关键词:

创伤性骨髓炎, 子午流注, 耳穴埋豆, 血压, 心理弹性

Abstract:

Objective　To study the effect of auricular-point bean pressing of midnight-noon and ebb-flow doctrine on the stability of blood pressure and anxiety state in patients with traumatic osteomyelitis before operation. Methods　A total of 126 patients with pre-traumatic osteomyelitis with elevated blood pressure and anxiety of different degrees admitted to the Fifth Department of Orthopedics, Puyang Hospital of Traditional Chinese Medicine from April 2020 to April 2023 were selected as the study objects, and were divided into a control group (63 cases) and an observation group (63 cases) by the random number table method. There were 40 males and 23 females in the control group, aged 32-71 (54.27±7.25) years. There were 38 males and 25 females in the observation group, aged 34-70 (53.61±6.71) years. The control group was given routine preoperative management, and the observation group was given auricular-point bean pressing of midnight-noon and ebb-flow doctrine since 5 days before surgery. The intervention lasted for 5 days in both groups. The effects of blood pressure stabilization, pain status [Visual Analogue Scale (VAS)], anxiety status [Hamilton Anxiety Scale (HAMA)], and mental resilience [Connor-Davidson Resilience Scale (CD-RISC)] before and after intervention were compared between the two groups. Independent sample t test, paired t test, and χ² test were used. Results　After intervention, the systolic blood pressure [(130.51±4.22) mmHg] (1 mmHg=0.133 kPa), diastolic blood pressure [(83.10±2.89) mmHg], and heart rate [(89.55±4.25) beats/min] in the observation group were lower than those in the control group [(133.12±3.85) mmHg, (86.32±3.11) mmHg, and (93.48±3.95) beats/min] (all P<0.05). The scores of VAS [(2.96±0.65) points] and HAMA [(10.21±2.53) points] of the observation group were lower than those of the control group [(4.12±0.78) points and (13.26±2.92) points] (both P<0.05). The CD-RISC score of the observation group was higher than that of the control group [(87.83±5.80) points vs. (81.23±5.39) points] (P<0.05). Conclusion　Auricular-point pressing bean of midnight-noon and ebb-flow doctrine can effectively relieve the pain and anxiety in patients with traumatic osteomyelitis before operation, improve their level of psychological resilience, stabilize the level of blood pressure, and have clinical promotion value.

Key words:

Traumatic osteomyelitis, Midnight-noon and ebb-flow doctrine, Auricular-point pressing bean, Blood pressure, Mental resilience