Effect of acupoint application combined with flurbiprofen axetil on postoperative analgesia after percutaneous nephrolithotomy (穴位敷贴联合氟比洛芬酯对经皮肾镜取石术患者术后疼痛的影响)

2025

中西医结合护理, Vol 11, Iss 5, Pp 150-154 (2025)

Objective To investigate the effect of acupoint application combined with flurbiprofen axetil on postoperative analgesia after percutaneous nephrolithotomy. Methods A total of 60 patients undergoing percutaneous nephrolithotomy under general anesthesia were randomly divided into the control group and observation group, with 30 cases in each group. All patients received intravenous injection of flurbiprofen axetil 15 minutes before the end of surgery. In the observation group, the acupoint application technique at Hegu and Jingling acupoint was conducted for 3 to 5 minutes at 30 minutes before anesthesia induction and 10 minute before awakening from anesthesia after surgery. Degree of pain at 6 h、12 h、24 h after surgery, Visual Analogue Scale (VAS) on postoperative pain, and patient satisfaction were compared between two groups. Results The development of pain mostly occurred within 6 hours after surgery, with an incidence rate of 66. 67%(40/60). The VAS score in the observation group was lower than that in the control group at 6 h, 12 h after percutaneous nephrolithotomy respectively(P＜0. 01). The satisfaction assessment score was (4. 43±0. 57) in the observation group, which was higher than (4. 03±0. 61) in the control group(P＜0. 05). Conclusion Acupoint application combined with flurbiprofen axetil is effective to relieve the pain at 6 h、12 h after percutaneous nephrolithotomy, and improve the quality of postoperative recovery. (目的 探讨穴位敷贴联合氟比洛芬酯对经皮肾镜取石术患者术后疼痛的影响。方法 采用随机数字表法将60例择期全身麻醉下行经皮肾镜取石手术的患者分为对照组和观察组, 各30例。对照组在手术结束前15 min静脉注射氟比洛芬酯100 mg; 观察组在对照组基础上, 分别在麻醉诱导前30 min、手术结束后苏醒前10 min, 在合谷穴和精灵穴位放置穴位敷贴并按压3～5 min。比较两组患者术后6 h、12 h、24 h的疼痛发生率、疼痛视觉模拟评分(VAS)及患者满意度。结果 经皮肾镜取石术患者术后疼痛多发生在术后6 h内, 疼痛发生率(VAS评分>3分)高达66. 67%(40/60)。观察组患者在术后6 h 和12 h的疼痛VAS评分均低于对照组, 差异有统计学意义(P＜0. 01)。观察组整体满意度评分(4. 43±0. 57)分, 高于对照组的(4. 03±0. 61)分, 差异有统计学意义(P＜0. 05)。结论 穴位敷贴联合氟比洛芬酯能降低经皮肾镜取石术后早期疼痛程度, 提高患者术后早期恢复质量。)

article

Chinese

Journal of International Translational Medicine Limited, 2025.

postoperative pain, percutaneous nephrolithotomy, acupoint application, integrated traditional chinese and western medicine nursing, 术后疼痛, 经皮肾镜取石, 穴位敷贴, 中西医结合护理, Nursing, RT1-120