Yao Yuanyuan, Yu Guiyang, Lu Jianbo, Han Tian, He Huizhen
Second Central Hospital of Baoding, Baoding 072750, China.
Evid Based Complement Alternat Med. 2022 Aug 17;2022:3130956. doi: 10.1155/2022/3130956. eCollection 2022.
To investigate the effect of multimodal analgesia combined with auricular point therapy on physical and mental stress and rehabilitation quality of patients with meniscus injury during the perioperative period.
148 patients in our hospital from October 2019 to October 2021 who were scheduled to undergo meniscus surgery were selected and grouped according to the order of file establishment, with 74 cases in each. The control group was given routine analgesia, and the observation group was given multimodal analgesia combined with auricular point therapy. The pain level (visual analogue scale (VAS)), physical and mental stress (heart rate (HR), mean arterial pressure (MAP), depression scale (PHQ-9), and anxiety scale (GAD-7)), complications, rehabilitation quality, and analgesia satisfaction were observed.
The VAS scores of pain in the observation group were lower than those in the control group at 6 hours before operation and at 6 hours, 24 hours, and 72 hours after operation ( < 0.05). The MAP, HR, PHQ-9, and GAD-7 scores of the observation group were lower than those of the control group 6 hours before operation ( < 0.05). There was no significant difference in MAP, HR, PHQ-9, and GAD-7 scores between the two groups at 6 hours and 24 hours after operation ( > 0.05). The analgesic satisfaction of the observation group was better than that of the control group ( < 0.05). The incidence of complications in the observation group was 8.11% compared with 12.16% in the control group, which was not statistically significant ( > 0.05). The first exhaust, getting out of bed, and hospital stay in the observation group were shorter than those in the control group ( < 0.05).
Multimodal analgesia combined with auricular acupuncture therapy is effective in perioperative patients with meniscus injury. It can reduce perioperative pain, reduce physical and mental stress, and promote early postoperative recovery through a variety of analgesic mechanisms.
探讨多模式镇痛联合耳穴疗法对半月板损伤患者围手术期身心应激及康复质量的影响。
选取2019年10月至2021年10月在我院拟行半月板手术的148例患者，按建档顺序分组，每组74例。对照组给予常规镇痛，观察组给予多模式镇痛联合耳穴疗法。观察疼痛程度（视觉模拟评分法（VAS））、身心应激指标（心率（HR）、平均动脉压（MAP）、抑郁量表（PHQ - 9）和焦虑量表（GAD - 7））、并发症、康复质量及镇痛满意度。
观察组术前6小时及术后6小时、24小时、72小时的VAS疼痛评分均低于对照组（P<0.05）。观察组术前6小时的MAP、HR、PHQ - 9及GAD - 7评分低于对照组（P<0.05）。术后6小时和24小时两组的MAP、HR、PHQ - 9及GAD - 7评分比较，差异无统计学意义（P>0.05）。观察组的镇痛满意度优于对照组（P<0.05）。观察组并发症发生率为8.11%，对照组为12.16%，差异无统计学意义（P>0.05）。观察组首次排气、下床活动时间及住院时间均短于对照组（P<0.05）。
多模式镇痛联合耳穴针刺疗法对半月板损伤围手术期患者有效。它可通过多种镇痛机制减轻围手术期疼痛，降低身心应激，促进术后早期恢复。
