| Objective To observe the effect of transcutaneous electrical stimulation(TEAS)assisted anesthesia on the analgesic effect,postoperative cognitive function and adverse reactions during and after spinal internal fixation,so as to provide new ideas for rapid rehabilitation of spinal surgery and provide guidance for the rational application of TEAS in spinal surgery.Methods From January 2022 to December 2022,98 patients with spinal internal fixation in our hospital were selected as the study subjects.Their age ranged from 56 to 69 years old,their body mass index ranged from 20 to 30 kg/m2,the American Society of Anesthesiologists(ASA)grade Ⅰ to Ⅲ,and the New York Heart Association(NYHA)cardiac function grade I toⅡ,According to the principle of random number table,the 98 cases were divided into two groups(n=49),the general anesthesia method group(G group),the percutaneous electric stimulation of acupoints(TEAS)assisted general anesthesia group(T group),and the T group started 30 minutes before the induction of anesthesia.The electrodes were applied at the points of Neiguan,Hegu and Zusanli,and the LH402 Han’s percutaneous acupoint stimulator was connected,with the frequency of 2Hz/100Hz,and the intensity of electric stimulation of acupoints was weak first and then strong,Adjust to the maximum value(8～12mA)according to the patient’s bearing capacity,and keep the TEAS stimulation mode and intensity unchanged.Continue to maintain TEAS stimulation mode and intensity during the operation,and close the percutaneous acupoint stimulator when the incision is sutured.The anesthesia induction and intraoperative maintenance are the same as those in Group G.After the operation,sufentanil intravenous self-controlled analgesia pump is used for analgesia.The static visual analog scale(VAS)was recorded at the end of the operation,6h,12h and 24h after the operation;Minimal state assessment(MMSE)before and after operation 1h,12h,24h,1w,1m;The dosage of remifentanil(ug)and propofol(mg)in the two groups;The dosage of sufentanil(ug),effective press times(times)and remedy times(times)in the analgesia pump 24 hours after operation;Eye-opening time(min)and response time(min)of anesthesia resuscitation;The number of postoperative adverse reactions in the two groups included respiratory depression,restlessness,vomiting and chills.Results The VAS scores of group T were lower than those of group G at the end of operation,6 hours,12 hours and 24 hours after operation(P<0.05);The MMSE scores of the patients in the two groups at 1h,12h,24h,1w and 1m after operation were lower than those before operation,and the MMSE scores of the patients in the T group at 1h,12h and 24h after operation were better than those in the G group(P<0.05);The amount of anesthetic used during the operation,the amount of sufentanil used in the analgesia pump 24 hours after the operation,the times of pressing,the times of recovery,the time of eye opening and the response time of anesthesia resuscitation in group T were significantly lower than those in group G(P<0.05);Compared with group G,the incidence of postoperative adverse reactions in group T was lower(P<0.05).Conclusion Percutaneous acupoint electrical stimulation assisted general anesthesia can reduce the postoperative static visual analogue score(VAS),improve the postoperative analgesia quality of patients,increase the postoperative simple mental state evaluation scale(MMSE)score,improve the postoperative cognitive function of patients,and reduce the dosage of remifentanil and propofol during the operation,as well as the dosage of sufentanil in the analgesia pump 24 hours after the operation,Shorten the eye opening time and response time of anesthesia resuscitation,reduce the incidence of adverse reactions in spinal surgery,improve the quality of postoperative rehabilitation of patients,and accelerate the rapid recovery after spinal surgery. |
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