针刺醒神四穴对促进老年患者全麻术后认知恢复的临床疗效  

Clinical effect of acupuncture at the Xingshen four points on promoting cognitive recovery of elderly patients after general anesthesia

作　　者：赵娜[1] 吴祥[1] 吴秀青 张瑞[1] ZHAO Na;WU Xiang;WU Xiuqing;ZHANG Rui(Department of Anesthesiology,the Affiliated Hospital of Medical School of Ningbo University,Ningbo 315020,China)

机构地区：[1]宁波大学医学院附属医院麻醉科,浙江宁波315020

出　　处：《中国现代医生》2021年第8期107-110,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2021ZB264)。

摘　　要：目的观察针刺醒神四穴对促进老年患者全麻术后认知恢复的疗效。方法选取2019年1—12月我院收治的老年全麻手术患者60例,随机分为观察组和对照组,每组各30例。对照组予常规处理,观察组在对照组基础上予针刺醒神四穴处理,比较两组炎症因子水平、疼痛评分(VAS)、社会功能评分(FAQ)、认知功能评分(MMSE)及认知障碍发生率。结果术后24 h两组IL-6、IL-10炎症因子水平均高于术前,但观察组低于对照组,差异有统计学意义(P<0.05);术后5 d两组VAS评分、FAQ评分均低于术后24 h,且观察组低于对照组,差异有统计学意义(P<0.05);术后3 d、5 d观察组MMSE评分高于对照组,差异有统计学意义(P<0.05);术后3 d、5 d观察组认知功能障碍发生率低于对照组,差异有统计学意义(P<0.05)。结论针对老年全麻患者实施醒神四穴针刺,能够缓解炎症反应、缓解疼痛、改善社会功能,在促进患者术后认知功能恢复方面具有一定效果,可在临床广泛推广。Objective To observe the effect of acupuncture at the Xingshen four points on promoting cognitive recovery in elderly patients after general anesthesia.Methods The elderly patients undergoing general anesthesia were derived from the patients admitted to our hospital from January to December 2019.A total of 60 cases were randomly divided into observation group and control group with 30 cases in each group.The control group was given conventional treatment,the observation group was given acupuncture at Xingshen four points on the basis of the control group.The levels of inflammatory factors,pain score(VAS),social function score(FAQ),cognitive function score(MMSE)and the incidence of cognitive impairment were compared between the two groups.Results The levels of IL-6 and IL-10 inflammatory factors increased in both groups 24 hours after the operation than before the operation,but those of the observation group were statistically significant lower than those of the control group(P<0.05).The scores of VAS and FAQ decreased in both groups 5 days after the operation than 24 hours after the operation,while those of the observation group were statistically significant lower than those of the control group(P<0.05).The MMSE scores at 3 and 5 days after the operation of the observation group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of cognitive impairment at 3 and 5 days after the operation of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Acupuncture at Xingshen four points for elderly patients with general anesthesia can relieve the inflammatory reaction,relieve pain,and improve the social function of patients.It has a certain effect in promoting the cognitive recovery of patients after surgery.It can be widely used in clinical practice.

关 键 词：针刺 醒神四穴 全麻 认知恢复 认知功能评分 社会功能评分 炎症因子 

分 类 号：R614.2[医药卫生—麻醉学]