Application Of Integrated Traditional Chinese And Western Medicine Pain Management In Perioperative Period Of Geriatric Hip Fractures

Objective:To explore the efficacy of integrated traditional Chinese and western medicine means in the perioperative analgesia of geriatric hip fractures and to provide new methods for the management of perioperative pain in orthopedics.In addition,to promote the development of our hospital with the characteristic pain of traditional Chinese medicine and the care of wards.Methods:According to the inclusion criteria and exclusion criteria,90 elderly patients undergoing surgical treatment for hip fracture were randomly divided into experimental group I,experimental group II,and control group.The experimental group I was given an analgesic model of western medicine: oral celecoxib 200 mg was given 3 days before the operation.One hour before surgery,40 mg of parecoxib was given intravenously,after operation,parecoxib 40 mg bid for three days,and then celecoxib 200 mg bid 7 days after operation;The experimental group II performed an integrated Chinese and Western medicine analgesic model: On the basis of the experimental group I,the patient returned to the auricular acupressure pill within 2 hours of the ward and started moxibustion on the first postoperative day;The control group was given a traditional analgesic model: According to the pain condition of the patient,the pain was scored and the analgesic was performed according to the principle of WHO three-step analgesia.Observe and record the NRS scores at rest and in activity of three groups at 6h?12h?24h?48h and 72 h after operation;The postoperative hospitalization days and the postoperative adverse reactions.To investigate patient satisfaction with pain control.Statistical analysis of the above data,and evaluate the clinical efficacy of pain management incombination of traditional Chinese and Western medicine.Results:1.There was no statistically significant difference in the general data between the sex ratio,age,injury site,fracture type,and surgical methods among the three groups(P>0.05)and they were comparable.2.NRS score:Compared with control group,the NRS scores at rest and activity of the experimental group I and experimental group II at 6h?12h?24h?48h and 72 h after operation were decreased,and the difference was statistically significant(P<0.05).Compared with the experimental group I,the NRS scores at rest and activity of the experimental group II at 6h?12h?24h?48h and 72 h after operation were decreased,and The difference was statistically significant(P<0.05).3.The postoperative hospitalization days:Compared with the control group,the postoperative hospitalization days of experimental group I and experimental group II were shortened,and the difference was statistically significant(P<0.05).Compared with the experimental group I,the postoperative hospitalization days of experimental group II was shortened,and the difference was statistically significant(P<0.05).4.Pain control satisfaction: The satisfaction degree of pain control in experimental group I and experimental group II was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction degree of pain control in experimental II group was higher than that in experimental group I,and the difference was statistically significant(P<0.05).5.Adverse reactions: One case in the experimental group I experienced nausea and one experienced pruritus.The adverse reaction rate was 6.7%;One case in experimental group II had nausea discomfort and the incidence of adverse reactions was 3.3%;In the control group,nausea and vomiting occurred in 2 cases and drowsiness occurred in 2 cases.The incidence of adverse reactions was 13.3%.There was no significant difference in the incidence of adverse reactions between the three groups(P>0.05).Conclusion:The analgesic effect of integrated traditional Chinese and Western medicine pain management model in the perioperative period of hip fracture in the elderly is obviously better than that of the conventional conventionalpain management model.It is beneficial for early functional training of patients,shorten postoperative hospital stay,improve patient satisfaction,and the incidence of adverse reactions after surgery is low.It is worthy of clinical promotion.