{"title":"[经皮穴位电刺激在老年股骨粗隆间骨折术前镇痛中的应用]。","authors":"Xin Zhou, Ming-Li Huang, Jin-Wei Zhao, Xiao-Ling Rong, Zhi-Yuan Han, Xiao-Tao Chen, Hong-Jiang Jiang, Chang-Jun Ju","doi":"10.13702/j.1000-0607.20241048","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the clinical effect of transcutaneous electrical acupoint stimulation(TEAS) on preoperative analgesia for the elderly patients with intertrochanteric fracture of femur.</p><p><strong>Methods: </strong>A total of 126 elderly patients with intertrochanteric fracture of femur were randomized into an observation group(63 cases, one case dropped out) and a control group(63 cases, 2 cases dropped out ). In the observation group, TEAS was operated at Huantiao (GB30), Yanglingquan (GB34), Zusanli (ST36) and Kuanguxue (Extra) on the affected side. In the control group, the sham-TEAS was delivered with the electrode patches attached on the same points, without electric current exerted. The interventions of the two groups started in 1 h on the 1st day of hospital-stay, stimulated for 1 h, twice daily, for maximal 3 d. The numeric rating scale (NRS) was observed on the day of hospital administration (T0), at 1 h (T1), 12 h (T2), 24 h (T3) and 48 h (T4) after the 1<sup>st</sup> intervention of the two groups, separately. The amount of additional analgesic drugs, the incidence of complications, and patient satisfaction for analgesia were recorded.</p><p><strong>Results: </strong>The NRS scores either resting or passive movement from T1 to T4 were reduced compared with the score at T0 in the two groups (<i>P</i><0.05). Compared with the control group, the NRS scores of observation group were lower from T1 to T4 when resting and from T2 to T4 during passive movement (<i>P</i><0.05). The analgesia satisfaction score of the observation group was higher than that of the control group (<i>P</i><0.05). The incidence of nausea and vomiting was lower in the observation group compared with the control group (<i>P</i><0.05). The amount of additional analgesic drugs was reduced in the observation group in comparison with the control group (<i>P<</i>0.05).</p><p><strong>Conclusions: </strong>TEAS exhibits the favorable preoperative analgesic effects in the elderly patients with intertrochanteric fracture of femur, and it reduces the dosage of analgesic drugs, and the occurrence of complications.</p>","PeriodicalId":34919,"journal":{"name":"针刺研究","volume":"50 6","pages":"689-693"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Application of transcutaneous electrical acupoint stimulation in preoperative analgesia for intertrochanteric fracture of femur in elderly patients].\",\"authors\":\"Xin Zhou, Ming-Li Huang, Jin-Wei Zhao, Xiao-Ling Rong, Zhi-Yuan Han, Xiao-Tao Chen, Hong-Jiang Jiang, Chang-Jun Ju\",\"doi\":\"10.13702/j.1000-0607.20241048\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To evaluate the clinical effect of transcutaneous electrical acupoint stimulation(TEAS) on preoperative analgesia for the elderly patients with intertrochanteric fracture of femur.</p><p><strong>Methods: </strong>A total of 126 elderly patients with intertrochanteric fracture of femur were randomized into an observation group(63 cases, one case dropped out) and a control group(63 cases, 2 cases dropped out ). In the observation group, TEAS was operated at Huantiao (GB30), Yanglingquan (GB34), Zusanli (ST36) and Kuanguxue (Extra) on the affected side. In the control group, the sham-TEAS was delivered with the electrode patches attached on the same points, without electric current exerted. The interventions of the two groups started in 1 h on the 1st day of hospital-stay, stimulated for 1 h, twice daily, for maximal 3 d. The numeric rating scale (NRS) was observed on the day of hospital administration (T0), at 1 h (T1), 12 h (T2), 24 h (T3) and 48 h (T4) after the 1<sup>st</sup> intervention of the two groups, separately. The amount of additional analgesic drugs, the incidence of complications, and patient satisfaction for analgesia were recorded.</p><p><strong>Results: </strong>The NRS scores either resting or passive movement from T1 to T4 were reduced compared with the score at T0 in the two groups (<i>P</i><0.05). Compared with the control group, the NRS scores of observation group were lower from T1 to T4 when resting and from T2 to T4 during passive movement (<i>P</i><0.05). The analgesia satisfaction score of the observation group was higher than that of the control group (<i>P</i><0.05). The incidence of nausea and vomiting was lower in the observation group compared with the control group (<i>P</i><0.05). The amount of additional analgesic drugs was reduced in the observation group in comparison with the control group (<i>P<</i>0.05).</p><p><strong>Conclusions: </strong>TEAS exhibits the favorable preoperative analgesic effects in the elderly patients with intertrochanteric fracture of femur, and it reduces the dosage of analgesic drugs, and the occurrence of complications.</p>\",\"PeriodicalId\":34919,\"journal\":{\"name\":\"针刺研究\",\"volume\":\"50 6\",\"pages\":\"689-693\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"针刺研究\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.13702/j.1000-0607.20241048\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"针刺研究","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13702/j.1000-0607.20241048","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
[Application of transcutaneous electrical acupoint stimulation in preoperative analgesia for intertrochanteric fracture of femur in elderly patients].
Objectives: To evaluate the clinical effect of transcutaneous electrical acupoint stimulation(TEAS) on preoperative analgesia for the elderly patients with intertrochanteric fracture of femur.
Methods: A total of 126 elderly patients with intertrochanteric fracture of femur were randomized into an observation group(63 cases, one case dropped out) and a control group(63 cases, 2 cases dropped out ). In the observation group, TEAS was operated at Huantiao (GB30), Yanglingquan (GB34), Zusanli (ST36) and Kuanguxue (Extra) on the affected side. In the control group, the sham-TEAS was delivered with the electrode patches attached on the same points, without electric current exerted. The interventions of the two groups started in 1 h on the 1st day of hospital-stay, stimulated for 1 h, twice daily, for maximal 3 d. The numeric rating scale (NRS) was observed on the day of hospital administration (T0), at 1 h (T1), 12 h (T2), 24 h (T3) and 48 h (T4) after the 1st intervention of the two groups, separately. The amount of additional analgesic drugs, the incidence of complications, and patient satisfaction for analgesia were recorded.
Results: The NRS scores either resting or passive movement from T1 to T4 were reduced compared with the score at T0 in the two groups (P<0.05). Compared with the control group, the NRS scores of observation group were lower from T1 to T4 when resting and from T2 to T4 during passive movement (P<0.05). The analgesia satisfaction score of the observation group was higher than that of the control group (P<0.05). The incidence of nausea and vomiting was lower in the observation group compared with the control group (P<0.05). The amount of additional analgesic drugs was reduced in the observation group in comparison with the control group (P<0.05).
Conclusions: TEAS exhibits the favorable preoperative analgesic effects in the elderly patients with intertrochanteric fracture of femur, and it reduces the dosage of analgesic drugs, and the occurrence of complications.
期刊介绍：
Acupuncture Research was founded in 1976. It is an acupuncture academic journal supervised by the State Administration of Traditional Chinese Medicine, co-sponsored by the Institute of Acupuncture of the China Academy of Chinese Medical Sciences and the Chinese Acupuncture Association. This journal is characterized by "basic experimental research as the main focus, taking into account clinical research and reporting". It is the only journal in my country that focuses on reporting the mechanism of action of acupuncture.
The journal has been changed to a monthly journal since 2018, published on the 25th of each month, and printed in full color. The manuscript acceptance rate is about 10%, and provincial and above funded projects account for about 80% of the total published papers, reflecting the latest scientific research results in the acupuncture field and has a high academic level. Main columns: mechanism discussion, clinical research, acupuncture anesthesia, meridians and acupoints, theoretical discussion, ideas and methods, literature research, etc.
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