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1.陆军军医大学第一附属医院门诊部,重庆 400038
2.陆军军医大学第一附属医院中医与风湿免疫科,重庆 400038
3.陆军军医大学第一附属医院胸外科,重庆 400038
4.陆军军医大学第一附属医院心脏外科,重庆 400038
5.陆军军医大学第一附属医院老年科,重庆 400038
余婷,E-mail:yuting@tmmu.edu.cn
收稿:2026-01-16,
修回:2026-09-16,
录用:2026-04-14,
纸质出版:2026-10-25
移动端阅览
邓小燕,邓瑶,张沙等.耳穴压豆对外科手术后疼痛干预的效果分析[J].局解手术学杂志,2026,35(10):923-928.
DENG Xiao-yan,DENG Yao,ZHANG Sha,et al.Analysis of the effect of auricular acupressure on postoperative pain after surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(10):923-928.
邓小燕,邓瑶,张沙等.耳穴压豆对外科手术后疼痛干预的效果分析[J].局解手术学杂志,2026,35(10):923-928. DOI: 10.11659/jjssx.01E026091.
DENG Xiao-yan,DENG Yao,ZHANG Sha,et al.Analysis of the effect of auricular acupressure on postoperative pain after surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(10):923-928. DOI: 10.11659/jjssx.01E026091.
目的
2
系统评价耳穴压豆对外科手术后疼痛干预的有效性。
方法
2
通过计算机检索中国知网、维普、万方、PubMed、the Cochrane Library、Embase、Wed of Science、CINAHL数据库,筛选关于耳穴压豆对外科手术后疼痛干预的随机对照研究,检索截至2025年6月。由2名研究者独立筛选文献、提取资料以及评价文献质量、偏倚风险。采用RevMan 5.3软件进行Meta分析
。
结果
2
共检索到1 468篇文献,最终纳入12篇,共计1 807例患者。对照组采用常规治疗,试验组采用常规治疗联合耳穴压豆。Meta分析显示,与对照组相比,试验组患者在外科手术后6 h、24 h及72 h的视觉模拟量表评分均较低,差异具有统计学意义(
P
<
0.05)。
结论
2
相比于常规治疗,联合耳穴压豆可更大程度地缓解患者外科手术后的疼痛,且具有良好的安全性。
Objective
2
To systematically evaluate the effectiveness of auricular acupressure for postoperative pain after surgery.
Methods
2
A computerized search was conducted in the CNKI,VIP,Wanfang,PubMed,the Cochrane Library,Embase,Web of Science,and CINAHL databases to identify randomized controlled trials on auricular acupressure for postoperative pain after surgery, with searches up to June 2025. Two researchers independently screened literature, extracted data, and assessed the quality of the literatures and the risk of bias. Meta-analysis was performed by RevMan 5.3 software.
Results
2
A total of 1 468 articles were retrieved, of which 12 studies involving 1 807 patients were ultimately included. The control group received conventional treatment, while the experimental group received conventional treatment combi
ned with auricular acupressure. Meta-analysis showed that compared with the control group, the experimental group had lower visual analogue scale scores at 6 hours, 24 hours, and 72 hours after surgery, with statistically significant differences (
P
<
0.05).
Conclusion
2
Compared with conventional treatment alone, the combination with auricular acupressure can alleviate the postoperative pain to a greater extent, with a favorable safety profile.
Brigham NC , Ji R , Becker ML . Degradable polymeric vehicles for postoperative pain management [J]. Nat Commun , 2021 , 12 ( 1 ): 1367 . doi: 10.1038/s41467-021-21438-3 http://dx.doi.org/10.1038/s41467-021-21438-3 .
中华医学会麻醉学分会疼痛学组《成人术后疼痛管理临床实践指南(2024版)》工作组 . 成人术后疼痛管理临床实践指南(2024版) [J]. 中华麻醉学杂志 , 2025 , 45 ( 9 ): 1045 - 1079 . doi: 10.3760/cma.j.cn131073-20250414-00902 http://dx.doi.org/10.3760/cma.j.cn131073-20250414-00902
叶磊 , 夏广惠 , 丁洁芳 , 等 . 全髋、膝关节置换术病人术后恶心呕吐危险因素的Meta分析 [J]. 护理研究 , 2023 , 37 ( 2 ): 228 - 233 . doi: 10.12102/j.issn.1009-6493.2023.02.008 http://dx.doi.org/10.12102/j.issn.1009-6493.2023.02.008 .
赵丹丹 . 《中医护理学》出版:耳穴压豆联合情志护理在内痔套扎术后疼痛患者中的应用效果 [J]. 介入放射学杂志 , 2023 , 32 ( 4 ): 416 . doi: 10.3969/j.issn.1008-0805.2019.05.064 http://dx.doi.org/10.3969/j.issn.1008-0805.2019.05.064
李海洋 , 刘智斌 , 刘瑶 , 等 . 耳穴贴压对髋关节置换术后疼痛及功能恢复影响的Meta 分析 [J]. 时珍国医国药 , 2019 , 30 ( 5 ): 1267 - 1270 . doi: 10.3969/j.issn.1008-0805.2019.05.085 http://dx.doi.org/10.3969/j.issn.1008-0805.2019.05.085 .
唐玲 , 杜真 , 周民 , 等 . 耳穴压豆改善小儿全身麻醉下腹腔镜手术后胃肠道功能及镇痛效果的临床观察 [J]. 临床小儿外科杂志 , 2024 , 23 ( 7 ): 665 - 671 . doi: 10.3760/cma.j.cn101785-2024 03049-011 http://dx.doi.org/10.3760/cma.j.cn101785-202403049-011
樊世姜 , 王虹 , 黄秋瑜 , 等 . 穴位按摩、耳穴压豆结合规范化疼痛护理对肝癌患者术后疼痛、睡眠及情绪的干预效果 [J]. 国际护理学杂志 , 2025 , 44 ( 11 ): 2062 - 2066 . doi: 10.3760/cma.j.cn221370-20240728-00452 http://dx.doi.org/10.3760/cma.j.cn221370-20240728-00452
Zhu L , Yang Z , Deng H , et al . Citation of updated and co-published cochrane methodology reviews [J]. Syst Rev , 2023 , 12 ( 1 ): 120 . doi: 10.1186/s13643-023-02270-w http://dx.doi.org/10.1186/s13643-023-02270-w .
潘陈 . 择时耳穴压豆疗法对混合痔术后疼痛的影响 [J]. 中国民间疗法 , 2023 , 31 ( 10 ): 36 - 38 . doi: 10.19621/j.cnki.11-3555/r.2023.1012 http://dx.doi.org/10.19621/j.cnki.11-3555/r.2023.1012 .
朱青 , 宋晓锋 , 周晓艳 . 耳穴压豆辅助治疗混合痔术后创面疼痛及水肿的效果观察 [J]. 四川生理科学杂志 , 2022 , 44 ( 8 ): 1322 - 1324 .
陈光美 . 耳穴压豆法对踝关节术后疼痛的镇痛效果分析 [J]. 按摩与康复医学 , 2019 , 10 ( 21 ): 34 - 35 . doi: 10.19787/j.issn.1008-1879.2019.21.15 http://dx.doi.org/10.19787/j.issn.1008-1879.2019.21.15 .
刘叶青 , 李育群 , 阮惠 . 耳穴压豆护理技术在急诊外科清创缝合术后减轻患者切口疼痛中的作用 [J]. 中国现代药物应用 , 2019 , 13 ( 19 ): 146 - 148 . doi: 10.14164/j.cnki.cn11-5581/r.2019.19.085 http://dx.doi.org/10.14164/j.cnki.cn11-5581/r.2019.19.085 .
陈云生 , 郁斌 , 吕琦 . 耳穴贴压干预混合痔外切内扎术后疼痛临床观察 [J]. 山西中医 , 2018 , 34 ( 4 ): 32 - 33 .
王曼 . 耳穴压豆辅助对老年下肢骨折患者术后疼痛的临床疗效观察 [J]. 中外医学研究 , 2018 , 16 ( 24 ): 18 - 19 . doi: 10.14033/j.cnki.cfmr.2018.24.008 http://dx.doi.org/10.14033/j.cnki.cfmr.2018.24.008 .
黄敏 , 霍之明 . 耳穴贴压王不留行籽防治混合痔外剥内扎术后疼痛的临床效果研究 [J]. 医药前沿 , 2017 , 7 ( 12 ): 339 - 340 .
刘红梅 , 陈翠玲 , 梁带香 . 耳穴贴压对上肢闭合性骨折患者术后伤口疼痛的护理干预效果研究 [J]. 中医临床研究 , 2016 , 8 ( 33 ): 114 - 116 .
徐嘉菊 . 耳穴贴压治疗肛肠疾病术后疼痛的疗效研究 [J]. 医药前沿 , 2018 , 8 ( 21 ): 314 - 315 . doi: 10.19335/j.cnki.2096-1219. 2021.04.028 http://dx.doi.org/10.19335/j.cnki.2096-1219.2021.04.028 .
曹云霞 , 陈璇 . 耳穴埋籽对缓解剖宫产术后疼痛的观察 [J]. 航空航天医学杂志 , 2014 , 25 ( 2 ): 254 - 255 .
唐秀琴 , 王芳 , 张海燕 . 耳穴贴压对腹部手术患者术后疼痛干预的效果观察 [J]. 西部中医药 , 2014 , 27 ( 7 ): 113 - 118 . doi: 10.3969/j.issn.1004-6852.2014.07.042 http://dx.doi.org/10.3969/j.issn.1004-6852.2014.07.042
李培君 , 刘蓉蓉 . 耳穴压豆疗法治疗手指外伤术后疼痛效果 [J]. 中国乡村医药 , 2013 , 20 ( 17 ): 38 - 39 .
Small C , Laycock H . Acute postoperative pain management [J]. Br J Surg , 2020 , 107 ( 2 ): e70 - e80 . doi: 10.1002/bjs.11477 http://dx.doi.org/10.1002/bjs.11477 .
Marshall K , McLaughlin K . Pain management in thoracic surgery [J]. Thorac Surg Clin , 2020 , 30 ( 3 ): 339 - 346 . doi: 10.1016/j.thorsurg. 2020.03.001 http://dx.doi.org/10.1016/j.thorsurg.2020.03.001 .
Lavand'homme PM , Kehlet H , Rawal N , et al . Pain management after total knee arthroplasty:procedure specific postoperative pain management recommendations [J]. Eur J Anaesthesiol , 2022 , 39 ( 9 ): 743 - 757 . doi: 10.1097/EJA.0000000000001691 http://dx.doi.org/10.1097/EJA.0000000000001691 .
Bjørnstad J , Ræder J . Post-operative pain after caesarean section [J]. Tidsskr Nor Laegeforen , 2020 , 140 ( 7 ). doi: 10.4045/tidsskr. 19.0506 http://dx.doi.org/10.4045/tidsskr.19.0506 .
Lancet T . Best practice in managing postoperative pain [J]. Lancet , 2019 , 393 ( 10180 ): 1478 . doi: 10.1016/S0140-6736(19)30813-X http://dx.doi.org/10.1016/S0140-6736(19)30813-X .
Usichenko TI , Henkel BJ , Klausenitz C , et al . Effectiveness of acupuncture for pain control after cesarean delivery:a randomized clinical trial [J]. JAMA Netw Open , 2022 , 5 ( 2 ): e220517 . doi: 10.1001/jamanetworkopen.2022.0517 http://dx.doi.org/10.1001/jamanetworkopen.2022.0517 .
Han Q , Yang L , Huang SY , et al . Effectiveness of auricular point therapy for cancer-related fatigue:a systematic review and meta-analysis [J]. J Adv Nurs , 2020 , 76 ( 8 ): 1924 - 1935 . doi: 10.1111/jan.14375 http://dx.doi.org/10.1111/jan.14375 .
Yang Y , Wen J , Hong J . The effects of auricular therapy for cancer pain:a systematic review and meta-analysis [J]. Evid Based Complement Alternat Med , 2020 : 1618767 . doi: 10.1155/2020/1618767 http://dx.doi.org/10.1155/2020/1618767 .
Yin Z , Zhang W , Zeng Y , et al . Effect of auricular point pressing therapy on postoperative pain of fracture:a protocol for systematic review and meta-analysis [J]. Medicine (Baltimore) , 2020 , 99 ( 51 ): e23696 . doi: 10.1097/MD.0000000000023696 http://dx.doi.org/10.1097/MD.0000000000023696 .
周晓丽 , 张丽娟 , 王敏 , 等 . 耳穴压豆联合穴位按摩对老年全髋关节置换术围手术期患者负性情绪、术后疼痛及睡眠的影响 [J]. 中国中医药科技 , 2022 , 29 ( 2 ): 258 - 260 .
刘迎春 , 项艳青 . 艾司氯胺酮复合舒芬太尼在子宫肌瘤腹腔镜下剥除术后的镇痛作用 [J]. 局解手术学杂志 , 2024 , 33 ( 8 ): 722 - 726 . doi: 10.11659/jjssx.06E023141 http://dx.doi.org/10.11659/jjssx.06E023141 .
Jin R , Wang X , Lv Y , et al . The efficacy and safety of auricular point combined with moxibustion for insomnia:a protocol for systematic review and meta-analysis [J]. Medicine , 2020 , 99 ( 41 ): e22107 . doi: 10.1097/MD.0000000000022107 http://dx.doi.org/10.1097/MD.0000000000022107 .
姚家琪 . 耳穴压豆法对围绝经期女性患者腹腔镜胆囊切除术围术期的影响 [J]. 中国妇幼保健 , 2023 , 38 ( 16 ): 3126 - 3130 . doi: 10.19829/j.zgfybj.issn.1001-4411.2023.16.046 http://dx.doi.org/10.19829/j.zgfybj.issn.1001-4411.2023.16.046 .
Kuo S , Tsai S , Chen S , et al . Auricular acupressure relieves anxiety and fatigue,and reduces cortisol levels in post-caesarean section women:a single-blind,randomised controlled study [J]. Int J Nurs Stud , 2016 , 53 : 17 - 26 . doi: 10.1016/j.ijnurstu.2015.10.006 http://dx.doi.org/10.1016/j.ijnurstu.2015.10.006 .
钱慧兰 , 邓晓丽 . 耳穴压豆在妇产科手术术后镇痛中的护理效果分析 [J]. 基层医学论坛 , 2024 , 28 ( 21 ): 142 - 145 . doi: 10.19435/j.1672-1721.2024.21.042 http://dx.doi.org/10.19435/j.1672-1721.2024.21.042 .
任雪宁 , 张书欣 , 李云英 , 等 . 耳穴压豆疗法对妇科腹部术后患者自控镇痛中胃肠道不良反应的干预效果 [J]. 军事护理 , 2025 , 42 ( 2 ): 17 - 20 . doi: 10.3969/j.issn.2097-1826.2025.02.005 http://dx.doi.org/10.3969/j.issn.2097-1826.2025.02.005 .
邢雪梅 , 赵兰 , 刘宏 , 等 . 揿针疗法联合耳穴压豆对肺结节患者术后疼痛、睡眠质量的影响 [J]. 中国防痨杂志 , 2025 , 47 ( S1 ): 330 - 332 .
蔡艺 , 李琳 , 熊振芳 , 等 . 子午流注择时耳穴贴压联合穴位按摩对肝硬化患者负性情绪的影响 [J]. 时珍国医国药 , 2021 , 32 ( 3 ): 651 - 653 . doi: 10.3969/j.issn.1008-0805.2021.03.38 http://dx.doi.org/10.3969/j.issn.1008-0805.2021.03.38 .
王萍 , 王中华 . 耳穴贴压对桡骨远端骨折患者术后疼痛程度的影响 [J]. 基层医学论坛 , 2025 , 29 ( 8 ): 10 - 13 . doi: 10.19435/j.1672-1721.2025.08.003 http://dx.doi.org/10.19435/j.1672-1721.2025.08.003 .
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