颊针疗法联合经典髂筋膜间隙阻滞在老年髋部骨折患者术前镇痛中的应用  

Application of buccal needle therapy combined with classical fascia iliaca compartment block in preoperative analgesia for elderly patients with hip fractures

作　　者：蔡水民 蔡晶莹 廖晓阳 钟永灿 CAI Shuimin;CAI Jingying;LIAO Xiaoyang;ZHONG Yongcan(Department of Anesthesiology,Jinjiang Hospital of TCM Affiliated to Fujian University of Traditional Chinese Medicine,Fujian,Jinjiang 362200,China)

机构地区：[1]福建中医药大学附属晋江中医院麻醉科,福建晋江362200

出　　处：《中国医药科学》2024年第20期94-97,147,共5页China Medicine And Pharmacy

基　　金：福建中医药大学校管科研课题(XB2022064)。

摘　　要：目的 探讨颊针疗法联合经典髂筋膜间隙阻滞(FICB)对老年髋部骨折患者术前镇痛的效果。方法 选取2022年7月至2023年12月在福建中医药大学附属晋江中医院择期行髋部骨折手术的60例老年患者进行回顾性分析,根据术前镇痛方式不同分为颊针疗法联合经典FICB组(BF组)和经典FICB组(F组),每组各30例。记录麻醉体位摆放前(T_1)和麻醉体位摆放时(T_2)的视觉模拟评分法(VAS)评分。记录麻醉体位质量、蛛网膜下腔阻滞操作时间、患者满意度评分和并发症的发生情况。结果 BF组在T_2时的VAS评分低于F组,麻醉体位质量优于F组,蛛网膜下腔阻滞操作时间短于F组,患者满意度评分高于F组,差异均有统计学意义(P<0.05),两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论 与经典FICB比较,颊针疗法联合经典FICB可为老年髋部骨折患者提供更完善的术前镇痛效果,患者满意度更高。Objective To explore the preoperative analgesic effect of buccal needle combined with classical fascia iliaca compartment block(FICB)in elderly patients with hip fracture.Methods A retrospective analysis was conducted on 60 elderly patients who underwent elective hip fracture surgery at Jinjiang Hospital of TCM Affiliated to Fujian University of Traditional Chinese Medicine from July 2022 to December 2023.According to different preoperative pain relief methods,they were divided into two groups:the buccal needle therapy combined with classical FICB group(BF group)and the classical FICB group(F group),with 30 cases in each group.The visual analogue scale(VAS)score was recorded before anesthesia position was placed(T1)and at anesthesia position was placed(T2).The quality of anesthesia position,operation time of subarachnoid block,patient satisfaction score and complications were recorded.Results At T2,the VAS score of BF group was lower than that of F group,the quality of anesthesia position was better than that of F group,the operation time of subarachnoid block was shorter than that of F group,and the patient satisfaction score was higher than that of F group,with statistically significant differences(P<0.05).There was no statistically significant difference in comparing the total incidence of complications between the two groups(P>0.05).Conclusion Compared with classic FICB,buccal needle combined with classic FICB can provide a better preoperative analgesic effect for elderly patients with hip fracture,and patients’satisfaction is higher.

关 键 词：颊针疗法 髂筋膜间隙阻滞 镇痛 满意度 并发症 

分 类 号：R614[医药卫生—麻醉学]