浙江中医药大学学报2025，Vol.49Issue(5)：632-638,7.DOI:10.16466/j.issn1005-5509.2025.05.016
张氏经验方定向透药联合耳穴揿针对气滞血瘀型手外伤术后疼痛的临床观察
Clinical Observation of ZHANG's Empirical Formula Directional Drug Delivery Combined with Auricular Acupressure on Postoperative Pain in Hand Trauma Patients with Qi Stagnation and Blood Stasis
摘要
Abstract
[Objective]To explore the effects of ZHANG's empirical formula directional drug delivery combined with auricular acupressure in treatment for postoperative pain in hand trauma due to Qi stagnation and blood stasis.[Methods]A total of 152 postoperative patients with hand trauma with Qi stagnation and blood stasis who were hospitalized in the Department of Hand and Foot Surgery at Hangzhou Fuyang Hospital of Orthopedics of Traditional Chinese Medicine from September 2023 to January 2024 were selected.The patients were randomly divided into control group,directed group,acupressure group and combined group,with 38 cases in each group.The control group received routine nursing care;the directed group received ZHANG's empirical formula for directed transdermal medication in addition to the regular care;the acupressure group received auricular acupressure treatment in addition to the regular care;and the combined group received both ZHANG's empirical formula for directed transdermal medication and auricular acupressure treatment in addition to the regular care.The numerical rating scale(NRS)pain scores,peripheral blood circulation levels of the affected limb at different time points before and after intervention,clinical efficacy,cumulative use of analgesics within 72 hours post-surgery and the occurrence of adverse reactions were compared among the four groups.[Results]Thirty minutes after intervention,the NRS scores of both combined group and acupressure group were lower than those of the other groups(P<0.05).From 12 to 72 hours after intervention,the NRS scores of combined group remained significantly lower than those of the other groups(P<0.05).The effective rates were 80.6%in control group,85.7%in directed group,88.9%in acupressure group and 91.4%in combined group,with statistically significant differences among the four groups(P<0.05).After intervention,statistically significant differences were observed in peripheral blood circulation of the affected limbs among the four groups(P<0.05),and combined group demonstrated superior outcomes compared with the others.Additionally,significant differences were found in cumulative analgesic consumption within 72 hours of post-surgery(P<0.05),where the control group showed the highest usage while the acupressure group and combined group exhibited the lowest.No adverse reactions were observed in any enrolled patients.[Conclusion]ZHANG's empirical formula directional drug delivery combined with auricular acupressure can effectively alleviate post-operative pain due to Qi stagnation and blood stasis in hand trauma,reduce the cumulative analgesic consumption within 72 hours post-surgery,and improve peripheral blood circulation in the affected limb,making it worthy of further promotion and application in clinical practice.关键词
手外伤/气滞血瘀型/中医定向透药/耳穴疗法/揿针/术后/疼痛/张氏经验方Key words
hand trauma/Qi stagnation and blood stasis/directional drug delivery of Chinese medicine/auricular therapy/press needling/postoperative/pain/ZHANG's empirical formula分类
医药卫生引用本文复制引用
李琴琴,张莉,许秋群,秦丹霞,金彩平,王莉,宁丽..张氏经验方定向透药联合耳穴揿针对气滞血瘀型手外伤术后疼痛的临床观察[J].浙江中医药大学学报,2025,49(5):632-638,7.基金项目
浙江省中医药科技计划项目(2024ZL818、2025ZL485) Zhejiang Traditional Chinese Medicine Science and Technology Project(2024ZL818,2025ZL485) （2024ZL818、2025ZL485）
