Observation of Auricular Pressure Combined with Dexmedetomidine on Postoperative Analgesia in Elderly Patients with Femoral Fracture
WANG Shuang,LIU Xue-zheng,ZHAO Gang
The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin(300193),China
Abstract:
Objective To explore the clinical effect of auricular pressure combined with Dexmedetomidine on postoperative analgesia in elderly patients with femoral fracture. Methods Sixty elderly patients with femoral fracture were randomly divided into three groups. Control group was given postoperative 2μg/kg Sufentanil PCIA, Observation group 1 and 2 were given postoperative 2 μg/kg Sufentanil+ 2 . 5 μg/kg Dexmedetomidine PCIA, and Observation group 2 was assisted with auricular pressure. The analgesic effect of each group were compared. Results The VAS scores in Observation group 1 and 2 after surgery for 1 h, 6 h, 24 h were significantly lower than those of the Control group. The VAS scores in Observation group 2 after surgery for 24 h were significantly lower than those of the Observation group 1. The VAS scores in three groups after surgery for 24 h were significantly lower than those before treatment. The PQSI scores of Observation group 1 and Observation group 2 after surgery for 24 h were significantly lower than those of the Control group, and the PQSI score in Observation group 2 decreased more significantly. The times of analgesia pump pressure in Observation group 1 and 2 were significantly lower than those in the Control group, and Observation group 2 analgesia pump pressure times decreased more obviously. The blood glucose at 1 h and CRP at 24 h after operation in Observation group 1 and 2 were lower than those in the Control group, and the reduction was more obvious in Observation group 2. Conclusion Auricular pressure combined with Dexmedetomidine can enhance the analgesic and sedative effect of Sufentanil and improve postoperative sleep quality.
