| 涂祈国,阙彬,万政佐,曲丕盛,周蓉.针刺联合右美托咪定对老年股骨粗隆骨折患者术后早期认知功能的影响涂祈国 阙彬 万政佐 曲丕盛 周蓉[J].浙江中西医结合杂志,2023,33(6): |
| 针刺联合右美托咪定对老年股骨粗隆骨折患者术后早期认知功能的影响涂祈国 阙彬 万政佐 曲丕盛 周蓉 |
| Effect of acupuncture combined with dexmedetomidine on early postoperative cognitive function in elderly patients with femoral trochanteric fracture |
| 投稿时间：2022-09-03 修订日期：2023-02-05 |
| DOI： |
| 中文关键词: 针刺疗法 右美托咪定 老年人 术后认知功能障碍. |
| 英文关键词:Acupuncture therapy Dexmedetomidine The elderly Postoperative cognitive dysfunction. |
| 基金项目:浙江省中医药科技计划项目(2022ZA105) |
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| 中文摘要: |
| 目的：评价针刺联合右美托咪定对老年股骨粗隆骨折患者术后早期认知功能的影响。方法：选择单侧股骨粗隆骨折拟在全身麻醉下行择期手术的患者60例,随机分为实验组(n=30)和对照组(n=30)。两组患者均在麻醉诱导前予右美托咪定治疗,实验组术后当日连续3天睡前在百会穴、神门穴、三阴交穴行针刺治疗,观察两组患者术后 24 及 48h 静息时视觉模拟评分(VAS),补救镇痛例数,术后恶心、呕吐情况；术前当日(T0)、术后1天(T1)、术后3天(T2)、术后7天(T3)匹兹堡睡眠质量评分(PSQI)、简易精神状态量表评分(MMSE)。结果：与对照组比较,实验组患者术后 24h 及 48h 静息时VAS明显降低(P＜0.05)；两组患者PSQI在T1明显高于T0(P ＜0.05), MMSE在T1明显低于T0(P ＜0.05)；实验组患者T2、T3时PSQI评分明显低于对照组(P ＜0.05), 实验组患者T2、T3时MMSE评分明显高于对照组(P ＜0.05)。结论：针刺联合右美托咪定可明显提高老年股骨粗隆骨折患者术后睡眠质量,增强镇痛效果,改善术后早期认知功能。 |
| 英文摘要: |
| [Objective] To evaluate the effect of acupuncture combined with dexmedetomidine on early postoperative cognitive function in elderly patients with femoral trochanteric fracture. [Methods] Sixty patients with unilateral femoral trochanteric fracture undergoing elective surgery under general anesthesia were randomly divided into experimental group (n=30) and control group (n=30). Both groups were treated with dexmedetomidine before induction of anesthesia. The experimental group received acupuncture treatment at Baihui , Shenmen and Sanyinjiao before going to bed for 3 consecutive days after operation. The visual analogue scale (VAS) at rest at 24 and 48 hours after operation, the number of cases of remedial analgesia, postoperative nausea and vomiting were observed in the two groups. Pittsburgh Sleep Quality Score (PSQI) and Mini-Mental State Scale (MMSE) were measured on the day before surgery (T0), 1 day after surgery (T1), 3 days after surgery (T2) and 7 days after surgery (T3). [Results] Compared with the control group, the experimental group had significantly lower VAS at 24h and 48h after operation (P < 0.05)；PSQI was significantly higher at T1 than T0 (P < 0.05), MMSE was significantly lower at T1 than T0 (P < 0.05)；The PSQI of experimental group was significantly lower than that of control group at T2 and T3 (P < 0.05), and the MMSE of experimental group was significantly hi |
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