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Effect of acupuncture Baihui and Neiguan together with Zusanli points on the incidence of postoperative delirium in elderly patients undergoing total joint arthroplasty of lower limbs under general anesthesia

Clinical Effect Analysis of Acupuncture Assisted General Anesthesia for Joint Replacement in Elderly Patients

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ITMCTR
Registry ID
ITMCTR2024000737
Enrollment
Unknown
Registered
2024-11-25
Start date
2023-05-01
Completion date
Unknown
Last updated
2024-12-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

postoperative delirium

Interventions

T group:30min before anesthesia induction the same trained and clinically experienced acupuncturist performed manual acupuncture at the three acupoints of Zusanli Baihui and Neiguan (bilateral) causin
C group:Thirty minutes before anesthesia induction needles are inserted near the three acupuncture points without any manipulation such as twirling the needle or feeling the sensation of "deqì" . The

Sponsors

Changzhou Hospital Affiliated to Nanjing University of Chinese Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
65 Years to 81 Years

Inclusion criteria

Inclusion criteria: 1) Age = 65 years old; 2) body mass index (BMI) 19-25 kg/m2; (3) American society of anesthesiologists (ASA) grades I - III; 4) Preoperative mini-mental state examination (MMSE) score =15 points; 5) Patients undergoing total joint replacement (total knee or total hip replacement); 6) Patients voluntarily participate and sign informed consent.

Exclusion criteria

Exclusion criteria: 1) refuse to sign the consent form or disobey the arrangement; 2) Have a history of neurological or mental illness; 3) Skin injury or infection at the acupuncture site; 4) Visual and hearing impairment is difficult to communicate; 5) Have a history of cardiac orthopedic and craniocerebral surgery; 6) History of cerebrovascular disease (except lacunar cerebral infarction); A history of substance or alcohol abuse; 8) Coagulation disorder; 9) Take cerebral vascular dilating drugs (vinpocetine cinepazide alprostadil etc.); 10) Preoperative weakness; 11) Persons with sleep disorders; 12) abnormal liver and kidney function; Electrolyte disturbance; 14 Hypoxemia; 15) hypercapnia; Severe pain before surgery. Preoperative anemia (hemoglobin < 100g·L-1)

Design outcomes

Primary

MeasureTime frame
incidence of POD;—

Secondary

MeasureTime frame
time of operation;urine volume;intraoperative circulation fluctuation;time of tubation;score of VAS;bleeding volume;time of anesthesia;Classification of delirium;score of MMSE;Incidence of postoperative complications;—

Countries

China

Contacts

Public ContactLiu He

Huzhou central hospital

119428920@qq.com18268252877

Outcome results

None listed

Source: ITMCTR (via WHO ICTRP) · Data processed: Feb 4, 2026