Auricular point sticking for relieving pain in arteriovenous fistula puncture

Abstract

Objective: To observe the clinical efficacy of auricular point sticking at different points to relieve the pain in arteriovenous fistula puncture.

Methods: A total of 42 patients with arteriovenous fistula were randomized into a Shenmen (TF₄) group and an Elbow (SF₃) group by the random number table method, with 21 cases in each group. After enrolled into different groups, before the dialysis, patients were given auricular point sticking with Wang Bu Liu Xing (Semen Vaccariae) seeds at Shenmen (TF₄) and Elbow (SF₃), respectively. Patients were asked to press the seeds themselves for 2 min each time, four times a day, and an additional 5-15 min before the arteriovenous fistula puncture. Intensive pressing was offered during the puncture, 15-20 presses for each time, and the plasters were changed every 2-3 d. The numerical rating scale (NRS) was used to score the pain level one week before and after auricular point sticking. The NRS score was then compared and analyzed.

Results: The intra-group comparison showed that the changes of NRS score in both groups were statistically significant after auricular point sticking (both P<0.05). After the treatment, there was no significant difference in NRS score between the two groups (P>0.05).

Conclusion: Auricular point sticking at Shenmen (TF₄) or Elbow (SF₃) can effectively relieve the pain of arteriovenous fistula puncture, and these two points have equivalent analgesic effect.

摘要

目的: 观察耳穴贴压不同穴位缓解动静脉内瘘血管穿刺疼痛的疗效。

方法: 采用随机数字表法将42 例 动静脉内瘘患者分为神门穴组和肘穴组, 每组21 例, 于入组后透析前分别将王不留行籽贴压于耳神门穴和肘穴。 患者每日自行按压4 次, 每次按压2 min, 并于动静脉内瘘血管穿刺前5-15 min 增加按压1 次, 穿刺同时加强按压, 每次按压15-20 次, 2-3 天更换1 次。使用数字评定量表(NRS)记录每例患者耳穴贴压前1 周内和耳穴贴压后1 周 内的疼痛评分, 并对NRS 评分进行比较分析。

结果: 组内比较, 耳穴贴压后两组NRS 评分变化均有统计学意义(均 P<0.05)。治疗后, 两组NRS 评分无统计学差异(P>0.05)。

结论: 耳穴贴压神门穴或肘穴均能有效减轻动静脉内 瘘血管穿刺疼痛; 神门穴与肘穴的镇痛效果相当。