International Research in Chinese Medicine
International Research in Chinese Medicine. 2024; 4: (1) ; 10.12208/j.ircm.20240012 .
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齐齐哈尔市中医医院 黑龙江齐齐哈尔
*通讯作者： 陈琦,单位：齐齐哈尔市中医医院 黑龙江齐齐哈尔；
目的 观察颊针疗法在老年股骨颈骨折患者椎管内麻醉前体位摆放时的镇痛效果。方法 选择老年股骨颈骨折患者60例，随机分为对照组（髂筋膜阻滞）和颊针组（颊针治疗），每组30例。观察两组患者不同时间点的MAP、HR、疼痛VAS评分及患者配合度和镇痛满意度评分，记录入室后和术后24h血糖和血乳酸值。结果 T1和T2时间点MAP、HR和VAS评分颊针组明显低于对照组（P＜0.05）；颊针组术后24h血乳酸值低于对照组（P＜0.05）。结论 老年患者在股骨颈骨折手术实施腰硬联合麻醉前应用颊针疗法与髂筋膜阻滞均能有效缓解摆放体位时的疼痛，但颊针疗法镇痛起效更快，应激反应更小。
Objective To observe the analgesic effect of buccal needle therapy in pre-anesthesia position in the spinal canal of elderly patients with femoral neck fracture. Methods 60 elderly patients with femoral neck fracture were randomly divided into control group (iliac fascia block) and buccal acupuncture group (buccal acupuncture treatment), with 30 cases in each group. MAP, HR, pain VAS scores, patient cooperation and analgesic satisfaction scores of the two groups were observed at different time points, and blood glucose and blood lactic acid values were recorded after entry and 24h after operation. Results MAP, HR and VAS scores at T1 and T2 were significantly lower in buccal acupuncture group than in control group (P < 0.05). The blood lactic acid value of buccal acupuncture group was lower than that of control group 24h after operation (P < 0.05). Conclusion Both buccal acupuncture and iliac fascia block can effectively relieve the pain in the elderly patients before lumbar epidural anesthesia in femoral neck fracture surgery, but buccal acupuncture has faster analgesic effect and less stress response.
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