gonarthrosis
Conditions
Interventions
Group 1: Acupoint electrical stimulation group (acupoint group):TEAS measures: Patients in the acupoint group and combination group selected Baihui, Dazhi, Zusanli, Hegu and Neiguan points according t
Group 2: Nerve block group (block):Nerve block measures: After anesthesia induced tracheal intubation or laryngeal mask placement, patients in the block group and combination group were blocked by Dop
Group 3: acupoint stimulation + nerve block combined group (combined group):Nerve block measures: After anesthesia induced tracheal intubation or laryngeal mask placement, patients in the block group
Group 4: No acupoint electrical stimulation and no nerve block group (control group):Only the electrode was attached to test the tolerance strength without electrical stimulation. Without nerve block,
Sponsors
The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital Chinese Medicine)
Eligibility
Sex/Gender
All
Age
65 Years to 85 Years
Inclusion criteria
Inclusion criteria: ? Sign informed consent, male or female; ? Orthopaedic knee replacement under quasi-general anesthesia; ? 65 years old = age =85, ASA: Grade I ~ III; ? Endotracheal intubation or laryngeal mask placement can complete the operation; The estimated operation time is less than 180 minutes; ? The expected blood loss is less than 800ml.
Exclusion criteria
Exclusion criteria: ? Patients undergoing emergency operation within 12 hours after admission; ? Preoperative MMSE score =23 points; ? There are contraindications of percutaneous electrical stimulation, including stimulation of local skin damage or infected people, there are implanted electrophysiological devices in the body; ? Patients with severe respiratory and circulatory system disorders or mechanical ventilation before operation; ? Long-term use of sedatives, drug users; ? Those who do not cooperate, communication disorders or previous neurological diseases and mental abnormalities;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mini-mental state examination; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale;Postoperative nausea and vomiting;Tumor necrosis factor-a and interleukin-1ßlevels in blood;Postoperative cognitive function evaluation; | — |
Countries
China
Contacts
Public ContactJinfeng Li
Department of Anesthesiology, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital Chinese Medicine)
Outcome results
None listed