颊针疗法对术后神经阻滞爆发痛及术后恢复质量的影响OA

Objective To observe the effect of cheek needle therapy on nerve block breakthrough pain and postoperative recovery quality after shoulder arthroscopy.Method Ninety-six patients undergoing arthroscopic rotator cuff repair under general anesthesia were randomly divided into a treatment group and a control group,with 48 cases in each group.The treatment group received cheek needle therapy after surgery combined with routine PCA analgesia,while the control group received routine PCA analgesia alone.Numerical rating scale(NRS)pain scores during rest and movement were compared at 2 h,6 h,12 h,24 h,and 48 h after surgery,and the incidence of breakthrough pain was compared.Postoperative PCA pump pressing times,sufentanil consumption in the pump,and rescue analgesia were compared.Serum levels of interleukin-6(IL-6),C-reactive protein(CRP),cortisol(CORT),and norepinephrine(NE)at 6 h and 24 h after surgery were compared.Postoperative quality of recovery-15(QoR-15)and Richards-Campbell sleep questionnaire(RCSQ)scores were compared between the two groups.Postoperative adverse events were also compared.Result At 6 h,12 h,and 24 h after surgery,NRS scores during rest and movement in the treatment group were lower than those in the control group(P＜0.05).At 48 h after surgery,NRS scores during movement in the treatment group were also lower than those in the control group(P＜0.05).The incidence of nerve block breakthrough pain within 24 h after surgery was lower in the treatment group than in the control group(P＜0.05).The total and effective PCA pump pressing times and sufentanil consumption in the treatment group were lower than those in the control group(P＜0.05),and the rate of rescue analgesia was lower(P＜0.05).At 6 h and 24 h after surgery,serum IL-6,CRP,CORT,and NE levels in the treatment group were lower than those in the control group(P＜0.05).Postoperative QoR-15 and RCSQ scores in the treatment group were higher than those in the control group(P＜0.05).The incidence of postoperative nausea and vomiting was lower in the treatment group(P＜0.05).Conclusion Cheek needle therapy can reduce perioperative inflammatory response and stress levels in patients undergoing shoulder arthroscopy,decrease analgesic demand,and significantly reduce the incidence of postoperative nerve block breakthrough pain,thereby improving postoperative recovery quality and sleep quality.