[1]胡仁霞 吕浩 梁龙 葛玲丽 任怡雯 管玉香.耳部全息铜砭刮痧联合耳穴压豆对腰椎术后急性疼痛轨迹及血清疼痛递质影响的研究[J].中国中医骨伤科杂志,2026,34(05):58-67.[doi:10.20085/j.cnki.issn1005-0205.260509]
　HU Renxia,L Hao,LIANG Long,et al.Study on the Effect of Ear Holographic Copper Bian-Stone Scraping Therapy Combined with Auricular Point Pressing Bean Therapy on the Trajectory of Acute Postsurgical Pain and the Incidence of Residual Pain after Lumbar Surgery[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(05):58-67.[doi:10.20085/j.cnki.issn1005-0205.260509]
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耳部全息铜砭刮痧联合耳穴压豆对腰椎术后急性疼痛轨迹及血清疼痛递质影响的研究()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年05期
页码:
58-67
栏目:
临床研究
出版日期:
2026-05-10

文章信息/Info

Title:
Study on the Effect of Ear Holographic Copper Bian-Stone Scraping Therapy Combined with Auricular Point Pressing Bean Therapy on the Trajectory of Acute Postsurgical Pain and the Incidence of Residual Pain after Lumbar Surgery
文章编号:
1005-0205(2026)05-0058-10
作者:
胡仁霞 吕浩 梁龙 葛玲丽 任怡雯 管玉香
1安徽中医药大学第一附属医院(合肥,230031)
2安徽中医药大学护理学院
Author(s):
HU Renxia1; LÜ Hao2; LIANG Long1; GE Lingli1; REN Yiwen1; GUAN Yuxiang1; 2△
1The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China; 2 College of Nursing,Anhui University of Chinese Medicine,Hefei 230031,China.
关键词:
耳部全息铜砭刮痧;  耳穴压豆;  腰椎术后;  急性疼痛轨迹;  疼痛递质
Keywords:
ear holographic copper Bian-stone scraping therapy;  auricular point pressing bean therapy;  post-lumbar surgery;  trajectory of acute postsurgical pain;  pain transmitter
分类号:
R274.9
DOI:
10.20085/j.cnki.issn1005-0205.260509
文献标志码:
A
摘要:
目的:探讨耳部全息铜砭刮痧联合耳穴压豆对腰椎术后患者急性疼痛(APSP)轨迹、疼痛递质及炎症因子、止痛药使用、功能障碍及残余痛发生情况的影响。方法:采用前瞻性随机对照设计,将66例接受单节段腰椎手术的患者分为对照组和观察组(各33例)。对照组接受常规围术期镇痛与护理,观察组在此基础上于术后接受耳部全息铜砭刮痧联合耳穴压豆干预。评估术后急性疼痛轨迹(VAS评分)、止痛药使用时间和术后1个月残余痛发生率,评估各组患者血清疼痛介质(血清降钙素基因相关肽(CGRP)、β-内啡肽(β-EP)、P物质(SP))、炎症指标(C反应蛋白(CRP)、红细胞沉降率(ESR))、Oswestry功能障碍指数(ODI)及生活质量(SF-36评分)情况。结果:观察组自术后第3天起VAS评分显著低于对照组,差异有统计学意义(P<0.01),术后1个月残余痛发生率显著降低,差异有统计学意义(6.06% vs 30.3%,P=0.02),并可显著缩短止痛药使用时间。观察组ODI评分在第7天和第30天均优于对照组,差异有统计学意义(P<0.01),术后第7天CGRP、SP、CRP和ESR水平也显著更低,β-EP水平显著升高,差异均有统计学意义(P<0.01)。两组患者SF-36评分差异无统计学意义(P>0.05),但两组术后90 d SF-36评分相较于术后第1天显著改善,差异有统计学意义(P<0.01)。结论:耳部全息铜砭刮痧联合耳穴压豆可有效缓解腰椎术后急性疼痛,改善术后急性疼痛轨迹,改善血清疼痛递质,抑制炎症反应,促进功能恢复,降低残余痛发生率,是一种安全有效的非药物干预措施。
Abstract:
Objective:To investigate the effects of ear holographic copper Bian-stone scraping combined with auricular acupressure on the trajectory of acute postsurgical pain(APSP),pain mediators,inflammatory factors,analgesic usage,functional disability,and the incidence of residual pain in patients after lumbar surgery.Methods:A prospective randomized controlled trial was conducted involving 66 patients undergoing single-level lumbar surgery.Participants were divided into control group(n=33)receiving conventional perioperative analgesia and nursing care,and observation group(n=33)receiving additional ear holographic copper Bian-stone scraping combined with auricular acupressure postoperatively.Outcomes assessed included the APSP trajectory(VAS scores),duration of analgesic use,incidence of residual pain at 1 month,serum pain mediators(calcitonin gene-related peptide(CGRP),β-endorphin(β-EP),substance P(SP)),inflammatory markers(C-reactive protein(CRP),erythrocyte sedimentation rate(ESR)),Oswestry disability index(ODI),and health-related quality of life(SF-36).Results:The observation group showed significantly lower VAS scores from postoperative day 3 onward(all P<0.01),a significantly lower incidence of residual pain at 1 month(6.06% vs 30.3%,P=0.02),and a significantly shorter duration of analgesic use compared with the control group.ODI scores were significantly better in the observation group on day 7 and 30(all P<0.01).At postoperative day 7,levels of CGRP,SP,CRP,and ESR were significantly lower(all P<0.01),while β-EP levels were significantly higher in the observation group.Although there was no significant difference in SF-36 scores between the two groups,both groups showed significant improvement in SF-36 scores at 90 d compared to the first day after surgery(P<0.01).Conclusion:The combination of ear holographic copper Bian-stone scraping and auricular acupressure can effectively alleviate acute pain,improve the APSP trajectory,modulate serum pain mediators,suppress inflammatory response,promote functional recovery,and reduce the incidence of residual pain after lumbar surgery.It is a safe and effective non-pharmacological intervention.

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(收稿日期:2025-11-30)

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(82505632)
安徽省自然科学基金项目(2308085QH292)
△通信作者 E-mail:897213643@qq.com
更新日期/Last Update: 2026-05-15