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JIAO Nini, LI Yanmin, ZHANG Yawei, HU Rui. Application of iliac fascia plane block combined with wrist-ankle acupuncture in perioperative analgesia of hip arthroplasty[J]. Journal of Clinical Medicine in Practice, 2020, 24(7): 116-118. DOI: 10.7619/jcmp.202007033
Citation: JIAO Nini, LI Yanmin, ZHANG Yawei, HU Rui. Application of iliac fascia plane block combined with wrist-ankle acupuncture in perioperative analgesia of hip arthroplasty[J]. Journal of Clinical Medicine in Practice, 2020, 24(7): 116-118. DOI: 10.7619/jcmp.202007033
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Application of iliac fascia plane block combined with wrist-ankle acupuncture in perioperative analgesia of hip arthroplasty

  • Department of Anesthesiology, Xuzhou Hospital of Traditional Chinese Medicine, Xuzhou, Jiangsu, 221003

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  • Received Date: December 19, 2019
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    • Abstract
  • Objective To observe the analgesic effect of iliac fascia plane block combined with wrist-ankle acupuncture after hip arthroplasty. Methods Sixty patients undergoing epidural subdural hip arthroplasty were randomly divided into two groups. Patients in both groups received ultrasound-guided iliac fascia block on the affected side before epidural anesthesia, while those in the experimental group received wrist-ankle acupuncture block. The patients with Visual Analogue Scale scoring more than 4 points were injected with tramadol hydrochloride injection. The Visual Analogue Scale(VAS)scores at 1, 6, 12, 24, 36 and 48 hours after operation was recorded, and postoperative analgesic dosage and adverse reactions of the two groups were recorded. Results The VAS scores at 6, 12 and 24 h after operation in the experimental group were lower than those in the control group(P<0.05).There were no significant differences in VAS scores between the two groups at 1, 36 and 48 h after operation(P>0.05).The dosage of tramadol hydrochloride injection in the experimental group was significantly less than that in the control group(P<0.05).The incidence of adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05). Conclusion Iliofascial block combined with wrist-ankle acupuncture can significantly relieve postoperative pain, reduce the amount of postoperative analgesics and the incidence of postoperative complications.
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    • References (21)
  • Hansson S, Bülow E, Garland A, et al.More hip complications after total hip arthroplasty than after hemi-arthroplasty as hip fracture treatment: analysis of 5, 815 matched pairs in the Swedish Hip Arthroplasty Register[J].Acta Orthop, 2020, 91(2): 133-138.
    Schairer W W, Lane J M, Halsey D A, et al.The frank stinchfield award: total hip arthroplasty for femoral neck fracture is not a typical DRG 470: a propensity-matched cohort study[J].Clin Orthop Relat Res, 2017, 475(2): 353-360.
    Steenberg J, Møller A M.Systematic review of the effects of fascia iliaca compartment block on hip fracture patients before operation[J].Br J Anaesth, 2018, 120(6): 1368-1380.
    赵雪, 郭义, 陈泽林, 等.国家标准《针灸技术操作规范第19部分腕踝针》若干问题探讨[J].针灸临床杂志, 2011, 27(4): 1-3.
    Beaupre L A, Johnston D B, Dieleman S, et al.Impact of a preemptive multimodal analgesia plus femoral nerve blockade protocol on rehabilitation, hospital length of stay, and postoperative analgesia after primary total knee arthroplasty: a controlled clinical pilot study[J].Sci World J, 2012, 2012: 273821.
    Lee Y Z, Lee R Q, Thinn K K, et al.How patients fare after anaesthesia for elective surgery: a survey of postoperative nausea and vomiting, pain and confusion[J].Singapore Med J, 2015, 56(1): 40-46.
    Chen X H, Ren X Q, Ma Y B, et al.Research progress of the role of postoperative pain in the development of postoperative cognitive dysfunction in geriatric patients[J].J South Med Univ, 2019, 39(9): 1122-1126.
    Newman E T, Watters T S, Lewis J S, et al.Impact of perioperative allogeneic and autologous blood transfusion on acute wound infection following total knee and total hip arthroplasty[J].J Bone Jo Surg, 2014, 96(4): 279-284.
    中华医学会麻醉学分会老年人麻醉学组, 中华医学会麻醉学分会骨科麻醉学组.中国老年髋部骨折患者麻醉及围术期管理指导意见[J].中华医学杂志, 2017, 97(12): 897-905.
    Dalens B, Vanneuville G, Tanguy A.Comparison of the fascia iliaca compartment block with the 3-in-1 block in children[J].Anesth Analg, 1989, 69(6): 705-713.
    张文清, 林志坚, 李加宾, 等.0.3%罗哌卡因用于老年患者超声引导下髂筋膜间隙阻滞的半数有效容量[J].临床麻醉学杂志, 2017, 33(12): 1152-1154.
    Zhang F F, Lv C, Yang L Y, et al.Pharmacokinetics of ropivacaine in elderly patients receiving fascia iliaca compartment block[J].Exp Ther Med, 2019, 18(4): 2648-2652.
    Li Y, Geng J, Wen L Y, et al.Postoperative analgesia with ropivacaine and dexmedetomidine for ultrasound-guided fascia iliaca compartment block after arthroscopic knee surgery[J].Saudi J Anaesth, 2019, 13(2): 100-105.
    Yang K, Du Y Z, Shi J, et al.Exploration of dominant diseases and clinical application characteristics of wrist-ankle acupuncture therapy based on data mining technology[J].Chin Acupunct Moxibustion, 2019, 39(6): 673-678.
    Luo F L, Huang X Y, Liu X H, et al.Comparative efficacy and safety of NSAIDs-controlled acupuncture in the treatment of patients with primary dysmenorrhoea: a Bayesian network meta-analysis[J].J Int Med Res, 2019, 47(1): 19-30.
    Zhu L B, Chan W C, Lo K C, et al.Wrist-ankle acupuncture for the treatment of pain symptoms: a systematic review and meta-analysis[J].Evid Based Complement Alternat Med, 2014, 2014: 261709.
    Wu Q L, Cao W, Wang W, et al.Wrist-ankle needle combined with opioid drugs on refractory cancer pain: a randomized controlled trial[J].Chin Acupunct Moxibustion, 2019, 39(10): 1051-1054.
    Zhao S Z, Zheng H X, Zhan L F, et al.Clinical observation of wrist-ankle needle therapy combined with patient controlled intravenous analgesia for pain after laparoscopic surgery for eccyesis[J].Chin Acupunct Moxibustion, 2017, 37(11): 1173-1175.
    Bi H J, Wu G C, He Y Y, et al.Wrist-ankle acupuncture increases pain thresholds in healthy adults[J].Altern Ther Health Med, 2017, 23(1): 20-25.
    Yang K, Du Y Z, Shi J, et al.Exploration of dominant diseases and clinical application characteristics of wrist-ankle acupuncture therapy based on data mining technology[J].Chin Acupunct Moxibustion, 2019, 39(6): 673-678.
    李文龙, 李阳阳, 张海龙, 等.腕踝针针刺联合低剂量塞来昔布口服在全髋关节置换术围手术期镇痛的临床观察[J].中国中医急症, 2017, 26(1): 158-161.
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