Prostate Cancer (post robot-assisted radical prostatectomy)
Conditions
Interventions
Experimental Group (Buccal Acupuncture Group):First treatment at 30 minutes before anesthesia induction (retained until the end of surgery, needling once every 30 minutes)
additional treatments at 24 hours and 48 hours postoperatively (retained for 30 minutes without needling). Acupoints: bilateral Wa Xue, Di Xue, Xiajiao Xue. Use 0.18mm×25mm trocar needles, insert vert
Control Group (Sham Buccal Acupuncture Group):Shallow needling at 30 minutes before anesthesia induction, 24 hours and 48 hours postoperatively (only 1-2mm into the skin surface, no needling, same ret
Sponsors
Northern Jiangsu People's Hospital
Eligibility
Sex/Gender
Male
Age
60 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. American Society of Anesthesiologists (ASA) physical status I - III. 2. Body mass index (BMI) 18-28 kg/m². 3. No history of stroke or chest deformity before surgery. 4. Age =60 years. 5. Preoperative pulmonary function test showing no moderate or severe ventilatory dysfunction (FEV1/FVC =70% and FEV1% predicted =60%) (refer to GOLD criteria and ATS/ERS criteria). 6. Voluntary participation in the study and signed informed consent form.
Exclusion criteria
Exclusion criteria: 1. Upper respiratory tract infection within 1 month before surgery. 2. Surgical history, mechanical ventilation history or thoracic surgical history within 2 weeks before surgery. 3. Complicated with severe bronchial asthma, chest wall or spinal deformity. 4. Severe restrictive or obstructive ventilatory dysfunction. 5. American Society of Anesthesiologists (ASA) physical status IV or above. 6. History of trauma, surgery or infection at the selected acupuncture sites. 7. History of syncope during acupuncture or coagulation dysfunction. 8. Allergy to anesthetics, iodophor or the material of acupuncture needles. 9. Severe mental illness or cognitive impairment (MMSE score: <17 for illiterate individuals, <20 for those with primary school education, <24 for those with secondary school or higher education).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Postoperative Pulmonary Complications (PPCs); | — |
Secondary
| Measure | Time frame |
|---|---|
| Respiratory Mechanics Parameters (Peak Airway Pressure, Plateau Pressure, Driving Pressure, Dynamic Lung Compliance);Postoperative Quality of Recovery (QoR-15 Scale Score);Postoperative Pain Intensity (Visual Analogue Scale [VAS] Score, Patient-Controlled Analgesia [PCA] Voluntary Presses);Preoperative and Postoperative Pulmonary Function (FEV1/FVC, FEV1% Predicted);Oxygenation Index (PaO2/FiO2); | — |
Countries
China
Contacts
Public ContactLin Shunyan
Northern Jiangsu People's Hospital
Outcome results
None listed