摘要
Objective： To explore the clinical efficacy of ear acupuncture plus injection at Zusanli（ST 36） in treating shoulder pain after laparoscopic gynecological surgery, and to observe its effect on cytokines.Methods： Two hundred patients with shoulder pain after laparoscopic gynecological surgery were randomized into two groups based on their visiting sequence, 100 cases each. The observation group was intervened by ear acupuncture plus injection at Zusanli（ST 36）, and the control group was intervened by oral administration of Ibuprofen, 10 d as a treatment course. The clinical efficacies of the two groups were compared after 2 treatment courses; the visual analogue scale（VAS）,present pain intensity（PPI） and 36-item short-form health survey（SF-36） were measured before and after the treatment;the changes of interleukin（IL）-6 and IL-10 after the treatment were also observed.Results： The VAS and PPI scores were significantly changed after the treatment in both groups（both P〈0.01）. After the treatment, the VAS score in the observation group was significantly different from that in the control group（P〈0.05）. The component scores of SF-36 were significantly changed after the treatment in both groups（P〈0.01）; after the treatment, the scores of physical functioning（PF）, bodily pain（BP）, social functioning（SF）, and mental health（MH） in the observation group were significantly different from those in the control group（all P〈0.05）. The contents of IL-6 and IL-10 dropped significantly after the intervention in both groups（both P〈0.01）, and the between-group differences were also statistically significant（both P〈0.01）. The total effective rate of the observation group was higher than that of the control group（P〈0.05）.Conclusion： Ear acupuncture plus injection at Zusanli（ST 36） can significantly improve the shoulder pain after laparoscopic gynecological surgery, down-regulate the expressions of IL-6 and IL-10, and boost the recovery.
目的:探讨耳针配合足三里穴位注射治疗妇科腹腔镜术后肩痛的临床疗效,并观察其对细胞因子的影响。方法:将200例妇科腹腔镜术后肩痛的患者按就诊先后顺序随机分为2组,每组100例。观察组采用耳针配合足三里穴位注射治疗,对照组口服布洛芬治疗。治疗10 d为一个疗程,治疗2个疗程后比较两组临床疗效及视觉模拟量表(VAS)、现有疼痛强度(PPI)及生活质量量表(SF-36)评分的变化情况,同时观察两组患者白细胞介素-6(IL-6)和IL-10的变化情况。结果:两组治疗前后的VAS及PPI评分均有统计学差异(均P<0.01)。治疗后,观察组VAS评分与对照组有统计学差异(P<0.05)。治疗前后两组SF-36各项评分比较均有统计学差异(P<0.01);治疗后,观察组躯体活动功能(PF),躯体疼痛(BP),社会交往能力(SF)和心理健康(MH)评分与对照组差异有统计学意义(均P<0.05)。治疗后两组IL-6和IL-10含量均明显下降,与本组治疗前比较均有统计学差异(均P<0.01),两组间差异亦有统计学意义(均P<0.01)。观察组总有效率高于对照组(P<0.05)。结论:耳针配合足三里穴位注射治疗能显著改善妇科腹腔镜术后患者肩痛的情况,减少细胞因子IL-6、IL-10的表达,促进病情的恢复。
基金
supported by Project of Science and Technology Innovation Committee of Shenzhen Municipality,No.JCY201404143700889~~
