Hip fracture
Conditions
Interventions
Intervention Group:True auricular acupressure (Shenmen, Sympathetic, Subcortex), applied within 2 hours post-surgery, self-pressed 3-5 times/day, 20 presses per acupoint per time (1-2 minutes), retain
Sham Group:Sham auricular acupressure (central point of ear back, external genitalia, earlobe area), applied within 2 hours post-surgery, self-pressed 3-5 times/day, 20 presses per acupoint per time (
Usual Care Group:Usual care (including standard analgesia, wound care, complication prevention, and rehabilitation guidance)
Sponsors
Guangzhou University of Chinese Medicine Meizhou Hospital (Meizhou Hospital of Traditional Chinese Medicine)
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1.Age =65 years, both genders; 2.Diagnosed with new proximal femoral fracture (including femoral neck fracture, intertrochanteric fracture, etc.) and receiving hip replacement or internal fixation surgery; 3.Able to walk independently or with assistance before the fracture (basic independent walking function before fracture); 4.Postoperative general condition stable, vital signs stable, no severe complications or medical contraindications to ambulation; 5.Conscious, without severe communication disorders, Mini-Mental State Examination (MMSE) score =24; 6.Preoperative Barthel Index =60; 7.igned informed consent by the patient or legal guardian.
Exclusion criteria
Exclusion criteria: 1.Severe disability of both lower limbs or other diseases affecting ambulation; 2.Local infection, breakage of the auricle, or allergy to tape/metal; 3.Severe balance dysfunction; 4.Use of special analgesic regimens postoperatively; 5.Severe mental illness or postoperative delirium; 6.Previous re-fracture of the same hip with prior replacement; 7.Planned transfer or discharge within 48 hours after surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First ambulation time;Total number of ambulation within 48 hours;Total duration of ambulation within 48 hours;Completion of Timed Up and Go test on postoperative day 3; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity;Pain catastrophizing; | — |
Countries
China
Contacts
Public ContactKe Lan
Guangzhou University of Chinese Medicine
Outcome results
None listed