Application Effect of Buccal Acupuncture Combined with Ultrasound-Guided Fascia Iliaca Compartment Block and General Anesthesia in Elderly Patients Undergoing Total Hip Arthroplasty
WANG Rui1, LIANG Ran1, LIU Ping1, WANG Jing2
1. Department of Anesthesiology, Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang Jiangsu 222000;
2. Department of Anesthesiology, Clinical Medical College, Kangda College of Nanjing Medical University, Lianyungang Jiangsu 222000
Abstract：【Objective】 To investigate the clinical effects of buccal acupuncture combined with ultrasound-guided fascia iliaca compartment block (FICB) and general anesthesia in elderly patients undergoing total hip arthroplasty (THA). 【Methods】 A total of 118 elderly patients scheduled for THA were randomly divided into an observation group and a control group, with 59 cases in each group. The control group received conventional general anesthesia, while the observation group received FICB combined with general anesthesia and buccal acupuncture therapy. Pain status [visual analogue scale (VAS) score], stress response [cortisol (Cor) and norepinephrine (NE)], serum levels [tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), C-reactive protein (CRP), and neuron-specific enolase (NSE)], and cognitive function [Mini-Mental State Examination (MMSE) score and Montreal Cognitive Assessment (MoCA) score] were compared between the two groups. 【Results】 The VAS scores at rest and during activity of the observation group at different postoperative time points were significantly lower than those than of the control group (P<0.05). The levels of Cor and NE at 1 h and 1 d postoperatively were lower in the observation group than in the control group (P<0.05). The levels of TNF-α, IL-6, CRP, and NSE at 1 d postoperatively were lower in the observation group than in the control group (P<0.05). The MMSE and MoCA scores at 12 h, 24 h, and 48 h postoperatively were significantly higher in the observation group than in the control group (P<0.05). 【Conclusion】 Buccal acupuncture combined with FICB and general anesthesia can reduce postoperative pain, alleviate stress responses and inflammatory factor levels, and improve early postoperative cognitive function in elderly patients undergoing THA, thereby promoting postoperative recovery.
王睿, 梁然, 刘萍, 王静. 颊针联合超声引导髂筋膜间隙阻滞复合全身麻醉在老年全髋关节置换术患者中的应用效果[J]. 医学临床研究, 2026, 43(3): 395-398.
WANG Rui, LIANG Ran, LIU Ping, WANG Jing. Application Effect of Buccal Acupuncture Combined with Ultrasound-Guided Fascia Iliaca Compartment Block and General Anesthesia in Elderly Patients Undergoing Total Hip Arthroplasty. JOURNAL OF CLINICAL RESEARCH, 2026, 43(3): 395-398.
2026, Vol. 43 
