Effect of transcutaneous acupoint electrical stimulation on postoperative neurocognitive function in patients with cardiac valve surgery
10.3969/j.issn.1671-8348.2024.21.002
- VernacularTitle:经皮穴位电刺激对心脏瓣膜手术患者术后神经认知功能的影响
- Author:
Renhua LI
1
;
Ya'nan CAO
;
Na CHEN
Author Information
1. 湖南省人民医院麻醉科,长沙 410000
- Keywords:
transcutaneous acupoint electrical stimulation;
postoperative neurocognitive dysfunction;
cardiac valve surgery;
randomized controlled study
- From:
Chongqing Medicine
2024;53(21):3206-3210
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of transcutaneous acupoint electrical stimulation(TAES)on postoperative neurocognitive function in the patients with cardiac valve surgery.Methods A total of 108 patients with elective cardiac valve surgery in Xiangya Hospital of Central South University from Janu-ary 2018 to October 2019 were selected as the study subjects and divided into to the control group and TEAS group according to the random number table method,54 cases in each group.The patients were attached with the electrode slice at Zhongfu,Lieque,Ximen,Hegu and Shenmen acupoints on the bilateral sides.The TEAS group conducted the acupoint electrical stimulation,while the control group without the electric stimulation.The general data and intraoperative data of the patients were collected.The postoperative numerical rating scale(NRS),mini-mental state examination(MMSE)and Montreal cognitive assessment scale(MoCA)scores and incidence rates of postoperative neurocognitive function delayed recovery and delirium as well as the postoperative complications occurrence were recorded.Results There were no statistically differences in the introperative anesthetic time,operative time,aorta block time,extracorporeal circulation time,intraoperative bleeding volume,intraoperative urine volume,extubation time,ICU stay duration,hospitalization duration,postoperative NRS score,MMSE score,MoCA score and the incidence rates of postoperative delirium,atrial fi-brillation,pulmonary infection and acute renal injury had no statistically significant differences between the two groups(P＞0.05).The incidence rate of postoperative delayed neurocognitive recovery in the TEAS group was significantly decreased compared with the control group,and the difference was statistically signifi-cant(P＜0.05).Conclusion Intraoperative TAES could improve the postoperative neurocognitive function recovery in the patients with cardiac valve surgery,which is conducive to perioperative management.
