Effect of transcutaneous electrical acupoint stimulation on postoperative fatigue syndrome in patients with Parkinson′s diseases undergoing bilateral deep brain electrical stimulation
10.3760/cma.j.cn131073.20240202.00403
- VernacularTitle:经皮穴位电刺激对双侧脑深部电刺激术帕金森病患者术后疲劳综合征的影响
- Author:
Tong FU
1
;
Mingming HAN
;
Fang KANG
;
Xiang HUANG
;
Haitao WANG
;
Bufan KAN
;
Juan LI
Author Information
1. 中国科学技术大学附属第一医院（安徽省立医院）麻醉科，合肥 230036
- Keywords:
Electrical stimulation therapy;
Acupuncture points;
Parkinson′s disease;
Postoperative fatigue syndrome
- From:
Chinese Journal of Anesthesiology
2024;44(4):396-400
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) on postoperative fatigue syndrome in patients with Parkinson′s diseases undergoing bilateral deep brain electrical stimulation.Methods:Sixty patients with Parkinson′s disease, aged 60-80 yr, of American Society of Anesthesiologists Physical Status classification Ⅱ or Ⅲ, with body mass index of 18.5-29.9 kg/m 2, undergoing elective bilateral deep brain electrical stimulation, were divided into transcutaneous electrical acupoint stimulation group (TEAS group) and sham stimulation group (Sham group), with 30 patients in each group, using the random number table method. The TEAS of bilateral Zusanli and Sanyin points was performed on admission to the operating room with alternative stimulation at a frequency of 2/10 Hz and an intensity of 6-15 mA. The stimulation was stopped when the neurosurgeon performed the microelectrode recording, and TEAS was continued until the end of operation after the microelectrode recording was finished. In Sham group, electrode pads were only placed at the acupoint with no stimulation. The Christensen score was assessed at 1 day preoperatively (T 0) and 1, 3 and 7 days postoperatively (T 1-3) to evaluate the occurrence of postoperative fatigue syndrome. The 15-item Quality of Recovery scale score, emergence agitation and rescue analgesia within 48 h after surgery were recorded. Results:Compared with Sham group, Christensen scores were significantly decreased at T 1-3, 15-item Quality of Recovery scale scores were increased, and the incidence of postoperative fatigue syndrome and emergence agitation and rate of rescue analgesia were decreased in TEAS group than in Sham group ( P<0.05). Conclusions:TEAS can reduce the development of postoperative fatigue syndrome in the patients with Parkinson′s diseases undergoing bilateral deep brain electrical stimulation.
