Evidence map›Paper›PMID 42268729›Full record

Trial reportAnnals of medicine2026

Analgesic effect of premixed nitrous oxide in postoperative rehabilitation for ankle fractures: a randomized controlled trial.

Xueling Qiu, Fei Wang, Yuchen Wang, Jiayi Dou, Wenjuan Cao, Liting Zhang, Chenxi Sun, Weifeng Wang, Lu Tang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xueling QiuDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.
Fei WangDepartment of Anesthesiology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.
Yuchen WangDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.
Jiayi DouDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.
Wenjuan CaoDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.
Liting ZhangDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.
Chenxi SunDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.
Weifeng WangDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.
Lu TangDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, China.ORCID 0009-0005-0897-1041

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe global incidence of ankle fractures is on the rise, effective postoperative rehabilitation is a crucial aspect of surgical management. However, the occurrence of severe pain during the rehabilitation continues to pose a substantial clinical challenge.

methodsThe study utilizes a dual-arm, single-center, double-blind, randomized controlled trial design. A total of 100 participants were enrolled. Participants included patients experiencing acute pain (self-reported pain score ≥4) who underwent postoperative rehabilitation for ankle fractures. Participants undergoing rehabilitation training were randomized to receive either 65% nitrous oxide or 100% oxygen. The primary outcome measured was the pain score, while secondary outcomes encompassed anxiety scores, physiological indices, side effects, patient and therapist satisfaction, acceptance, and residual pain.

resultsPain scores were found to be significantly lower in the nitrous oxide group than in the oxygen group (T1: median difference -3.0, [95% CI -3.4 to -2.6];

conclusionThe safety and analgesic profile of nitrous oxide renders it a suitable option for pain management in postoperative ankle fractures rehabilitation, thus providing a safe and easily manageable alternative to the current available strategies. CLINICAL

trial registrationWe have registered at https://www.chictr.org.cn and the registration number is: ChiCTR2400089379.

Indexed as

Ankle FracturesNitrous OxidePostoperative PainAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedOxygenPain MeasurementPatient SatisfactionTreatment OutcomeNitrous OxideOxygenAnkle fracturesnitrous oxidepainpostoperative rehabilitation

Identifiers

PMID42268729
PMCPMC13255202

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.