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Chinese Journal of Shoulder and Elbow(Electronic Edition) ›› 2020, Vol. 08 ›› Issue (01): 68-71. doi: 10.3877/cma.j.issn.2095-5790.2020.01.011

Special Issue:

• Original Article • Previous Articles     Next Articles

Application of auricular acupressure therapy in the early pain management of hospitalized patients after shoulder arthroscopic rotator cuff repair

Yan Zhang1, Bingbing Li1, Xiaomeng Zhang1, Li Li1, Hongli Wang1, Simeng Zhao1, Xiangyan Kong1,()   

  1. 1. Department of Orthopedics and Traumatology, Peking University People's Hospital, Beijing 100044, China
  • Received:2020-01-03 Online:2020-02-05 Published:2020-02-05
  • Contact: Xiangyan Kong
  • About author:
    Corresponding author: Kong Xiangyan, Email:

Abstract:

Background

Rotator cuff injury is a common cause of shoulder pain and dysfunction. Shoulder arthroscopic technique has the advantages of minimal trauma, accurate operation and direct vision, which has been widely used in the treatment of rotator cuff injury. Postoperative pain is a common problem, and the application of multiple analgesic methods produces synergistic analgesic effect, which reduces the doses of each drug. However, some patients still have serious adverse reactions to the analgesic drugs in clinical practice, and they have to stop the use of analgesic drugs and suffer from inadequate analgesic effect. In China, the earliest application of auricular acupressure therapy in the diagnosis and treatment of diseases can be traced back to over 2 000 years ago. According to the records of Internal Canon of Medicine and Canon On Eighty-One Difficult Issues in traditional Chinese medicine, the ear point stimulation could produce a certain regulating effect on the human body through the meridians ascending to the ear. Relevant studies have shown that the auricular acupressure therapy for analgesia has the advantages of significant efficacy and less side effects, which can relieve perioperative insomnia, nausea, vomiting, constipation and other common symptoms, and can also be used as an auxiliary treatment for common orthopedic diseases such as lumbar disc herniation and arthritis. However, there are few studies on the analgesic effect of auricular acupressure therapy on patients with rotator cuff injury after arthroscopic surgery. Objective To investigate the application effect of auricular acupressure therapy on early pain management after arthroscopic surgery in patients with rotator cuff injury.

Methods

From January 2018 to October 2019, a total of 84 patients who underwent arthroscopic rotator cuff repair were selected as the research objects, and randomly divided into two groups. The control group included 42 cases and received routine analgesic therapy. In the control group, 42 patients were given auricular acupressure therapy on the basis of routine analgesia. The visual analogue score (VAS) was used to evaluate the improvement of pain 24 to 72 hours after surgery in both groups.

Results

The VAS scores during rest and movement at 48 h after surgery in the observation group were better than those of the control group at 24 h after surgery, and the differences were statistically significant (P<0.05) . The VAS scores during rest and movement at 72 h after surgery in the observation group were better than those of the control group at 24 h after surgery, and the differences were statistically significant (P<0.05) .

Conclusions

The auricular acupressure therapy of traditional Chinese medicine can effectively relieve the early pain after arthroscopic surgery in hospitalized patients with rotator cuff injury, and it is easy to operate and worth promoting in clinic.

Key words: Rotator cuff injury, Shoulder arthroscopy, Auricular acupressure therapy, Pain management

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