Clinical study on effect of wrist-ankle acupuncture on incidence of hypertension after intubation during induction of general anesthesia

ABSTRACT

Objective

To observe the effect of wrist-ankle acupuncture on the incidence of hypertension after tracheal intubation during induction of general anesthesia.

Methods

200 patients receiving selective surgery under tracheal intubation and general anesthesia in our Hospital were selected and divided into control group and wrist-ankle acupuncture group using the random number table method, with 100 patients in each group. Sufentanil, cisatracurium besilate, remifentanil, etomidate and lidocaine hydrochloride were used for anesthesia induction, and intravenously injected according to the onset time of drugs, successively. The wrist-ankle acupuncture group was needled in bilateral upper _{1, 2} and ₃ areas, while the control group was treated with false acupuncture.Blood pressure and related blood biochemical indexes were measured and observed at different stages in each group.

Result

The incidence of blood pressure exceeding 20% and 30% of basal blood pressure within 5 minutes after intubation was as follows:wrist-ankle acupuncture group 11.83% and 6.45%; control group 29.79% and 22.34%, The incidence in the study group was lower than that in the control group. Norepinephrine concentration in the wrist-ankle acupuncture group was significantly lower than that before induction (P < .05), and plasma Norepinephrine concentration in the wrist-ankle acupuncture group was significantly lower than that in the control group after intubation (P < .05). The plasma Norepinephrine concentration in the wrist-ankle acupuncture group was significantly lower than that in the control group after intubation (P < .05)

Conclusion

wrist-ankle acupuncture can prevent hypertension after intubation during anesthesia induction. Moreover, it is safe, effective, minimally invasive. Therefore, it is easy to be popularized in clinical practice.

KEYWORDS:

• Wrist-ankle acupuncture
• Hypertension
• norepinephrine
• general anesthesia
• induction

Disclosure statement

No potential conflict of interest was reported by the author(s).

Authors’ contributions

Xu Z and Liu XG conceived of the study, and Zhou YG and Ren HR participated in its design and coordination and Ma YX,Gao HL,Zhang CL,HaoW helped to draft the manuscript. All authors read and approved the final manuscript.

Ethics approval and consent to participate

This study was conducted in accordance with the Declaration of Helsinki and approved by the ethics committee of Hebei Provincial Hospital of Traditional Chinese Medicine.Ethical approval number:2019-KY-012-01

Consent for publication

Not applicable.

Availability of Data and Materials

All data generated or analyzed during this study are included in this published article

Supplementary material

Supplemental data for this article can be accessed on the publisher’s website

Additional information

Funding

Project of Hebei Provincial Department of Finance No. 2018133214 Scientific research Project of Hebei Administration of Traditional Chinese Medicine: wrist and ankle needle for anesthesia induction period study No. 2020053