Degenerative spinal disease
Conditions
Interventions
TEAS group:Electrodes placed bilaterally at Neiguan (PC6), Hegu (LI4), Baihui (DU20), and Dazhui (DU14). Dense–disperse wave at 2/100 Hz
intensity set to the highest tolerable level without pain. Start 30 min before induction for 30 min
another 30-min session before entering PACU
then at 4 h, 8 h, and 12 h postoperatively, and on POD2 and POD3 at 07:00, 11:00, and 15:00, 30 min each. Device: HANS-200A acupoint nerve stimulator.
Control group:Same sites and schedule, but single frequency at 0.01 Hz with the lowest perceivable intensity. Both groups receive standard general anesthesia and perioperative analgesia (postoperative
parecoxib 40 mg IV bid for 2 days, then celecoxib 200 mg bid from POD3).
Sponsors
Peking University Third Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: nclusion criteria Patients aged =65 years. Elective spine surgery involving =2 segments under general anesthesia. Willing to receive TEAS and provide written informed consent.
Exclusion criteria
Exclusion criteria: Exclusion criteria Scarring or skin infection at the target acupoint sites for TEAS. Unable to understand pain scoring or to use the patient-controlled analgesia device. Uncontrolled severe heart disease, central nervous system disease, psychiatric disorder, or coagulopathy. Presence of a cardiac pacemaker.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| QoR-15 total score at 24 hours postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| AUC of pain intensity at rest and on movement over 0–72 h postoperatively;Intraoperative opioid consumption;Cumulative postoperative opioid consumption within 0–72 h;Cumulative rescue analgesic consumption within 0–72 h;Incidence of postoperative delirium (POD1–POD3);Extubation time, PACU length of stay, time to first flatus, first oral intake, first ambulation, and postoperative length of stay; | — |
Countries
China
Contacts
Public ContactMin Li
Peking university third hospital
Outcome results
None listed