International Research in Chinese Medicine

Objective To observe the analgesic effect of buccal needle therapy in pre-anesthesia position in the spinal canal of elderly patients with femoral neck fracture. Methods 60 elderly patients with femoral neck fracture were randomly divided into control group (iliac fascia block) and buccal acupuncture group (buccal acupuncture treatment), with 30 cases in each group. MAP, HR, pain VAS scores, patient cooperation and analgesic satisfaction scores of the two groups were observed at different time points, and blood glucose and blood lactic acid values were recorded after entry and 24h after operation. Results MAP, HR and VAS scores at T1 and T2 were significantly lower in buccal acupuncture group than in control group (P < 0.05). The blood lactic acid value of buccal acupuncture group was lower than that of control group 24h after operation (P < 0.05). Conclusion Both buccal acupuncture and iliac fascia block can effectively relieve the pain in the elderly patients before lumbar epidural anesthesia in femoral neck fracture surgery, but buccal acupuncture has faster analgesic effect and less stress response.

Buccal acupuncture; Femoral neck fracture; Old age; Preanesthetic analgesia