Clinical study of buccal acupuncture used to relieve pain before anesthesia in patients with clavicle fracture
颊针用于锁骨骨折患者麻醉前减轻疼痛的临床研究

摘要

目的 对颊针用于锁骨骨折患者能否减轻麻醉前疼痛便于麻醉操作进行临床观察。方法 选择我院拟行锁骨骨折手术的患者60例，按随机数字表法分为颊针组、舒芬组和对照组，每组20例。观察患者不同时间点的MAP、HR、不同时间点的疼痛VAS评分及副作用的发生情况。结果 在T2时间点，颊针组和舒芬组MAP和HR与对照组相比差异有统计学意义（P＜0.05）；颊针组和舒芬组患者在静息时、耸肩、上肢内旋及上抬45度时的VAS评分明显低于对照组（P＜0.05），颊针组副作用出现例数少于舒芬组和对照组，术后满意度高于舒芬组和对照组。结论 锁骨骨折患者麻醉前应用颊针疗法或舒芬太尼均可有效减轻疼痛，颊针疗法操作简便副作用少患者满意度高更有推广优势。

Abstract

Objective To observe whether buccal acupuncture can relieve pain before anesthesia and facilitate anesthesia operation in patients with clavicle fracture.
Methods 60 patients with clavicular fracture in our hospital were selected and divided into buccal acupuncture group, sufentanil group and control group according to random number table, with 20 cases in each group. MAP, HR, pain VAS score at different time points and the occurrence of side effects were observed.
Results The MAP and HR in buccal acupuncture group and sufentanil group decreased significantly compared with control group at T2 (P < 0.05). The VAS scores of buccal acupuncture group and sufentanil group were significantly lower than those in control group at rest, shrug, upper limb rotation and 45 degrees of elevation(P < 0.05). The number of side effects in buccal acupuncture group was less than that in sufentanil group and control group, and the postoperative satisfaction was higher than that in sufentanil group and control group.
Conclusion   The application of buccal acupuncture or sufentanil before anesthesia in patients with clavicular fracture can effectively reduce pain, and buccal acupuncture is easy to operate and has fewer side effects.