Total knee arthroplasty patients undergoing combined spinal-epidural plus nerve block
Conditions
Interventions
False acupuncture point stimulation group:False acupuncture point stimulation
Acupuncture point stimulation group:Transcutaneous electrical stimulation of acupuncture points
Sponsors
Xiangyang Central Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1: Age 40-80 years old 2: Body mass index BMI: 18~30kg/m2 3: Body mass index BMI: 18~30kg/m2 4: Meet the treatment criteria of knee arthroplasty surgery: obvious knee pain painless walking distance < 500 m; Poor response to conservative treatment; Imaging studies show significant knee injury; The 4 specific diseases include rheumatoid arthritis osteoarthritis traumatic arthritis or primary or secondary osteochondronecrosis.
Exclusion criteria
Exclusion criteria: 1: Contraindications to neuraxial anesthesia 2: Inability to understand NRS or inability to use Patient Controlled analgesia (PCA) devices 3: Patients with acute knee pain 4: previous surgery on the same knee; 5: Those who have a history of acupuncture point treatment are allergic to electrodes or have skin diseases that affect electrode fixation; 6: History of long-term use of analgesics chronic opioid use
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| The occurrence of rebound pain;Inflammatory factors;Total opioid use within 48 hours;Quality of recovery of the patient after surgery;Preoperative and postoperative pain threshold changes;Central sensitization assessment;Postoperative complications; | — |
Primary
| Measure | Time frame |
|---|---|
| Incidence of rebound tenderness; | — |
Countries
China
Contacts
Public ContactYe Xihong
Xiangyang Central Hospital
Outcome results
None listed