Barker Renate, Kober Alexander, Hoerauf Klaus, Latzke Daniela, Adel Sharam, Kain Zeev N, Wang Shu-Ming
Department of Anesthesiology and Intensive Care, University of Vienna, Vienna, Austria.
Acad Emerg Med. 2006 Jan;13(1):19-23. doi: 10.1197/j.aem.2005.07.014. Epub 2005 Dec 19.
Auricular acupressure is known to decrease the level of anxiety in patients during ambulance transport. The purpose of this randomized, double-blind, sham control study was to determine whether auricular acupressure can decrease not only the level of anxiety but also the level of pain in a group of elder patients with acute hip fracture.
With the assistance of the Vienna Red Cross, 38 patients with acute hip fracture were enrolled into this study. Patients were randomized into two study groups: the true intervention group and the sham control group. Subjects in the true intervention group (n = 18) received bilateral auricular acupressure at three auricular acupressure points for hip pain. Patients in the sham group (n = 20) received bilateral auricular acupressure at sham points. Baseline demographic information, anxiety level, pain level, blood pressure, and heart rate were obtained before the administration of the appropriate acupressure intervention. The level of anxiety, level of pain, hemodynamic profiles, and level of satisfaction were reassessed once the patients arrived at the hospital.
Patients in the true intervention groups had less pain (F = 28, p = 0.0001) and anxiety (F = 4.3, p = 0.018) and lower heart rate (F = 18, p = 0.0001) on arrival at the hospital than did patients in the sham control group. As a result, the patients in the true intervention group reported higher satisfaction in the care they received during the ride to the hospital.
The authors encourage physicians, health care providers, and emergency rescuers to learn this easy, noninvasive, and inexpensive technique for its effects in decreasing anxiety and pain during emergency transportation.
已知耳穴按压可降低患者在救护车转运过程中的焦虑水平。本随机、双盲、假对照研究的目的是确定耳穴按压是否不仅能降低一组急性髋部骨折老年患者的焦虑水平，还能降低其疼痛水平。
在维也纳红十字会的协助下，38例急性髋部骨折患者被纳入本研究。患者被随机分为两个研究组：真干预组和假对照组。真干预组（n = 18）的受试者在三个治疗髋部疼痛的耳穴进行双侧耳穴按压。假手术组（n = 20）的患者在假穴位进行双侧耳穴按压。在给予适当的穴位按压干预前，获取基线人口统计学信息、焦虑水平、疼痛水平、血压和心率。患者到达医院后，再次评估焦虑水平、疼痛水平、血流动力学指标和满意度水平。
与假对照组患者相比，真干预组患者到达医院时疼痛程度较轻（F = 28，p = 0.0001）、焦虑程度较低（F = 4.3，p = 0.018）且心率较低（F = 18，p = 0.0001）。因此，真干预组患者对前往医院途中所接受护理的满意度更高。
作者鼓励医生、医护人员和急救人员学习这种简单、无创且廉价的技术，因为它在紧急转运过程中具有减轻焦虑和疼痛的作用。
