Application Of Wrist-ankle Acupuncture In Acute Pain In Patients With Traumatic Fractures Of Extremities

Objective:To investigate the effect of wrist and ankle on acute pain in patients with traumatic limb fractures.Methods:It was convenient to select 72 patients admitted to Luoyang Orthopedic Hospital of Henan Province(Henan Orthopedic Hospital)with acute moderate and severe pain caused by traumatic limb fractures from December 2019 to March2020,and divide them into control group and experimental group with 36 cases each by random number table method.Patients in both groups were given basic treatment and care,while patients in the control group were given tramadol hydrochloride injection0.1g intramuscular injection once on this basis.In the experimental group,wrist-ankle acupuncture was administered once.According to the principle of "corresponding between the upper and lower regions and the left and right regions" of the injection area,one injection area was selected for all patients and the needle was retained for30 min.In combination with the patient’s pain score and the doctor’s evaluation,when necessary,both groups were given tramadol hydrochloride intramuscular injection of0.1g/ time,with the total amount not exceeding 0.4g/ day.The pain scores of patients in the two groups were observed before and after treatment for 5min,10 min,15min,30 min,1h and 24 h,and the total amount of analgesics used during treatment,the incidence of adverse reactions and the satisfaction of patients with the analgesic effect were compared between the two groups.Results:1.The pain score at each time point after treatment was lower in both groups than before treatment.2.Compared with the control group,the pain scores of the experimental group were significantly different at p < 0.01 at 5min,10 min and 15 min after treatment,and the pain scores of the experimental group were lower.3.Compared with the control group,p> was 0.05 in the experimental group30 min after treatment,with no statistically significant difference.4.Compared with the control group,the pain score of the experimental group was p < 0.05 at 1h after treatment,and the difference was statistically significant.The pain score of the control group was lower.5.Compared with the two groups at 24 h after treatment,p > was 0.05,and the difference was not statistically significant.6.Compared with the control group,the total amount of analgesics used in the experimental group was p< 0.05,indicating a statistically significant difference.7.The adverse incidence rate of the experimental group was 2.85% lower than that of the control group(11.43%),and the comparison between the two groups showed no statistically significant difference(p >,0.05).8.The satisfaction of the experimental group on analgesia was 97.14% higher than that of the control group(87.51%).The comparison between the two groups showed no statistically significant difference(p>,0.05).Conclusion:1.Wrist and ankle acupuncture can relieve acute moderate and severe pain in patients with traumatic fracture of limbs.2.Wrist-ankle acupuncture can reduce the dosage of analgesics at the same time.3.Wrist-ankle acupuncture is a safe,feasible and easy to accept method for analgesia.