| Objective: To investigate the clinical effect of auricular point sticking therapy on postoperative pain of lower extremity fractures after observation of VAS score,BCS score,PGIC score and postoperative treatment satisfaction of patients with lower limb fractures.Methods: Forty patients with lower extremity fractures were randomly divided into two groups,the test group and the control group were 20 cases each;the control group was given routine postoperative treatment,and the test group was combined with auricular acupoint pressing treatment on the basis of routine postoperative treatment.Sympathetic,subcortical,Shenmen,and corresponding auricular points at the surgical site,press 4 times a day(after three meals and before going to bed),each time repeatedly press 20 times per point,if the local pain in the operation worsens,temporarily increase the number of auricular point compressions,treatment course For 3days.Record VAS scores at rest before surgery,4h,12 h,24h,48 h,72h before surgery,BCS score at 12 h,24h,48 h,72h after surgery,PGIC score at24 h,48h,72 h after surgery,patient satisfaction,and data Perform statistical analysis and evaluation of curative effect.Results:1.Comparison of VAS scores:(1)Comparison between the two groups:The VAS scores of the two groups showed a downward trend with the increase of postoperative time.There was a statistically significant difference between the postoperative points and the preoperative points(P<0.01);The difference between 12 h,24h,48 h,72h and 4h after operation was statistically significant(P<0.05);the difference between 24 h,48h,72 h and 12 h after operation was very significant(P<0.01);After 48 h,72h and24 h after operation,the difference was very significant(P<0.01);72h after operation and 48 h after operation,the difference was not statistically significant(P>0.05).It is suggested that both postoperative postoperative analgesia and combined auricular acupoint pressing and analgesia may have the effect of improving postoperative pain of lower extremity fracture.The analgesic effect at 72 hours after operation is equivalent to that at 48 hours after operation.(2)Comparison between the two groups during the same period: There was no statistically significant difference in the VAS scores between the two groups before surgery(P>0.05),which was comparable;the difference between the two groups was statistically significant after 4h,12 h,and 24h(P<0.05),the VAS score of the experimental group decreased more,and there was no statistically significant difference between the two groups at 48 h and 72 h after operation(P>0.05),suggesting that auricular acupoint pressing combined therapy can effectively enhance the analgesia within 24 hours after lower limb fracture surgery Results,especially at 4hours after surgery,the control group scored above 4 points,and the pain significantly affected the patient’s normal sleep,while the test group scored around 3 points,which showed that the pain was tolerable and did not affect normal sleep.2.Comparison of BCS scores:(1)Comparison between the two groups:The BCS scores of the two groups showed an upward trend with the increase of postoperative time,and the difference between 24 h,48h,72 h and 12 h after surgery was statistically significant(P<0.05);48h,72 h after operation and 24 h after operation,the difference was statistically significant(P<0.05);72h after operation and 48 h after operation,the difference was not statistically significant(P>0.05).It is suggested that both postoperative postoperative analgesia and combined auricular acupoint pressing and analgesia may have the effect of relieving lower limb fracture pain.The analgesic effect at 72 hours after operation is equivalent to that at 48 hours after operation.(2)Comparison between the two groups during the same period: the difference between the two groups at 12 h and 24 h was statistically significant(P<0.05),the BCS score of the experimental group increased more,and the difference between the two groups at 48 h and 72 h was not statistically significant(P>0.05).This indicates that the combined therapy of auricular point sticking and pressing can enhance the analgesic effect of patients with lower limb fractures within 24 hours and improve the comfort of patients.3.Comparison of PGIC scores:(1)Comparison between the two groups:PGIC scores of the two groups showed a downward trend at each time point after operation.The difference between 48 h,72h and 24 h after operation was very significant(P<0.01).There was no statistically significant difference between 72 h and 48 h after operation(P>0.05),indicating that postoperative analgesia and combined auricular acupoint analgesia can alleviate the patient’s pain,and the analgesic effect at 72 h after operation is equivalent to 48 h.(2)Comparison between the two groups during the same period: the difference between the two groups at 24 h and 48 h after operation was statistically significant(P<0.01 or P<0.05),the PGIC score of the experimental group decreased more;the difference between the two groups at 72 h after operation was not statistically significant Significance(P>0.05).This indicates that the combined relief of auricular acupoint pressure therapy is superior to the control group in relieving pain in patients with lower extremity fractures within 2 days.4.Comparison of overall patient satisfaction: The overall satisfaction rate of the two groups was above 80%,and the overall satisfaction of the test group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion: Auricular point sticking therapy can assist in reducing the acute pain of patients with lower limb fractures after operation,reducing the occurrence of postoperative adverse reactions,and effectively improving the overall postoperative treatment status of patients without special discomfort symptoms. |
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