Effect of acupuncture on postoperative delirium in diabetic patients undergoing surgery under general anesthesia
10.3760/cma.j.cn131073-20250328-01016
- VernacularTitle:针刺对全身麻醉手术糖尿病患者术后谵妄的影响
- Author:
Jiaxi LIU
1
;
Qi WANG
;
Lingling DING
;
Jiaqi NING
;
Hai KE
;
Zhuoya CHEN
;
Bo YU
;
Weiming SUN
;
Peng CHEN
;
Xiang LI
;
Shishun KOU
;
Reiling ZHOU
;
Yudong ZHOU
;
Yan GUO
;
Mengjie CHEN
;
Ruyu YAN
;
Jiansheng LUO
Author Information
1. 北京中医药大学研究生院，北京 100029
- Publication Type:Journal Article
- Keywords:
Acupuncture;
Anesthesia, general;
Diabetes mellitus;
Delirium;
Postoperative complications
- From:
Chinese Journal of Anesthesiology
2025;45(10):1313-1316
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of acupuncture on postoperative delirium (POD) in diabetic patients undergoing surgery under general anesthesia.Methods:In this randomized controlled trial, 92 diabetic patients of either sex, aged 30-80 yr, with a body mass index of 18-28 kg/m 2, of American Society of Anesthesiologists Physical Status classification Ⅱ or Ⅲ, scheduled for elective surgery under general anesthesia, were divided into 2 groups ( n=46 each) using a table of random numbers: control group (group C) and acupuncture group (group A). Group A received acupuncture at the Baihui (GV20), Shenting (GV24) and Sishencong (EX-HN1) acupoints before anesthesia. The needles were retained for 30 min, with manual stimulation applied every 10 min for 10 s each time. After 4 stimulations, routine anesthesia was carried out. Group C received routine anesthesia only. Regional cerebral oxygen saturation was recorded on admission to the operating room (T 0), after anesthesia induction (T 1), at the start of surgery (T 2), at the end of surgery (T 3), and immediately after tracheal extubation (T 4). The POD developed within 3 days after surgery was assessed. The occurrence of needle-related adverse effects such as fainting, subcutaneous bleeding, and local paresthesia was recorded. Results:Compared with group C, the incidence of POD was significantly reduced, and the regional cerebral oxygen saturation was increased at T 1, 4 in group A ( P<0.05). Conclusions:Acupuncture can decrease the development of POD in diabetic patients undergoing surgery under general anesthesia, which is related to an increase in regional cerebral oxygen saturation.
