The effects of transcutaneous electrical acupoint stimulation on perioperative neurocognitive disorders and clinical prognosis in elderly patients with open spine surgery
YU Lu1, QIAN Xuwen2, LI Guoyan1,TANG Wenqian1, LI Chuntian3, LIU Guokai1
1.Department of Anesthesiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China; 2.Department of Anesthesiology, Dongfang Hospital,Beijing University of Chinese Medicine, Beijing 100078, China; 3.Department of Acupuncture, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
YU Lu,QIAN Xuwen,LI Guoyan, et al. The effects of transcutaneous electrical acupoint stimulation on perioperative neurocognitive disorders and clinical prognosis in elderly patients with open spine surgery[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2024, 54(1): 1-6.
Abstract：Objective: To explore the effects of TEAS points Hegu and Neiguan assisted general anesthesia on perioperative neurocognitive impairment in elderly patients with open spine surgery, as well as the depth of intraoperative anesthesia and postoperative complications. Methods: The study adopted the principle of randomized control and single-blind design. Totally 64 elderly patients with open spine surgery who met the criteria were included as the research subjects. Using the random number table, 64 patients were divided as the control group (only general anesthesia group) and the experimental group (acupoint electrical stimulation combined with general anesthesia group), with 32 cases in each group. The patients of the experimental group were performed with percutaneous acupoint electrical stimulation in bilateral Hegu and Neiguan points from 30 minutes before anesthesia induction to the end of surgery. We observed the incidence of postoperative delirium (POD) on the 7th day after surgery, the incidence of delayed neurocognitive recovery (DNR) on the 30th day when POD was excluded, changes in the patient’s BIS value before anesthesia, during tracheal intubation, during skin incision,
pedicle screw placement, as well as the impact of postoperative complications (incision infection, nausea and vomiting) within 30 days after surgery, incidence of secondary hospitalization, and all-cause mortality within 30 days. Results: The surgery turned out successful in all 64 patients, with no statistical difference in the baseline value. However, at the end of the surgery, the BIS value of the experimental group was higher than the control group, with significant difference (P<0.05). The incidence of DNR within 30 days after the operation in the experimental group was lower than that of the control group, with significant difference (P<0.05). There was statistical difference between the two groups in the number of vomiting cases within 30 days after operation (P<0.05). Conclusion: Compared with simple general anesthesia, acupoint electrical stimulation combined with intravenous general anesthesia used in the open spine surgery for the elderly can reduce the incidence of PND,
effectively reduce the incidence of postoperative vomiting and improve the prognosis of patients.
