Clinical application of auricular point sticking in perioperative hemostasis for elderly patients with intertrochanteric fractures of the femur
We investigated the clinical application of auricular point sticking (APS) combined with tranexamic acid in perioperative hemostasis in elderly patients with intertrochanteric fractures of the femur.This is a prospective cohort study, and we analyzed 86 elderly patients with intertrochanteric fractu...
Gespeichert in:
| Veröffentlicht in: | Medicine (Baltimore) 2019-08, Vol.98 (35), p.e16963-e16963 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e16963 |
|---|---|
| container_issue | 35 |
| container_start_page | e16963 |
| container_title | Medicine (Baltimore) |
| container_volume | 98 |
| creator | Yin, Chunfang Zhang, Jincun Er, Zhaojuan |
| description | We investigated the clinical application of auricular point sticking (APS) combined with tranexamic acid in perioperative hemostasis in elderly patients with intertrochanteric fractures of the femur.This is a prospective cohort study, and we analyzed 86 elderly patients with intertrochanteric fractures of the femur who underwent closed reduction and internal fixation with proximal femoral nail antirotation (PFNA) between January 2016 and December 2016. The patients were divided into auricular point combined with tranexamic acid group (APS group, n = 43) and tranexamic acid alone group (Control group, n = 43). APS was performed for patients using Vaccaria seeds 1 to 2 days before the operation. The 4 acupoints of hemostasis, including spleen, diaphragm, pituitary, and adrenal gland, as well as acupoint of hip joint, were selected. Routine treatment was performed using tranexamic acid alone in the control group. Blood transfusion, intraoperative, postoperative, and total blood loss were compared between the 2 groups.This study enrolled 36 males and 50 females aged 71 to 93 years (average age: 78.5 years). There were no significant differences in gender, age, height, weight, preoperative hematocrit level, fracture classification, operative time, and hospitalization stay (P > .05). Total blood loss was lower in the APS group than the control group (244.26, 197.87-258.50 ml vs 533.94, 424.00-598.09 ml, P |
| doi_str_mv | 10.1097/MD.0000000000016963 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6736476</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2282451249</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4500-e6df91238b49e1ab8076aba7f7f6a73666723d0cda774ae936951262a9c86dd23</originalsourceid><addsrcrecordid>eNpdUcluFDEQtRCIDANfgIR85NKJt7bbFyQ0CYuUiAucLY-7Om3iaTe2O6N8Bb8cDxPC4oNdcr2l9Aqh15ScUqLV2dX5KflzqNSSP0Er2nLZtFqKp2hFCGsbpZU4QS9y_l5BXDHxHJ1wKqTQvFuhn5vgJ-9swHaeQy2KjxOOA7ZL8m4JNuE5-qngXLy78dM19hOeIflYrwq-BTzCLuZis894iAlD6CGFOzzXLkwl470vY2UVSCVFN9pD5R0eknVlSZAPbmUEPMBuSS_Rs8GGDK8e3jX69uHi6-ZTc_nl4-fN-8vGiZaQBmQ_aMp4txUaqN12REm7tWpQg7SKSykV4z1xvVVKWNBc6pYyyax2nex7xtfo3VF3XrY76F2dNNlg5uR3Nt2ZaL35tzP50VzHWyOrulCyCrx9EEjxxwK5mJ3PDkKwE8QlG8Y6JqpnjXmN-BHqUsw5wfBoQ4k5rNJcnZv_V1lZb_6e8JHze3cVII6AfQw10nwTlj0kM4INZfyl1yrNGkaoJh2voR1-CL8HGz6uVw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2282451249</pqid></control><display><type>article</type><title>Clinical application of auricular point sticking in perioperative hemostasis for elderly patients with intertrochanteric fractures of the femur</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Wolters Kluwer Open Health</source><source>IngentaConnect Free/Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Yin, Chunfang ; Zhang, Jincun ; Er, Zhaojuan</creator><creatorcontrib>Yin, Chunfang ; Zhang, Jincun ; Er, Zhaojuan</creatorcontrib><description>We investigated the clinical application of auricular point sticking (APS) combined with tranexamic acid in perioperative hemostasis in elderly patients with intertrochanteric fractures of the femur.This is a prospective cohort study, and we analyzed 86 elderly patients with intertrochanteric fractures of the femur who underwent closed reduction and internal fixation with proximal femoral nail antirotation (PFNA) between January 2016 and December 2016. The patients were divided into auricular point combined with tranexamic acid group (APS group, n = 43) and tranexamic acid alone group (Control group, n = 43). APS was performed for patients using Vaccaria seeds 1 to 2 days before the operation. The 4 acupoints of hemostasis, including spleen, diaphragm, pituitary, and adrenal gland, as well as acupoint of hip joint, were selected. Routine treatment was performed using tranexamic acid alone in the control group. Blood transfusion, intraoperative, postoperative, and total blood loss were compared between the 2 groups.This study enrolled 36 males and 50 females aged 71 to 93 years (average age: 78.5 years). There were no significant differences in gender, age, height, weight, preoperative hematocrit level, fracture classification, operative time, and hospitalization stay (P > .05). Total blood loss was lower in the APS group than the control group (244.26, 197.87-258.50 ml vs 533.94, 424.00-598.09 ml, P < .01). The blood transfusion rate was 14.0% in the APS group and 34.9% in the control group (P = .02).APS can reduce perioperative bleeding and decrease the need for blood transfusion in elderly patients with intertrochanteric fractures of the femur. This noninvasive method can be applied clinically. Randomized trials may be needed to confirm the findings.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000016963</identifier><identifier>PMID: 31464938</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Acupuncture Points ; Acupuncture Therapy - methods ; Aged ; Aged, 80 and over ; Antifibrinolytic Agents - administration & dosage ; Blood Loss, Surgical - prevention & control ; Blood Transfusion - statistics & numerical data ; Female ; Fracture Fixation, Intramedullary - methods ; Hip Fractures - surgery ; Humans ; Male ; Observational Study ; Prospective Studies ; Tranexamic Acid - administration & dosage</subject><ispartof>Medicine (Baltimore), 2019-08, Vol.98 (35), p.e16963-e16963</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4500-e6df91238b49e1ab8076aba7f7f6a73666723d0cda774ae936951262a9c86dd23</citedby><cites>FETCH-LOGICAL-c4500-e6df91238b49e1ab8076aba7f7f6a73666723d0cda774ae936951262a9c86dd23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736476/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736476/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31464938$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yin, Chunfang</creatorcontrib><creatorcontrib>Zhang, Jincun</creatorcontrib><creatorcontrib>Er, Zhaojuan</creatorcontrib><title>Clinical application of auricular point sticking in perioperative hemostasis for elderly patients with intertrochanteric fractures of the femur</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>We investigated the clinical application of auricular point sticking (APS) combined with tranexamic acid in perioperative hemostasis in elderly patients with intertrochanteric fractures of the femur.This is a prospective cohort study, and we analyzed 86 elderly patients with intertrochanteric fractures of the femur who underwent closed reduction and internal fixation with proximal femoral nail antirotation (PFNA) between January 2016 and December 2016. The patients were divided into auricular point combined with tranexamic acid group (APS group, n = 43) and tranexamic acid alone group (Control group, n = 43). APS was performed for patients using Vaccaria seeds 1 to 2 days before the operation. The 4 acupoints of hemostasis, including spleen, diaphragm, pituitary, and adrenal gland, as well as acupoint of hip joint, were selected. Routine treatment was performed using tranexamic acid alone in the control group. Blood transfusion, intraoperative, postoperative, and total blood loss were compared between the 2 groups.This study enrolled 36 males and 50 females aged 71 to 93 years (average age: 78.5 years). There were no significant differences in gender, age, height, weight, preoperative hematocrit level, fracture classification, operative time, and hospitalization stay (P > .05). Total blood loss was lower in the APS group than the control group (244.26, 197.87-258.50 ml vs 533.94, 424.00-598.09 ml, P < .01). The blood transfusion rate was 14.0% in the APS group and 34.9% in the control group (P = .02).APS can reduce perioperative bleeding and decrease the need for blood transfusion in elderly patients with intertrochanteric fractures of the femur. This noninvasive method can be applied clinically. Randomized trials may be needed to confirm the findings.</description><subject>Acupuncture Points</subject><subject>Acupuncture Therapy - methods</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antifibrinolytic Agents - administration & dosage</subject><subject>Blood Loss, Surgical - prevention & control</subject><subject>Blood Transfusion - statistics & numerical data</subject><subject>Female</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Hip Fractures - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Observational Study</subject><subject>Prospective Studies</subject><subject>Tranexamic Acid - administration & dosage</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUcluFDEQtRCIDANfgIR85NKJt7bbFyQ0CYuUiAucLY-7Om3iaTe2O6N8Bb8cDxPC4oNdcr2l9Aqh15ScUqLV2dX5KflzqNSSP0Er2nLZtFqKp2hFCGsbpZU4QS9y_l5BXDHxHJ1wKqTQvFuhn5vgJ-9swHaeQy2KjxOOA7ZL8m4JNuE5-qngXLy78dM19hOeIflYrwq-BTzCLuZis894iAlD6CGFOzzXLkwl470vY2UVSCVFN9pD5R0eknVlSZAPbmUEPMBuSS_Rs8GGDK8e3jX69uHi6-ZTc_nl4-fN-8vGiZaQBmQ_aMp4txUaqN12REm7tWpQg7SKSykV4z1xvVVKWNBc6pYyyax2nex7xtfo3VF3XrY76F2dNNlg5uR3Nt2ZaL35tzP50VzHWyOrulCyCrx9EEjxxwK5mJ3PDkKwE8QlG8Y6JqpnjXmN-BHqUsw5wfBoQ4k5rNJcnZv_V1lZb_6e8JHze3cVII6AfQw10nwTlj0kM4INZfyl1yrNGkaoJh2voR1-CL8HGz6uVw</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Yin, Chunfang</creator><creator>Zhang, Jincun</creator><creator>Er, Zhaojuan</creator><general>the Author(s). Published by Wolters Kluwer Health, Inc</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190801</creationdate><title>Clinical application of auricular point sticking in perioperative hemostasis for elderly patients with intertrochanteric fractures of the femur</title><author>Yin, Chunfang ; Zhang, Jincun ; Er, Zhaojuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4500-e6df91238b49e1ab8076aba7f7f6a73666723d0cda774ae936951262a9c86dd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acupuncture Points</topic><topic>Acupuncture Therapy - methods</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antifibrinolytic Agents - administration & dosage</topic><topic>Blood Loss, Surgical - prevention & control</topic><topic>Blood Transfusion - statistics & numerical data</topic><topic>Female</topic><topic>Fracture Fixation, Intramedullary - methods</topic><topic>Hip Fractures - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Observational Study</topic><topic>Prospective Studies</topic><topic>Tranexamic Acid - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yin, Chunfang</creatorcontrib><creatorcontrib>Zhang, Jincun</creatorcontrib><creatorcontrib>Er, Zhaojuan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yin, Chunfang</au><au>Zhang, Jincun</au><au>Er, Zhaojuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical application of auricular point sticking in perioperative hemostasis for elderly patients with intertrochanteric fractures of the femur</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>98</volume><issue>35</issue><spage>e16963</spage><epage>e16963</epage><pages>e16963-e16963</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>We investigated the clinical application of auricular point sticking (APS) combined with tranexamic acid in perioperative hemostasis in elderly patients with intertrochanteric fractures of the femur.This is a prospective cohort study, and we analyzed 86 elderly patients with intertrochanteric fractures of the femur who underwent closed reduction and internal fixation with proximal femoral nail antirotation (PFNA) between January 2016 and December 2016. The patients were divided into auricular point combined with tranexamic acid group (APS group, n = 43) and tranexamic acid alone group (Control group, n = 43). APS was performed for patients using Vaccaria seeds 1 to 2 days before the operation. The 4 acupoints of hemostasis, including spleen, diaphragm, pituitary, and adrenal gland, as well as acupoint of hip joint, were selected. Routine treatment was performed using tranexamic acid alone in the control group. Blood transfusion, intraoperative, postoperative, and total blood loss were compared between the 2 groups.This study enrolled 36 males and 50 females aged 71 to 93 years (average age: 78.5 years). There were no significant differences in gender, age, height, weight, preoperative hematocrit level, fracture classification, operative time, and hospitalization stay (P > .05). Total blood loss was lower in the APS group than the control group (244.26, 197.87-258.50 ml vs 533.94, 424.00-598.09 ml, P < .01). The blood transfusion rate was 14.0% in the APS group and 34.9% in the control group (P = .02).APS can reduce perioperative bleeding and decrease the need for blood transfusion in elderly patients with intertrochanteric fractures of the femur. This noninvasive method can be applied clinically. Randomized trials may be needed to confirm the findings.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>31464938</pmid><doi>10.1097/MD.0000000000016963</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7974 |
| ispartof | Medicine (Baltimore), 2019-08, Vol.98 (35), p.e16963-e16963 |
| issn | 0025-7974 1536-5964 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6736476 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Acupuncture Points Acupuncture Therapy - methods Aged Aged, 80 and over Antifibrinolytic Agents - administration & dosage Blood Loss, Surgical - prevention & control Blood Transfusion - statistics & numerical data Female Fracture Fixation, Intramedullary - methods Hip Fractures - surgery Humans Male Observational Study Prospective Studies Tranexamic Acid - administration & dosage |
| title | Clinical application of auricular point sticking in perioperative hemostasis for elderly patients with intertrochanteric fractures of the femur |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T13%3A11%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20application%20of%20auricular%20point%20sticking%20in%20perioperative%20hemostasis%20for%20elderly%20patients%20with%20intertrochanteric%20fractures%20of%20the%20femur&rft.jtitle=Medicine%20(Baltimore)&rft.au=Yin,%20Chunfang&rft.date=2019-08-01&rft.volume=98&rft.issue=35&rft.spage=e16963&rft.epage=e16963&rft.pages=e16963-e16963&rft.issn=0025-7974&rft.eissn=1536-5964&rft_id=info:doi/10.1097/MD.0000000000016963&rft_dat=%3Cproquest_pubme%3E2282451249%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2282451249&rft_id=info:pmid/31464938&rfr_iscdi=true |