Effects of auricular acupressure therapy on postoperative pain and early rehabilitation of patients with total knee arthroplasty
10.3760/cma.j.cn115682-20220411-01729
- VernacularTitle:耳穴压丸在全膝关节置换患者术后疼痛及早期康复中的应用
- Author:
Shasha LIU
1
;
Donghua LIU
;
Dongmei DAI
;
Wenting TANG
Author Information
1. 山东第一医科大学（山东省生命科学院）护理学院，泰安 271000
- Keywords:
Arthroplasty, replacement, knee;
Auricular acupressure therapy;
Pain;
Knee range of motion;
Traditional Chinese medicine nursing
- From:
Chinese Journal of Modern Nursing
2023;29(10):1360-1365
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of auricular acupressure therapy on postoperative pain and early rehabilitation of patients with total knee arthroplasty.Methods:From March to June 2021, 68 patients who underwent unilateral total knee arthroplasty for the first time under general anesthesia combined with peripheral nerve block in Liaocheng People's Hospital were selected by convenient sampling. According to the random number method, the patients were divided into observation group (35 cases) and control group (33 cases) . Both groups received routine pain management and early postoperative rehabilitation nursing after operation, and the Chinese medicine doctors pasted the Wangbuliuxing seed adhesive tape at the auricular points one day before operation. The control group did not take any pressing operation. The observation group was pressed at the time of 1 day before operation to 3 days after operation, 3 times a day. The pressing frequency was 60 times/min, and the pressing time was 1 minute per acupoint. The dosage of analgesics used immediately after leaving the Anesthesia Recovery Room and at 4, 24, 48 and 72 hours after operation, as well as the visual analog pain scores of rest and activity at each follow-up time point were recorded and compared between the two groups. The knee range of motion of the two groups on the second, the fourth and seventh days after operation was compared.Results:The dosage of patient-controlled intravenous analgesia analgesics in the observation group were lower than those in the control group at 24, 48 and 72 hours after operation, with statistically significant differences ( P<0.05) . The pain score of the patients in the observation group at rest 24 hours after operation was lower than that in the control group, and the pain scores of the patients in the active state at 24, 48 and 72 hours after operation were lower than those in the control group, and the differences were statistically significant ( P<0.05) . The knee range of motion in the observation group were higher than those in the control group on the second, fourth and seventh days after operation, and the differences were statistically significant ( P<0.05) . Conclusions:Auricular acupressure therapy can reduce the dosage of analgesics used after total knee arthroplasty, relieve the degree of pain, and promote the early recovery of patients.
