Perioperative Pain Observation of Hip Fracture Surgery Patients with Cheek Acupuncture

作者：Xiao Xu, Libin Zhao, Yue Li, Zhan Li, Lidong Zheng, Jingxian Wang · 发表于：Journal of Pain Research · 年份：2024 · DOI：10.2147/jpr.s491669 · 被引用次数：6 · 研究领域：Acupuncture Treatment Research Studies、Hip and Femur Fractures、Enhanced Recovery After Surgery

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 (T 2 ); 12 hours post-surgery (T 5 ); and 24 hours post-surgery (T 6 ). And patients in group C and group F demonstrated a decreased beta-endorphin level at the T 6 . Compared to Group S, patients in group C and group F displayed reduced Mean Arterial Pressure (MAP) levels at T 2 . 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...