Multiple Rib Fractures
Conditions
Interventions
Cheek Acupuncture Group , Control Group:In the Cheek Acupuncture Group, needle insertion was performed at the acupoints before anesthesia induction, and at 24 and 48 hours postoperatively.
Control Group:outine anesthesia protocol with no additional intervention
Sponsors
Beijing Jishuitan Hospital, Capital Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1.Aged between 18 and 65 years. 2.Diagnosed with traumatic multiple rib fractures (=3 ribs confirmed by imaging). 3.Scheduled for open reduction and internal fixation (ORIF) of rib fractures due to meeting surgical indications (e.g., flail chest, severe fracture displacement, respiratory dysfunction, or severe pain). 4.Conscious and able to understand the study protocol and sign the informed consent form. 5.No severe traumatic brain injury or facial trauma. 6.No severe abdominal organ injury or other life-threatening concomitant injuries (e.g., spinal fractures, pelvic fractures, diaphragmatic hernia).
Exclusion criteria
Exclusion criteria: 1.Concomitant severe cardiac, pulmonary, hepatic, or renal insufficiency. 2.History of chronic pain or long-term use of opioids. 3.Facial trauma, infection, deformity, or skin diseases affecting the cheek acupuncture operation area. 4.History of psychiatric disorders or cognitive dysfunction preventing cooperation with the assessment. 5.Pregnant women. 6.Previous history of cheek acupuncture treatment or severe acupuncture phobia (trypanophobia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NRS pain scores at rest and during movement at 24 hours postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| NRS pain scores at rest and during movement at 48 hours postoperatively;Intraoperative remifentanil consumption;Time to first ambulation or time to spontaneous cough;HADS anxiety scores at admission and discharge; | — |
Countries
China
Contacts
Public ContactHao Li
Beijing Jishuitan Hospital, Capital Medical University
Outcome results
None listed