Observation on therapeutic effect of ear acupuncture on postoperative cognitive dysfunction after general anesthesia in elderly patients undergoing hip replacement
Objective To observe the effect of ear acupuncture on postoperative cognitive dysfunction(POCD)after general anesthesia in elderly patients undergoing hip replacement.Methods 60 elderly patients with POCD after hip replacement under general anesthesia were randomly divided into control group(30 cases)and treatment group(30 cases).The control group was given routine treatment,while the treatment group was given ear acupuncture treatment on the basis of the control group.The Mini-Mental State Examination(MMSE)score and Clock Draw Test(CDT)score were compared before treatment,1,3 and 7 d after treatment between the two groups.Results There was no significant difference in MMSE scores between the two groups before treatment and 1 d after treatment(P>0.05).The MMSE scores of the two groups at 3 and 7 d after treatment were significantly higher than those before treatment and 1 d after treatment(P<0.05).The MMSE score at 7 days after treatment was significantly higher than that at 3 d after treatment(P<0.05).The MMSE scores of the treatment group were(25.40±0.97)and(27.40±0.97)points at 3 and 7 d after treatment,respectively,which were significantly higher than(24.23±1.14)and(25.33±1.06)points of the control group in the same time(P<0.05).There was no significant difference in CDT scores between the two groups before treatment and 1 d after treatment and 1 d after treatment(P>0.05).The CDT scores of both groups were significantly higher at 3 and 7 d after treatment than those before treatment(P<0.05).The CDT score at 7 d after treatment was significantly higher than that at 3 d after treatment(P<0.05).The CDT scores of the treatment group were(3.50±0.51)and(3.77±0.43)points at 3 and 7 d after treatment,which were significantly higher than(3.03±0.43)and(3.30±0.47)points of the control group in the same time(P<0.05).Conclusion In the treatment of elderly patients with POCD after hip replacement under general anesthesia,ear acupuncture can effectively improve MMSE score and CDT score of patients,and have a significant clinical effect.
万方数据
维普
