Cargando…

Effect Observation of Electro-Acupuncture Anesthesia Combined with General Anesthesia in Elderly Patients Undergoing Gastrointestinal Tumor Resection

OBJECTIVE: To investigate the anesthetic effect of electro-acupuncture (EA) anesthesia combined with general anesthesia in elderly patients undergoing gastrointestinal tumor resection, and to analyze the effects of EA anesthesia on inflammatory factors, stress state and T lymphocyte subsets in elder...

Descripción completa

Detalles Bibliográficos
Autores principales: Xu, Jiping, Li, Peng, Zheng, Liyan, Chen, Qiong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9134448/
https://www.ncbi.nlm.nih.gov/pubmed/35647012
http://dx.doi.org/10.3389/fsurg.2022.901638
_version_ 1784713780558561280
author Xu, Jiping
Li, Peng
Zheng, Liyan
Chen, Qiong
author_facet Xu, Jiping
Li, Peng
Zheng, Liyan
Chen, Qiong
author_sort Xu, Jiping
collection PubMed
description OBJECTIVE: To investigate the anesthetic effect of electro-acupuncture (EA) anesthesia combined with general anesthesia in elderly patients undergoing gastrointestinal tumor resection, and to analyze the effects of EA anesthesia on inflammatory factors, stress state and T lymphocyte subsets in elderly patients. METHODS: Total of 118 elderly patients who underwent gastrointestinal tumor resection in our hospital from June 2018 to March 2021 were selected and divided into the control group (59 cases) and the observation group (59 cases) according to the random number method. General anesthesia was adopted in the control group and EA anesthesia combined with general anesthesia was adopted in the observation group. The anesthesia effect, stress state, levels of inflammatory factors, T-lymphocyte subsets and adverse reactions were compared. RESULTS: The VAS score, agitation score and respiratory normalization time in the observation group were lower than those in the control group (p < 0.05). After surgery, the levels of serum Cor, ET, NE and DA in the observation group were lower than those in the control group (p < 0.05). At 24 h after surgery, the levels of serum TNF-α, IL-6 and IL-1β in the observation group were lower than those in the control group (p < 0.05). At 24 h after surgery, the levels of [Formula: see text] , [Formula: see text] , and [Formula: see text] in the two groups were lower than those before surgery, and the levels of [Formula: see text] , [Formula: see text] , and [Formula: see text] in the observation group were higher than those in the control group (p < 0.05). During the hospitalization, the total incidence rate of adverse reactions after anesthesia in the observation group was lower than that in the control group (p < 0.05). CONCLUSION: EA anesthesia combined with general anesthesia has good anesthesia effect when used for gastrointestinal tumor resection in the elderly. It can stabilize the internal environment of patients, alleviate postoperative stress response and inflammatory response, and regulate the body immune function. Moreover, it has high safety and can significantly reduce the occurrence of postoperative adverse reactions.
format Online
Article
Text
id pubmed-9134448
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-91344482022-05-27 Effect Observation of Electro-Acupuncture Anesthesia Combined with General Anesthesia in Elderly Patients Undergoing Gastrointestinal Tumor Resection Xu, Jiping Li, Peng Zheng, Liyan Chen, Qiong Front Surg Surgery OBJECTIVE: To investigate the anesthetic effect of electro-acupuncture (EA) anesthesia combined with general anesthesia in elderly patients undergoing gastrointestinal tumor resection, and to analyze the effects of EA anesthesia on inflammatory factors, stress state and T lymphocyte subsets in elderly patients. METHODS: Total of 118 elderly patients who underwent gastrointestinal tumor resection in our hospital from June 2018 to March 2021 were selected and divided into the control group (59 cases) and the observation group (59 cases) according to the random number method. General anesthesia was adopted in the control group and EA anesthesia combined with general anesthesia was adopted in the observation group. The anesthesia effect, stress state, levels of inflammatory factors, T-lymphocyte subsets and adverse reactions were compared. RESULTS: The VAS score, agitation score and respiratory normalization time in the observation group were lower than those in the control group (p < 0.05). After surgery, the levels of serum Cor, ET, NE and DA in the observation group were lower than those in the control group (p < 0.05). At 24 h after surgery, the levels of serum TNF-α, IL-6 and IL-1β in the observation group were lower than those in the control group (p < 0.05). At 24 h after surgery, the levels of [Formula: see text] , [Formula: see text] , and [Formula: see text] in the two groups were lower than those before surgery, and the levels of [Formula: see text] , [Formula: see text] , and [Formula: see text] in the observation group were higher than those in the control group (p < 0.05). During the hospitalization, the total incidence rate of adverse reactions after anesthesia in the observation group was lower than that in the control group (p < 0.05). CONCLUSION: EA anesthesia combined with general anesthesia has good anesthesia effect when used for gastrointestinal tumor resection in the elderly. It can stabilize the internal environment of patients, alleviate postoperative stress response and inflammatory response, and regulate the body immune function. Moreover, it has high safety and can significantly reduce the occurrence of postoperative adverse reactions. Frontiers Media S.A. 2022-05-12 /pmc/articles/PMC9134448/ /pubmed/35647012 http://dx.doi.org/10.3389/fsurg.2022.901638 Text en Copyright © 2022 Xu, Li, Zheng and Chen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Xu, Jiping
Li, Peng
Zheng, Liyan
Chen, Qiong
Effect Observation of Electro-Acupuncture Anesthesia Combined with General Anesthesia in Elderly Patients Undergoing Gastrointestinal Tumor Resection
title Effect Observation of Electro-Acupuncture Anesthesia Combined with General Anesthesia in Elderly Patients Undergoing Gastrointestinal Tumor Resection
title_full Effect Observation of Electro-Acupuncture Anesthesia Combined with General Anesthesia in Elderly Patients Undergoing Gastrointestinal Tumor Resection
title_fullStr Effect Observation of Electro-Acupuncture Anesthesia Combined with General Anesthesia in Elderly Patients Undergoing Gastrointestinal Tumor Resection
title_full_unstemmed Effect Observation of Electro-Acupuncture Anesthesia Combined with General Anesthesia in Elderly Patients Undergoing Gastrointestinal Tumor Resection
title_short Effect Observation of Electro-Acupuncture Anesthesia Combined with General Anesthesia in Elderly Patients Undergoing Gastrointestinal Tumor Resection
title_sort effect observation of electro-acupuncture anesthesia combined with general anesthesia in elderly patients undergoing gastrointestinal tumor resection
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9134448/
https://www.ncbi.nlm.nih.gov/pubmed/35647012
http://dx.doi.org/10.3389/fsurg.2022.901638
work_keys_str_mv AT xujiping effectobservationofelectroacupunctureanesthesiacombinedwithgeneralanesthesiainelderlypatientsundergoinggastrointestinaltumorresection
AT lipeng effectobservationofelectroacupunctureanesthesiacombinedwithgeneralanesthesiainelderlypatientsundergoinggastrointestinaltumorresection
AT zhengliyan effectobservationofelectroacupunctureanesthesiacombinedwithgeneralanesthesiainelderlypatientsundergoinggastrointestinaltumorresection
AT chenqiong effectobservationofelectroacupunctureanesthesiacombinedwithgeneralanesthesiainelderlypatientsundergoinggastrointestinaltumorresection