电针刺激辅助神经阻滞在人工全膝关节置换术后疼痛中的相关研究

Study on Electroacupuncture Assisted Nerve Block in Pain after Total Knee Arthroplasty

摘要: 目的：探究电针刺激辅助神经阻滞在人工全膝关节置换术后疼痛中的相关研究。方法：本研究为回顾性病例对照研究，以自2017年1月至2022年1月收入我院骨伤科的103例符合条件的OA患者为研究对象，根据是否采用电针刺激，将入组的103例患者分成2组，即电针联合组和神经阻滞组。TKA术中采用坐骨神经阻滞，术后电针刺激穴位，利用视觉模拟法(VAS)评分和数字分级法(NRS)评定术前和术后两组患者的疼痛，以及生活质量评分。结果：手术前，两组间VAS评分和NRS评分比较均无统计学意义(P > 0.05)。手术后，电针联合组评分均显著低于神经阻滞组(P < 0.05)，手术前，两组各项生活质量评分比较无统计学意义(P > 0.05)。手术后，电针联合组各项评分显著高于神经阻滞组(P < 0.05)。结论：电针联合神经阻滞也可以提高患者术后的生活质量，进而提高患者的术后满意度，有利于TKA技术在基层医院的开展。

Abstract: Objective: To explore the effect of electroacupuncture assisted nerve block on pain after total knee arthroplasty. Methods: This study was a retrospective case-control study. 103 eligible OA patients who were admitted to the Department of orthopedics and traumatology of our hospital from January 2017 to January 2022 were studied. According to whether electroacupuncture stimulation was used or not, 103 patients were divided into two groups, namely electroacupuncture combined group and nerve block group. During TKA, sciatic nerve block and postoperative electroacupuncture were used to stimulate acupoints. The pain and quality of life of the two groups were evaluated by visual analog (VAS) score and digital grading (NRS). Results: Before operation, there was no significant difference in VAS score and NRS score between the two groups (P > 0.05). After operation, the scores of electroacupuncture combined group were significantly lower than those of nerve block group (P < 0.05). Before operation, there was no significant difference in the scores of quality of life between the two groups (P > 0.05). After operation, the scores of electroacupuncture combined group were significantly higher than those of nerve block group (P < 0.05). Conclusion: The electroacupuncture combined with nerve block can also improve the postoperative quality of life of patients, and then improve the postoperative satisfaction of patients, which is conducive to the development of TKA technology in grass-roots hospitals.