针刺联合超声引导腰骶神经丛阻滞麻醉用于老年围术期临床评价

目的 探讨针刺联合超声引导腰骶神经丛阻滞麻醉对围术期老年患者应激状态及术后认知功能的影响.方法 选取医院2016年8月至2019年8月收治的拟行手术的老年患者86例,随机分为观察组和对照组,各43例.两组患者均行外科手术,术中给予超声引导腰骶神经丛阻滞麻醉,观察组患者加用针刺治疗.结果 观察组患者的麻醉后监测治疗室(P...

Clinical Evaluation of Acupuncture Combined with Ultrasound-Guided Lumbosacral Plexus Block Anesthesia in Elderly Patients During the Perioperative Period

Objective To investigate the effect of acupuncture combined with ultrasound-guided lumbosacral plexus block anesthesia on oxidative stress and postoperative cognitive function of elderly patients during the perioperative period.Methods Totally 86 elderly patients scheduled for surgery in our hospital from August 2016 to August 2019 were selected and randomly divided into the observation group and the control group,43 cases in each group.The patients in the two groups underwent surgery,and they were given ultrasound-guided lumbosacral plexus block anesthesia during the surgery,on this basis,the patients in the observation group were treated with acupuncture.Results The retention time of Postanesthesia Care Unit Recovery Room(PACU),the time of getting out of bed after the surgery and the hospitalization stay in the observation group were shorter than those in the control group(P<0.05).The levels of cortisol(Cor),malondialdehyde(MDA)and the score of National Institute of Health Stroke Scale(NIHSS)in the observation group were significantly lower than those in the control group(P<0.05),while the level of superoxide dismutase(SOD),the scores of Mini-Mental State Examination(MMSE),Glasgow Coma Scale(GCS)and quality of life in the observation group were higher than those in the control group(P<0.05).The incidence of adverse reactions in the observation group was similar to that in the control group(16.28%vs.9.30%,P>0.05).Conclusion Application of acupuncture combined with ultrasound-guided lumbosacral plexus block anesthesia in the elderly patients during the perioperative period can reduce the postoperative stress response state,improve the postoperative cognitive function and quality of life,which can promote the postoperative rehabilitation of the patients.