Effects of acupuncture anesthesia and cheek acupuncture on postoperative stress response and analgesic efficacy in elderly patients undergoing hip surgery
ZHOU Xiao-yun
XU Jin-dong
TAN Xiang-ye
LIN Hao-sheng
LIN Liang-qin
HUANG Hui-ling
XU Ai-zhen
ZHENG Guan-he
YANG Zhuang-rong
MA Rui-qin
WANG Sheng
XU Li-qian
Abstract：Objective To investigate the effects of acupuncture anesthesia and cheek acupuncture as postopera-tive adjunct analgesic interventions in elderly patients undergoing hip surgery,and to evaluate their influence on stress re-sponse,analgesic efficacy,and postoperative complications.Methods A total of 126 elderly patients who underwent u-nilateral hip surgery under spinal anesthesia at Zhongshan Hospital,Guangzhou University of Chinese Medicine from Janu-ary to October 2024 were enrolled and randomly assigned to three groups:BA group,FA group,and NA group(42 pa-tients each).Ultimately,115 patients completed the study(BA:38,FA:39,NA:38).Postoperatively,all patients were monitored in the post-anesthesia care unit.The BA group received acupuncture at Baihui,bilateral Neiguan,Qu-chi,Hegu,and Zusanli;the FA group received cheek acupuncture on the surgical side at facial points corresponding to the lumbar,sacral,and hip regions;the NA group received no acupuncture.Serum norepinephrine(NE),epinephrine(EPI),cortisol(COR),and blood glucose(BG)levels were measured at 6 h(T0),12 h(T1),24 h(T2),and 48 h(T3)postoperatively.Cumulative sufentanil dosage and visual analog scale(VAS)pain scores were recorded,along with time to bowel function recovery and incidence of postoperative complications.Results Postoperative levels of NE,EPI,COR,and BG were significantly lower in the BA and FA groups compared with the NA group at all time points(P＜0.05).The BA and FA groups also exhibited significantly reduced sufentanil consumption and lower VAS scores at 48 h postoperatively(P＜0.05),with earlier bowel function recovery(P＜0.05).The incidence of postoperative complica-tions was significantly lower in both BA and FA groups than in the NA group(P＜0.05).Conclusion Both acupuncture anesthesia and cheek acupuncture effectively attenuate postoperative stress responses and pain in elderly patients after hip surgery,reduce the need for analgesics,promote bowel function recovery,and lower postoperative complication rates,thereby facilitating enhanced recovery after surgery.
Keywords：acupuncture anesthesiacheek acupuncturehip surgerystress responseanalgesia
Publication Date：2025-11-15
Online Publishing Date：2026-01-06(First online date of this platform, not the publication date of the document)
Pages：6( 1665-1670 )