摘要
目的研究术后针灸干预对老年骨科下肢手术患者精神状态评价量表(Mini-mental state examination,MMSE)评分及苏醒时间的影响。方法选取老年骨科下肢手术患者104例为研究对象,按照随机数字表法均分为两组,每组52例,对照组腰硬联合麻醉下进行手术治疗,观察组在对照组基础上采用术后针灸干预。观察并比较两组患者的生命体征、恢复时间、MMSE评分、血液流变学以及不良反应情况。结果观察组和对照组术后1、3 d体温、心率、血压比较差异均无统计学意义(P>0.05)。观察组术后苏醒时间明显短于对照组(P<0.05),肛门排气时间及住院时间差异无统计学意义(P>0.05)。术前,两组患者的MMSE评分比较差异无统计学意义(P>0.05);术后,对照组MMSE评分显著下降、观察组无明显变化,观察组MMSE评分显著高于对照组(P<0.05)。术前,两组患者的高切及低切全血黏度、血浆黏度、红细胞压积、红细胞聚集指数差异均无统计学意义(P>0.05);术后两组患者以上各血液流变学指标均显著下降,并且观察组低于对照组(P<0.05)。观察组、对照组不良反应发生率分别为3.85%(2/52)、15.38%(8/52),观察组显著低于对照组(P<0.05)。结论术后针灸干预对老年骨科下肢手术患者效果满意,能够促进患者苏醒,保护其认知功能,改善血液流变学,减少不良反应的发生,利于患者康复。
Objective To study the effect of postoperative acupuncture intervention on Mini-mental state examination(MMSE)score and recovery time in elderly patients with lower extremity surgery in department of orthopedics.Methods A total of 104 elderly patients undergoing lower limb surgery in orthopedics department of the hospital from January to December 2022 were selected as the research objects.They were divided into two groups according to the random number table method,with 52 cases in each group.The control group was treated with surgery under combined spinal-epidural anesthesia,and the observation group was treated with postoperative acupuncture intervention on the basis of the control group.The vital signs,recovery time,MMSE score,hemorheology and adverse reactions of the two groups were observed and compared.Results There was no significant difference in body temperature,heart rate or blood pressure between the observation group and the control group at 1 and 3 days after operation(P>0.05).The postoperative recovery time of the observation group was significantly shorter than that of the control group(P<0.05).After operation,the MMSE score of the control group decreased significantly,and there was no significant change in the observation group.The MMSE score of the observation group was significantly higher than that of the control group(P<0.05).Before operation,there was no significant difference in high or low shear whole blood viscosity,plasma viscosity,hematocrit and erythrocyte aggregation indexes between the two groups(P>0.05).After operation,the above hemorheology indexes of the two groups decreased significantly,and those in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions in the observation group and the control group was 3.85%(2/52)and 15.38%(8/52),and the incidence of the observation group was significantly lower than that of the control group(P<0.05).Conclusion Postoperative acupuncture intervention is satisfactory for the elderly patients undergoing lower limb surgery in orthopedics.It can promote the recovery of patients,protect their cognitive function,improve the hemorheology,reduce the occurrence of adverse reactions,and facilitate the rehabilitation of the patients.
作者
王苗级
徐国亭
李新茂
WANG Miaoji;XU Guoting;LI Xinmao(First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan,China)
出处
《中华中医药学刊》
北大核心
2025年第9期235-238,共4页
Chinese Archives of Traditional Chinese Medicine
基金
河南省中医药科学研究专项(2019JDZX2178)
南阳市科技局项目(KJGG075)。
关键词
骨科
下肢手术
老年
针灸
腰硬联合麻醉
简易精神状态评价量表
orthopedics
lower limbs surgery
old age
acupuncture
combined spinal epidural anesthesia
simple Mental State Assessment Scale
