Xu Xingmei, Zhao Libin, Li Yue, Zhan Li, Zheng Lidong, Wang Jingxian
Department of Anesthesiology, Lu'an Hospital of Anhui Medical University, Luan, 237000, People's Republic of China.
J Pain Res. 2024 Nov 12;17:3719-3727. doi: 10.2147/JPR.S491669. eCollection 2024.
The objective of this study is to investigate the impact of cheek acupuncture on perioperative pain in patients with hip fracture.
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.
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 (T); 12 hours post-surgery (T); and 24 hours post-surgery (T). And patients in group C and group F demonstrated a decreased beta-endorphin level at the T. Compared to Group S, patients in group C and group F displayed reduced Mean Arterial Pressure (MAP) levels at T.
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.
ChiCTR2100043194.
本研究的目的是探讨颊针疗法对髋部骨折患者围手术期疼痛的影响。
利用随机数字表将患者分为三个不同队列：仅实施脊髓麻醉（S组）、在脊髓麻醉前实施颊针疗法（C组）、在脊髓麻醉前实施超声引导下髂筋膜阻滞（F组）。主要结局指标为术后24小时内的视觉模拟评分（VAS）以及β-内啡肽水平。次要结局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）水平及运动阻滞程度。
与S组相比，C组和F组患者在以下时间点的视觉模拟评分（VAS）显著更低：处于脊髓麻醉体位时（T1）、术后12小时（T2）、术后24小时（T3）。并且C组和F组患者在T1时β-内啡肽水平降低。与S组相比，C组和F组患者在T1时平均动脉压（MAP）水平降低。
颊针疗法应用于髋部骨折手术可有效降低视觉模拟评分（VAS），提高围手术期安全性，促进术后恢复，并优化患者的整体医疗体验。
ChiCTR2100043194。
