作者: 苏素真1 李义锋2 康秀玲3 颜雅燕4
1.永春县中医院护理部，福建永春，362600；2.永春县中医院针灸科，福建永春，362600；3.永春县中医院外科，福建永春，362600；4.永春县医院手术室，福建永春，362600
Author(s):Suzhen Su1 Yifeng Li2 Xiuling kang3 Yayan Yan4
1.Yongchun County Hospital of Traditional Chinese Medicine Nursing department，362600）2.Yongchun County Traditional Chinese medicine hospital acupuncture department，362600）3Yongchun County Hospital of Traditional Chinese Medicine surgery，362600）4.Yongchun County hospital operating room，362600
关键词腕踝针；四肢骨折；镇痛疗效
Keywords: Wrist ankle needle；Limbs fracture；Analgesic efficacy
摘要:目的：探讨腕踝针对四肢骨折患者术后疼痛护理及护理满意度的疗效观察。方法：将我院四肢骨折住院患者120例随机分为对照组（60例）和实验组（60例），其中对照组60例手术后予使用镇痛泵，而实验组60例手术后予使用镇痛泵同时配合进行腕踝针的针刺疗法治疗，两组患者均采用VAS疼痛评分方法来评估术后的疼痛程度及患者在进行腕踝针治疗期间发生不良反应的发生情况.结果：两组患者手术后的第30分钟，60分钟，2小时进行的VAS评分及护理满意度的疗效观察，实验组的评分均显著低于对照组，差异有统计学意义(F<0.05); 实验组术后不良反应的发生率显著低于对照组患者，差异有统计学意义(P < 0. 05).结论：四肢骨折患者术后使用腕踝针，其缓解四肢骨折患者疼痛镇痛效果非常明显及护理满意度明显提高的疗效观察，且术后的不良反应发生率低，值得在临床中应用。
Abstract:To investigate the effect of wrist and ankle on postoperative pain nursing and nursing satisfaction of patients with limb fracture.Methods：120 inpatients with limb fracture in our hospital were randomly divided into the control group (60 cases) and the experimental group (60 cases), of which 60 cases in the control group were treated with analgesia pump after surgery, and 60 cases in the experimental group were treated with analgesia pump and wrist and ankle acupuncture therapy after surgery. VAS pain score was used to evaluate the postoperative pain degree and the occurrence of adverse reactions during wrist and ankle acupuncture treatment in both groups. Results: VAS score and nursing satisfaction of patients in the two groups at 30 minutes, 60 minutes and 2 hours after surgery were significantly lower in the experimental group than in the control group, the difference was statistically significant (F<0.05). The incidence of postoperative adverse reactions in experimental group was significantly lower than that in control group, the difference was statistically significant (P < 0. 05). Conclusion: the use of wrist and ankle acupuncture in patients with limb fractures after surgery, its analgesic effect is very obvious in patients with limb fractures and nursing satisfaction is significantly improved, and the incidence of adverse reactions after surgery is low, it is worthy of clinical application.
骨科病人手术大部分伤及肌肉、肌腱、关节、骨膜等感受器，术后疼痛严重，特别是四肢骨折术后病人，早期需要卧床休息，患肢制动，活动度小。疼痛刺激导致血压升高，心率加快。疼痛的性质为深部痛，是一种酸胀、定位比较弥散的疼痛。
