针刺内麻点联合氟比洛芬酯对粘连性肩关节囊炎日间手术后的镇痛观察

Acupuncture at Neimadian combined with Flurbiprofen axetil on the daytime surgery of periarthritis shoulder for postoperative analgesia

摘要:

目的 评价针刺内麻点联合氟比洛芬酯对粘连性肩关节囊炎术后的镇痛效果。方法 选取2019年1月至2021年12月日间病房收治的67例粘连性肩关节囊炎患者,随机分成内麻点联合氟比洛芬酯组(A组,35例)与氟比洛芬酯组(B组,32例)。比较两组术后2、6、18小时的静息与运动VAS疼痛评分、不良反应(恶心、呕吐、呼吸抑制、消化道出血、嗜睡)、镇痛满意度。结果 A、B两组术后静息VAS疼痛评分无显著性差异(P >0.05),术后不良反应无显著性差异(P >0.05),术后镇痛满意度有显著性差异(P <0.05)。结论 针刺内麻点联合氟比洛芬酯应用于粘连性肩关节囊炎日间手术后镇痛效果与氟比洛芬酯镇痛泵相当,但A组患者舒适度更佳,利于患者早期行肩关节功能锻炼。

Abstract:

Objective To compare analgesic efficacy of acupuncture at Neimadian combined with Flurbiprofen axetil on the surgery of shoulder adhesive capsulitis. Method Selected 60 patients with shoulder adhesive capsulitis admitted to the day ward of our hospital from January 2019 to December 2021, randomly divided into Neimadian points of combined Flurbiprofen axetil ester group (Group A,35 cases) and Flurbiprofen axetil group (Group B,32 cases). Comparing two groups of 2, 6 and 18 hours of rest and exercise VAS pain score, adverse reactions (nausea, vomiting, respiratory depression, gastrointestinal hemorrhage, sleepiness) after two sets of surgery. Results There was no significant difference in postoperative VAS pain score and complications in a group of A and B(P >0.05). Conclusion Acupuncture at Neimadian combined with Flurbiprofen axetil on the daytime surgery of periarthritis shoulder are comparable to Flurbiprofen axetil, better patient comfort, good for patients to exercise in early shoulder joint function.