术后快速康复理念联合耳穴压豆措施在单髁置换术后患者疼痛护理中的应用

The Application of Rapid Postoperative Rehabilitation Concept Combined with Auricular Acupoint Pressure Bean in Pain Nursing of Patients after Unicompartmental Knee Arthroplasty

摘要: 目的：探讨术后快速康复理念联合耳穴压豆措施在膝关节单髁置换术后患者疼痛护理中的应用。方法：通过回顾性分析2021年1月至2022年12月60例行单髁置换的骨性关节炎患者，分为两组，两组为观察组和对照组，每组30例。通过比较VAS评分，NRS评分，HSS (HSS Knee Score)评分，PSQI (Pittsburgh Sleep Quality Index)评分比较两组患者干预后效果。结果：两组患者术后VAS及NRS评分在术后1天、3天、7天比较差异具有统计学意义(P < 0.05)，在术后2周比较差异无统计学意义(P > 0.05)。两组患者PSQI评分比较具有统计学差异(P < 0.05)。术后两组患者PSQI评分减少，同时观察组PSQI评分在术后低于对照组，差异具有统计学意义(P < 0.05)。结论：通过快速康复理念联合耳穴压豆措施来进行膝关节单髁置换术后的后护理工作，能明显缓解患者术后疼痛，提高患者生活质量。

Abstract: Objective: To explore the application of postoperative rapid rehabilitation concepts combined with auricular acupoint pressure bean measures in pain care for patients after unicompartmental knee arthroplasty. Methods: By retrospectively analysing 60 cases of osteoarthritis patients with unicondylar replacement from January 2021 to December 2022, they were divided into two groups, the two groups were observation group and control group, 30 cases in each group. The VAS score, NRS score, HSS (HSS Knee Score) score, PSQI (Pittsburgh Sleep Quality Index) score were compared to compare the post-intervention effects of the two groups. Results: The postoperative VAS and NRS scores of the two groups were statistically different at 1, 3, and 7 days postoperatively (P < 0.05), and there was no statistically significant difference between the two groups at 2 weeks after surgery (P > 0.05). The PSQI of the two groups of patients scores were statistically different when compared (P < 0.05). PSQI scores of patients in both groups decreased after surgery, while PSQI scores of the observation group were lower than those of the control group after surgery, and the difference was statistically significant (P < 0.05). Conclusion: The concept of rapid rehabilitation combined with auricular acupoint pressure bean measures for postoperative care after unicompartmental knee arthroplasty can significantly relieve patients’ postoperative pain and improve their quality of life.