The Effect Of Transcutaneous Acupoint Electrical Stimulation Combined With Dexmedetomidine On The Cognitive Function Of Elderly Patients After Hip Surgery

Objective:The purpose of this study is to provide percutaneous acupoint electrical stimulation combined with dexmedetomidine on the cognitive function of elderly patients after hip surgery,so as to provide further guidance for the clinical prevention and treatment of POCD in elderly patients.Methods: According to the inclusion criteria,sixty elderly patients who underwent hip surgery at the Orthopaedics Department of the Traditional Chinese Medicine Hospital of Xinjiang Medical University from August 2018 to December 2019 were selected and numbered according to the order of enrollment.Sixty elderly patients were randomly selected using the random number table method.It was divided into acupoint stimulation combined with dexmedetomidine group(group E)30cases,dexmedetomidine group(group C)30 cases.Patients in group E were continuously given electrical stimulation at bilateral fish waist and bilateral Fengchi acupoints from 30 minutes before anesthesia to the end of the operation,and at the same time,the dexmedetomidine dose of 0.5ug / kg × weight was continued for 10 minutes at 10 minutes before anesthesia.Pumping is complete.The acupoints in group C were the same as those in Group E,but the acupoints were not electrically stimulated,while other anesthesia methods were the same as those in group E.At the beginning and the end of the operation,the blood samples of the patients' peripheral vein were collected,and the levels of IL-10,IL-6 and S100-? were detected.The detection method was enzyme-linked immunosorbent assay.Before and 24 hours after the operation,MMSE was used to evaluate the patients' cognitive function.Results: The serum levels of IL-6,IL-10 and S100-? in group E were lower than those in group C at the beginning and end of the.Compared with the E group,the 24 h MMSE score in the C group was significantly lower,.Conclusion: Percutaneous acupoint electrical stimulation combined with dexmedetomidine has a more advantageouseffect on postoperative cognitive function than dexmedetomidine alone,which is more conducive to postoperative rehabilitation.