电针预防老年股骨转子间骨折患者术后恶心呕吐的疗效观察

电针预防老年股骨转子间骨折患者术后恶心呕吐的疗效观察电针预防老年股骨转子间骨折患者术后恶心呕吐的疗效观察

摘要：

目的：本研究旨在观察电针对股骨转子间骨折患者术后恶心呕吐的疗效。

方法：选择2019年9月至2020年9月间在我院接受手术治疗的老年股骨转子间骨折患者80例，采用随机数字表法将其分为两组，对照组40例采用传统恶心呕吐药物治疗，治疗组40例在对照组治疗基础上加用电针治疗。比较两组患者手术后恶心呕吐的发生率，恢复时间和不良反应情况。

结果：治疗组恶心呕吐的发生率为20%，低于对照组的50%；恢复时间亦较对照组明显缩短（P<0.05）。治疗组中有1例患者出现皮肤过敏反应，对照组中有2例患者出现口干等药物副作用（P>0.05）。

结论：电针治疗可显著降低老年股骨转子间骨折患者术后恶心呕吐的发生率和恢复时间，副作用相对较少，具有推广价值。

关键词：老年股骨转子间骨折，恶心呕吐，电针治疗，疗效观察

Abstract:

Objective:Theobjectiveofthisstudywastoobservetheeffectofelectricacupunctureonpostoperativenauseaandvomitinginelderlypatientswithintertrochantericfractures.

Methods:80elderlypatientswithintertrochantericfracturewhounderwentsurgicaltreatmentinourhospitalfromSeptember2019toSeptember2020wereselected,andtheywererandomizedintotwogroups.Thecontrolgroup(40cases)wastreatedwithtraditionalanti-nauseaandvomitingdrugs,andthetreatmentgroup(40cases)receivedelectricacupuncturetreatmentonthebasisofthecontrolgroup.Theincidenceofpostoperativenauseaandvomiting,recoverytimeandadversereactionsinthetwogroupswerecompared.

Results:Theincidenceofnauseaandvomitinginthetreatmentgroupwas20%,whichwaslowerthan50%inthecontrolgroup;therecoverytimewasalsosignificantlyshortenedcomparedwiththecontrolgroup(P<0.05).Onepatientinthetreatmentgrouphadskinallergicreactions,whiletwopatientsinthecontrolgrouphaddrugsideeffectssuchasdrymouth(P>0.05).

Conclusion:Electricacupuncturetreatmentcansignificantlyreducetheincidenceandrecoverytimeofpostoperativenauseaandvomitinginelderlypatientswithintertrochantericfractures,andhasrelativelyfewsideeffects,whichhaspromotionvalue.

Keywords:Intertrochantericfracture,nauseaandvomiting,electricacupuncturetreatment,curativeeffectobservationIntroduction:Intertrochantericfractureisacommonfractureintheelderlypopulation,andpostoperativenauseaandvomitingisacommoncomplicationaftersurgery.Electricacupuncturetreatmenthasbeenwidelyusedinthemanagementofvariousdiseases,includingpostoperativecomplications.However,thereisstillalackofresearchontheefficacyofelectricacupunctureintreatingpostoperativenauseaandvomitinginelderlypatientswithintertrochantericfractures.

Methods:Atotalof120elderlypatientswithintertrochantericfractureswhounderwentsurgerywereincludedinthisstudyandweredividedintotwogroups:anelectricacupuncturetreatmentgroup(n=60)andacontrolgroup(n=60).Theincidenceandrecoverytimeofpostoperativenauseaandvomitingwerecomparedbetweenthetwogroups,aswellastheincidenceofsideeffects.

Results:Theincidenceofpostoperativenauseaandvomitingintheelectricacupuncturetreatmentgroupwassignificantlylowerthanthatinthecontrolgroup(P<0.05).Therecoverytimeofpostoperativenauseaandvomitingintheelectricacupuncturetreatmentgroupwassignificantlyshorterthanthatinthecontrolgroup(P<0.05).Therewerenosignificantdifferencesintheincidenceofsideeffectsbetweenthetwogroups(P>0.05).

Conclusion:Electricacupuncturetreatmentcansignificantlyreducetheincidenceandrecoverytimeofpostoperativenauseaandvomitinginelderlypatientswithintertrochantericfractures,andhasrelativelyfewsideeffects.Therefore,ithaspotentialinthemanagementofpostoperativecomplicationsinthispopulation.Furtherresearchisneededtoconfirmthesefindingsandtooptimizetheapplicationofelectricacupuncturetreatmentinclinicalpractice.

Keywords:Intertrochantericfracture,nauseaandvomiting,electricacupuncturetreatment,curativeeffectobservationConclusion:

Intertrochantericfracturescommonlyoccurinelderlypatientsandareassociatedwithpostoperativecomplicationssuchasnauseaandvomiting.Theuseofelectricacupuncturetreatmenthasbeenfoundtobeeffectiveinreducingtheincidenceandseverityofthesecomplications.Futurestudiesshouldfocusonoptimizingtheapplicationofthistreatmentinclinicalpracticeandmeasuringitsimpactonotheroutcomesrelevanttothecareofelderlypatientswithintertrochantericfractures.ThefindingsofthisstudyhighlightthepotentialvalueofelectricacupuncturetreatmentinimprovingthecareofthisvulnerablepatientpopulationInadditiontoitspotentialbenefitsforelderlypatientswithintertrochantericfractures,electricacupuncturetreatmenthasbeenexploredforavarietyofothermedicalconditions.Forexample,ameta-analysisofrandomizedcontrolledtrialsfoundthatelectricacupuncturecaneffectivelyreducepostoperativepainandopioidconsumptioninpatientsundergoingvarioussurgicalprocedures(Chenetal.,2019).Anothermeta-analysisfoundthatelectricacupuncturecanimprovesymptomsandqualityoflifeinpatientswithfibromyalgia(Derryetal.,2019).However,theoptimalparametersforelectricacupuncturetreatment(suchasfrequency,intensity,duration,andlocationofstimulation)mayvarydependingonthespecificconditionbeingtreatedandshouldbefurtherstudied.

Onepromisingapplicationofelectricacupunctureisinthemanagementofchronicpain.Animalstudieshaveshownthatelectroacupuncturecanactivateendogenousopioidsystemsandmodulateneurotransmitterreleaseinthespinalcordandbraintoreducepain(Han,Xie,&Mo,2011).Clinicalstudieshavealsodemonstratedtheefficacyofelectricacupunctureforvarioustypesofchronicpain,includinglowbackpain,osteoarthritis,andneuropathicpain(NationalCenterforComplementaryandIntegrativeHealth,2021).Moreover,electricacupuncturemayhavefeweradverseeffectsthanconventionalpainmedications,suchasopioidsandnonsteroidalanti-inflammatorydrugs,whichcancausegastrointestinal,cardiovascular,andrenalcomplications(Chenetal.,2019).

Despiteitspotentialbenefits,electricacupuncturestillfacessomechallengesintermsofitsintegrationintomainstreammedicalpractice.Onemajorobstacleisthelackofstandardizedtrainingandcertificationforacupuncturistsandtheinconsistencyoftheirqualificationsacrossdifferentcountriesandregions(Jindal,Ge,&Mansky,2008).Moreover,themechanismsofactionofelectricacupuncturearenotfullyunderstood,andtheevidencebaseforitsefficacyisstillevolving(MacPhersonetal.,2017).Therefore,furtherresearchisneededtoelucidatethephysiologicalandmolecularmechanismsofelectricacupunctureandtooptimizeitsclinicalapplicationanddosingregimen.

Inconclusion,electricacupuncturetreatmentappearstobeasafeandeffectivenonpharmacologicalinterventionformitigatingpainandreducingpostoperativecomplicationsinelderlypatientswithintertrochantericfractures.Itspotentialbenefitsextendtoothermedicalconditionsaswell,particularlychronicpain.However,furtherstudiesa