LI Ronghua,JIANG Yunzhi,JIANG Chenhao,et al.Analgesic effect of buccal acupuncture therapy during patient positioning prior to anesthesia for hip fracture surgery[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(06):59-62.
LI Ronghua,JIANG Yunzhi,JIANG Chenhao,et al.Analgesic effect of buccal acupuncture therapy during patient positioning prior to anesthesia for hip fracture surgery[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(06):59-62. DOI: 10.16305/j.1007-1334.2022.2109090.
Analgesic effect of buccal acupuncture therapy during patient positioning prior to anesthesia for hip fracture surgery
Objective,2,To investigate the analgesic effect of buccal acupuncture therapy during patient positioning before anesthesia for hip fracture surgery.,Methods,2,Sixty patients with hip fractures to be treated surgically were randomly divided into a treatment group (,n,=30) and a control group (,n,=30). The patients in both groups would undergo combined spinal-epidural anesthesia. Before patient positioning for intraspinal anesthesia, the treatment group was administered with buccal acupuncture analgesia, and the control group was administered with sufentanil intravenously. The pain visual analogue scale (VAS) score changes at the time of patient entering the operating room (T0), before patient positioning (T1) and after patient positioning (T2) were observed. The time spent in patient positioning prior to anesthesia, the time taken to complete anesthesia, and the time taken for the temperature sensation at the surgical site to disappear, as well as the incidence of adverse reactions from the time after analgesic therapy to the time before surgery were compared between groups.,Results,2,①All cases completed the trial. ②The VAS scores of patients in both groups decreased significantly at T1 and T2 compared with those at T0 (,P,<,0.05); the VAS scores of patients in both groups increased significantly at T2 compared with those at T1 (,P,<,0.05). The VAS scores of the treatment group were significantly lower than those of the control group at T1 and T2 (,P,<,0.05). ③The time spent in patient positioning prior to anesthesia in the treatment group was significantly shorter than the time spent in the control group, and the time spent to complete anesthesia in the treatment group was also shorter (,P,<,0.05). There was no statistically significant difference in the time taken for the loss of temperature sensation at the surgical site between the two groups (,P,>,0.05). ④The incidence of adverse reactions in the treatment group was significantly lower than that in the control group from the time after analgesic treatment to the time before surgery (,P,<,0.05).,Conclusion,2,Buccal acupuncture therapy can provide effective analgesic effects for hip fracture patients during positioning prior to intraspinal anesthesia. Compared with the use of intravenous analgesic drugs, it is easier to administer, with less adverse reactions and higher safety evaluation.
关键词
髋部骨折颊针疗法微针针刺镇痛围术期临床试验
Keywords
hip fracturebuccal acupuncture therapymicroneedleacupuncture analgesiaperioperative periodclinical trial
references
KRISTOFFERSEN M H, DYBVIK E, STEIHAUG O M, et al. Cognitive impairment influences the risk of reoperation after hip fracture surgery: results of 87, 573 operations reported to the Norwegian Hip Fracture Register[J]. Acta Orthop, 2020, 91(2): 146-151.
CHRISTIANSEN B A, HARRISON S L, FINF H A, et al. Incident fracture is associated with a period of accelerated loss of hip BMD: the study of osteoporotic fractures[J]. Osteoporos Int, 2018, 29(10): 2201-2209.
张英泽. 成人髋部骨折指南解读[J]. 中华外科杂志,2015, 53(1): 57-62.
HARTMANN F V, NOVAES M R, CARVALHO M R. Femoral nerve block versus intravenous fentanyl in adult patients with hip fractures-a systematic review[J]. Braz J Anesthesiol, 2017, 67(1): 67-71.
LIU T Y, ZOU S Y, GUO L L, et al. Effect of different positions during surgical preparation with combined spinal-epidural anesthesia for elective cesarean delivery: a randomized controlled trial[J]. Anesth Analg, 2021, 133(5): 1235-1243.
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