Effect of transcutaneous electrical acupoint stimulation on intraoperative hemodynamics in type 2 diabetic patients undergoing hip surgery
Objective To explore the effect of transcutaneous electrical acupoint stimulation(TEAS)at bilateral Hegu,Neiguan and Shenmen acupoints on intraoperative hemodynamics in patients with type 2 diabetes undergoing hip surgery.Methods A total of 40 patients with type 2 diabetes who underwent elective hip surgery in the Department of Orthopedics Ⅰ of Hezhou Hospital of Traditional Chinese Medicine Affiliated to Guangxi University of Chinese Medicine from July 2021 to April 2024 were selected.They were divided into the TEAS group and the control group using the randomized numerical table method,with 20 patients in each group.Combined spinal-epidural block anesthesia was selected for patients in each group.In the TEAS group,transcutaneous electrical stimulation was performed at bilateral Hegu,Neiguan,and Shenmen acupoints for 30 minutes before anesthesia.In the control group,only electrodes were applied to bilateral Hegu,Neiguan,and Shenmen acupoints without electrical stimulation.The mean arterial pressure(MAP),heart rate(HR)and central venous pressure(CVP)were recorded before anesthesia and electrical stimulation(T0),at 10 minutes after anesthesia(T1),1 minute before positioning(T2),3 minutes after positioning(T3),1 minute before skin incision(T4),3 minutes after skin incision(T5),30 minutes after skin incision(T6),and at the time of skin suturing(T7).The random blood glucose and central venous oxygen saturation(ScvO2)were recorded at T0,T6,and T7.The total amount of ephedrine and dopamine used was also recorded throughout the surgery.Results In intra-group comparison,MAP and HR of both groups decreased from T1 to T7 time points compared with T0.In inter-group comparison,MAP of T1 in TEAS group was higher than that of the control group,and the difference was statistically significant(P＜0.05).HR of Tl,T5,and T6 in TEAS group was lower than that of the control group,and the difference was statistically significant(P＜0.05).Comparison of MAP and HR at other time points between the two groups showed no statistically significant difference(P＞0.05).The amount of ephedrine used in the TEAS group was less than that in the control group,and the difference was statistically significant(P＜0.05).In intra-group comparison,random blood glucose at time points T6 and T7 in both groups was higher than T0,while ScvO2 was lower in both groups than T0.In inter-group comparison,the differences in CVP,ScvO2,random blood glucose,and dopamine use between the two groups were not statistically significant(P＞0.05).Conclusion Transcutaneous electrical stimulation at bilateral Hegu,Neiguan,and Shenmen acupoints in patients with type 2 diabetes can reduce blood pressure fluctuation after anesthesia,decrease the impact of intraoperative invasive operation on HR,and play a role in stabilizing intraoperative hemodynamics.
Transcutaneous electrical acupoint stimulationDiabetesHemodynamicsHip surgeryCombination of Chinese and Western medicine
万方数据
维普
