新医学2025，Vol.56Issue(1)：66-74,9.DOI:10.12464/j.issn.0253-9802.2024-0337
浮针联合自控静脉镇痛对下肢骨折老年患者术后镇痛的疗效观察
Observation of the efficacy of floating acupuncture combined with patient-controlled intravenous analgesia in postoperative pain management for elderly patients with lower limb fracture
摘要
Abstract
Objective To assess the effectiveness of floating acupuncture combined with patient-controlled intravenous analgesia(PCIA)in alleviating postoperative pain in elderly patients with lower limb fracture.Methods In this prospective random controlled study,two hundred and ten elderly patients diagnosed with lower extremity fracture admitted to Guangzhou Zengcheng District Hospital of Traditional Chinese Medicine from May 2022 to May 2024 were enrolled and were stratified into the control(n=105)and observation groups(n=105)based on their treatment interventions.In the control group,postoperative PCIA was adopted,and in the observation group,floating acupuncture in addition to PCIA were given.Numerical rating scale(NRS),Ramsay sedation scale(RSS),Bruggrmann comfort scale(BCS),the Center for Epidemiologic Studies Depression Scale(CES-D),20-item Pain Anxiety Symptom Scale(PASS-20),15-item Quality of Recovery-15(QoR-15)scale,the Hospital for Special Surgery Knee Score(HSS)and serum tumor necrosis factor-α(TNF-α)and the incidence of adverse reactions were compared between two groups.Results At 6 h post-surgery,the NRS score in the observation group was significantly lower compared to that in the control group((1.97±1.16)vs.(2.33±1.40),P＜0.05).Postoperatively,patients in the observation group demonstrated higher QOR-15 and HSS scores than those in the control group((110.16±14.90)vs.(115.67±13.51),(73.96±8.52)vs.(70.97±8.22);both P＜0.05).At 12 h post-surgery,serum TNF-α level in the observation group was significantly lower than that in the control group((19.10±12.46)pg/mL vs.(24.87±17.30)pg/mL,P＜0.05).At postoperative 12 h,the incidence of nausea in the observation group was significantly lower than that in the control group(2.4%vs.4.8%,P＜0.05).Conclusion The combination of floating acupuncture with PCIA exhibits superior performance in managing postoperative pain compared to PCIA alone in elderly patients with lower limb fracture,which can elevate the quality of life and promote patient recovery.关键词
浮针/患者静脉自控镇痛/老年患者/快速康复/疼痛治疗Key words
Floating acupuncture/Patient-controlled intravenous analgesia/Elderly patient/Enhanced recovery after surgery/Pain management引用本文复制引用
陶荣贵,龚冰冰,黄艳芬,钟淑怡,练苑锋,鲁义..浮针联合自控静脉镇痛对下肢骨折老年患者术后镇痛的疗效观察[J].新医学,2025,56(1):66-74,9.基金项目
广东省自然科学基金面上项目(2023A1515011117) （2023A1515011117）
广州市荔湾区科技计划项目(20230712) （20230712）
广州医科大学附属中医医院1+N特支计划项目(2024-TZ-12) （2024-TZ-12）
