1.无锡市中医医院麻醉科(江苏 无锡 214000)
李荣华,男,硕士,主治医师,主要从事麻醉科相关临床研究工作
徐敏逸,主任医师;E-mail:153142973@qq.com
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李荣华,蒋蕴智,蒋晨浩等.颊针疗法在髋部骨折手术麻醉体位摆放过程中镇痛效果的临床研究[J].上海中医药杂志,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.
李荣华,蒋蕴智,蒋晨浩等.颊针疗法在髋部骨折手术麻醉体位摆放过程中镇痛效果的临床研究[J].上海中医药杂志,2022,56(06):59-62. DOI: 10.16305/j.1007-1334.2022.2109090.
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.
目的,2,观察颊针疗法在髋部骨折患者手术麻醉前体位摆放过程中的镇痛作用。,方法,2,将60例髋部骨折拟行手术治疗的患者随机分为治疗组与对照组,每组30例。两组患者均予相同的腰硬联合麻醉方法,但在摆放椎管内麻醉体位前,治疗组行颊针镇痛治疗,对照组予舒芬太尼静脉注射。观察患者入室时(T0)、摆放麻醉体位前(T1)及摆放麻醉体位后(T2)的疼痛视觉模拟评分(VAS)变化情况,比较麻醉体位摆放时间、麻醉完成时间、手术部位温度觉消失时间,以及比较镇痛治疗后至手术开始前期间患者的相关不良反应情况。,结果,2,①所有病例均完成试验。②与T0时相比,T1、T2时两组患者的VAS评分均明显下降(,P,<,0.05);与T1时相比,T2时两组患者的VAS评分均明显升高(,P,<,0.05)。T1、T2时,治疗组VAS评分均明显低于对照组(,P,<,0.05)。③与对照组相比,治疗组麻醉体位摆放时间明显较短,麻醉完成时间也更短(,P,<,0.05)。两组手术部位温度觉消失时间差异无统计学意义(,P,>,0.05)。④组间镇痛治疗后至手术开始前不良反应发生率比较,治疗组明显低于对照组(,P,<,0.05)。,结论,2,颊针疗法可为髋部骨折患者行椎管内麻醉体位摆放时起到确切有效的镇痛作用,且相较于静脉药物疗法,其更易于实施,不良反应少,安全性更高。
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.
髋部骨折颊针疗法微针针刺镇痛围术期临床试验
hip fracturebuccal acupuncture therapymicroneedleacupuncture analgesiaperioperative periodclinical trial
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