Analysis of the effect of ear and ear acupoint pressing on pain grading nursing after fracture surgery
耳部刮痧与耳穴贴压对骨折术后疼痛分级护理效果分析

摘要

目的 探讨耳部刮痧与耳穴贴压对骨折术后疼痛分级护理效果分析。方法 选取118例从2023年10月-2025年10月本院接受的创伤性骨折患者，按随机数表法分作两组，59例对照组行疼痛分级护理，59例观察组在对照组基础上予以耳部全息刮痧与耳穴镇痛贴干预，对两组的疼痛控制效果、恐动水平及并发症发生情况进行比较。结果 观察组术后12小时、术后24小时、术后48小时、术后72小时的视觉模拟评分法（VAS）评分比对照组低（t值=4.312、3.171、5.702、5.908，P＜0.05）；观察组干预后的恐惧回避信念问卷（FABQ）、恐动症评分表（TSK-17）评分比对照组低（t值=8.807、7.804，P＜0.05）；观察组的并发症发生率是3.39%，比对照组的15.25%低（χ2值=4.913，P＜0.05）。结论 在创伤性骨折术后患者中，予以耳部全息刮痧、耳穴镇痛贴结合疼痛分级护理可有效对疼痛进行控制，促进患者恐动水平有效降低，并减少并发症的发生。

Abstract

Objective To explore the effect of auricular scraping and auricular acupressure on pain grading nursing after fracture surgery.
Methods 118 patients with traumatic fractures who were treated in our hospital from October 2023 to October 2025 were selected and divided into two groups according to the random number table method. 59 patients in the control group received pain grading nursing, and 59 patients in the observation group received auricular holographic scraping and auricular analgesic patch intervention in addition to the control group. The pain control effect, fear avoidance belief, fear of movement, and the incidence of complications were compared between the two groups.
Results The visual analogue scale (VAS) scores of the observation group at 12 hours, 24 hours, 48 hours, and 72 hours after surgery were lower than those of the control group (t values = 4.312, 3.171, 5.702, 5.908, P < 0.05); the FABQ and TSK-17 scores of the observation group after intervention were lower than those of the control group (t values = 8.807, 7.804, P < 0.05); the complication rate of the observation group was 3.39%, which was lower than 15.25% of the control group (χ2 value = 4.913, P < 0.05).
Conclusion   In patients with traumatic fractures after surgery, applying auricular holographic scraping, auricular analgesic patch combined with pain grading nursing can effectively control pain, effectively reduce the fear avoidance belief and fear movement score of patients, and reduce the occurrence of complications.