Xingmei Xu, Libin Zhao, Yue Li, Li Zhan, Lidong Zheng, Jingxian Wang
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引用次数: 0
Abstract
Background: The objective of this study is to investigate the impact of cheek acupuncture on perioperative pain in patients with hip fracture.
Methods: A random number table was utilized to allocate the patients into three distinct cohorts: Only spinal anesthesia was performed (group S), cheek acupuncture was performed before spinal anesthesia (group C), and ultrasound-guided fascia iliaca block was performed before spinal anesthesia (group F). The primary outcome measure was the Visual Analogue Scale (VAS) score within 24 hours post-surgery, as well as the level of beta-endorphin. The secondary outcome measures included intraoperative mean arterial pressure (MAP), heart rate (HR), length of hospital stay, postoperative complications, levels of interleukin-6 (IL-6), and degree of motor block.
Results: Compared to Group S, patients in group C and group F exhibited significantly lower Visual Analog Scale (VAS) scores at the following endpoints: when the patient is positioned in the spinal anesthesia position (T2); 12 hours post-surgery (T5); and 24 hours post-surgery (T6). And patients in group C and group F demonstrated a decreased beta-endorphin level at the T6. Compared to Group S, patients in group C and group F displayed reduced Mean Arterial Pressure (MAP) levels at T2.
Conclusion: The application of cheek acupuncture therapy in hip fracture surgery can effectively reduce the Visual Analog Scale (VAS) score, enhance perioperative safety, facilitate postoperative recovery, and optimize the overall medical experience for patients.
背景：本研究旨在探讨颊针对髋部骨折患者围手术期疼痛的影响：本研究旨在探讨颊针对髋部骨折患者围手术期疼痛的影响：方法：采用随机数字表将患者分为三组：只进行脊髓麻醉（S 组）、脊髓麻醉前进行颊针（C 组）、脊髓麻醉前进行超声引导下髂筋膜阻滞（F 组）。主要结果指标是术后 24 小时内的视觉模拟量表（VAS）评分以及β-内啡肽水平。次要结果指标包括术中平均动脉压（MAP）、心率（HR）、住院时间、术后并发症、白细胞介素-6（IL-6）水平和运动阻滞程度：与 S 组相比，C 组和 F 组患者在以下终点的视觉模拟量表（VAS）评分明显较低：患者处于椎管内麻醉体位时（T2）、术后 12 小时（T5）和术后 24 小时（T6）。而 C 组和 F 组患者在 T6 时的β-内啡肽水平有所下降。与 S 组相比，C 组和 F 组患者在 T2 阶段的平均动脉压（MAP）水平有所下降：颊针疗法在髋部骨折手术中的应用可有效降低视觉模拟量表（VAS）评分，提高围手术期安全性，促进术后恢复，优化患者的整体医疗体验：临床试验：ChiCTR2100043194.
期刊介绍：
Journal of Pain Research is an international, peer-reviewed, open access journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain. Original research, reviews, symposium reports, hypothesis formation and commentaries are all considered for publication. Additionally, the journal now welcomes the submission of pain-policy-related editorials and commentaries, particularly in regard to ethical, regulatory, forensic, and other legal issues in pain medicine, and to the education of pain practitioners and researchers.
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