摘要
目的观察耳尖放血联合塞来昔布超前镇痛对老年患者下肢骨折术后疼痛及肿胀的临床疗效。方法将106例下肢骨折且将进行手术的老年患者随机分成为两组,观察组(53例)和对照组(53例)。术前3 d开始,对照组予塞来昔布行超前镇痛,观察组予耳尖放血联合塞来昔布行超前镇痛。比较两组患者静息状态疼痛视觉模拟量表(VAS)评分、肿胀程度评级、炎症因子水平及术后不良反应发生情况。结果观察组静息状态VAS评分(术后2 h、4 h、12 h、24 h和48 h)、下肢肿胀评级(术后12 h、24 h和48 h)及血清hs-CRP、SAA和TNF-α(术后48 h)的水平均较对照组显著降低(P<0.05)。观察组不良反应发生率及盐酸哌替啶使用率均明显少于对照组(P<0.05)。结论耳尖放血联合塞来昔布超前镇痛可有效缓解老年患者下肢骨折术后的疼痛及肿胀,明显改善患者炎症因子水平,减少不良反应的发生,降低术后镇痛药物的使用量,疗效优于单纯塞来昔布超前镇痛。
Objective To observe the clinical efficacy of preemptive analgesia with ear apex bloodletting plus Celecoxib for postoperative pain and swelling in elderly patients with lower limb fractures.Method One hundred and six elderly patients with lower limb fractures who would undergo surgery were randomized to two groups,an observation group(53 cases)and a control group(53 cases).From three days before surgery,the control group received preemptive analgesia with Celecoxib and the observation group received preemptive analgesia with ear apex bloodletting plus Celecoxib.Static pain visual analogue scale(VAS)scores,swelling severity grades,inflammatory factor levels and postoperative adverse reactions were compared between the two groups of patients.Result The static pain VAS score(2 h,4 h,12 h,24 h and 48 h after surgery),the lower limb swelling grade(12 h,24 h and 48 h after surgery)and serum hs-CRP,SAA and TNF-αlevels(48 h after surgery)were significantly lower in the observation group than those in the control group(P<0.05).The incidence of adverse reactions was significantly lower and the rate of the use of Pethidine hydrochloride was significantly lower in the observation group than those in the control group(P<0.05).Conclusion Preemptive analgesia with ear apex bloodletting plus Celecoxib can effectively relieve postoperative pain and swelling,markedly improve inflammatory factor levels,reduce the incidence of adverse reactions and decrease postoperative dosage of analgesics in elderly patients with lower limb fractures.Its effect is better than that of preemptive analgesia with Celecoxib alone.
作者
宣杭琪
XUAN Hangqi(Shaoxing Second Hospital,Shaoxing 312000,China)
出处
《上海针灸杂志》
2022年第2期145-148,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
放血疗法
塞来昔布
骨折
疼痛
术后
肿胀
镇痛
Bloodletting therapy
Celecoxib
Fracture
Pain,Postoperative
Swelling
Analgesia
作者简介
宣杭琪(1991-),女,主管护师,Email:xuanhangqi2020@163.com。
