Volume 21 Issue 5
May  2023
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ZHAO Na, WU Xiang, WU Xiuqing, ZHANG Rui, XIE Yangyang, ZHANG Zhouyan. Effects of electroacupuncture on postoperative cognitive dysfunction and peripheral inflammatory factors in elderly patients after gastrointestinal surgery[J]. Chinese Journal of General Practice, 2023, 21(5): 776-778. doi: 10.16766/j.cnki.issn.1674-4152.002981
Citation: ZHAO Na, WU Xiang, WU Xiuqing, ZHANG Rui, XIE Yangyang, ZHANG Zhouyan. Effects of electroacupuncture on postoperative cognitive dysfunction and peripheral inflammatory factors in elderly patients after gastrointestinal surgery[J]. Chinese Journal of General Practice, 2023, 21(5): 776-778. doi: 10.16766/j.cnki.issn.1674-4152.002981

Effects of electroacupuncture on postoperative cognitive dysfunction and peripheral inflammatory factors in elderly patients after gastrointestinal surgery

doi: 10.16766/j.cnki.issn.1674-4152.002981
Funds:

 2021ZB264

  • Received Date: 2022-11-18
  •   Objective  To treat elderly patients with gastrointestinal surgery with electroacupuncture, and to explore its effect on postoperative cognitive dysfunction (POCD) and the levels of peripheral inflammatory factors.  Methods  A total of 200 elderly patients who underwent gastrointestinal surgery under general anesthesia from February 2020 to March 2022 in the Affiliated Hospital of Ningbo University School of Medicine were selected, and the patients were divided into acupuncture group and control group by random number table method, with 100 cases in each group. The control group received routine basic supportive treatment such as oxygen inhalation ECG monitoring, and symptomatic supportive treatment such as infection prevention, hemostasis and fluid supplementation, and the acupuncture group received electroacupuncture on the basis of the control group. After treatment, the clinical efficacy was compared between the two groups.  Results  After treatment, the scores of auditory and verbal learning test in the acupuncture group was (58.32±1.47) points, and the score of clock drawing test was (6.08±0.35) points, which were higher than those in the control group [(57.74±1.28) points and (5.89±0.40) points] (all P < 0.05). The connection test time was (60.01±12.09)s, and the Stroop color word interference test time was (25.98±7.00)s, which was lower than those in the control group [(63.97±14.21)s and (28.79±7.35)s] (all P < 0.05). After treatment, the levels of peripheral inflammatory factors in the acupuncture group were lower than those in the control group (P < 0.05). The pain scores in the acupuncture group 1-3 d after operation were lower than those in the control group (P < 0.05), there was no significant difference between the groups 4-7 d after operation (P>0.05). After treatment, the incidence of POCD in the acupuncture group was lower than that in the control group (P < 0.05).  Conclusion  Postoperative electroacupuncture can promote the recovery of cognitive function in elderly patients after surgery, relieve the early pain of patients, reduce the level of peripheral inflammatory factors and the incidence of postoperative POCD.

     

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