛，手术后 【中图分类号】 R246．2 【文献标志码】 A DOI：10．13460／j．iSSE．1005—0957．2015．02．0134 AuricularPointsplusCelecoxib forPreemptiveAnalgesiainTotalKneeArthroplasty ZHANGSheng-juan． Zh~iang ProvincialHospitalofTCM,Hangzhou310006，China A【bstract】 Objecfive ToobservetheanalgesicpreemptiveanalgesiceffectofauricularpointplusCelecoxibintotalknee arthroplasty(TKA)．Method Forty—sixpatientswhoweregoingtoreceiveunilateralTKAwererandomizedintoatreatmentgroup andacontrolgroup，23ineachgroup．PatientsinthetreatmentrgoupbegantoreceiveauricularpointstickingplusCelecoxibfor preemptiveanalgesia3daysaheadoftheoperation，whilethecontrolgrouponlyreceivedCelecoxib．Thepainscoreat6h，12h， 24h，and48hafteroperation，andthecasenumberofsupplementingPethidineHydrochlorideandthecasenumberofhaving adverse reactionswere compared between thewt o rgoups．Result Thetreatmentrgoup was significantly lower than the conrtolrgoupincomparingthepainscoresat6h，12h，and24hafteroperation(P0．05)，whilethedifferenceat48hwas statisticallyinsignificant(尸0．05)；thetreatmentrgoupwassignificantlylowerthanthecontrolgroupincomparingthecasenumber ofsupplementingPethidineHydrochloridenadhtecasenumberofhavingadversereactionsfPO．05)．Conclusion Auricularpoint stickingplusCelecoxibcanproduceasignificantpreemptiveanalgesiceffectinTKA，anditsanalgesiceffectissrtongerthanusing Celecoxibalone．Itcanreducetheuseofanalgesic