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Electroacupuncture: A New Approach for Improved Postoperative Sleep Quality After General Anesthesia

Authors Luo M, Song B, Zhu J

Received 3 May 2020

Accepted for publication 4 August 2020

Published 21 August 2020 Volume 2020:12 Pages 583—592


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Sutapa Mukherjee

Man Luo,1,* Bijia Song,1,2,* Junchao Zhu1

1Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People’s Republic of China; 2Department of Anesthesiology, Friendship Hospital of Capital Medical University, Beijing, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Junchao Zhu Department of Anesthesiology
Shengjing Hospital of China Medical University, Shenyang, Liaoning, People’s Republic of China

Abstract: General anesthesia produces a state of drug-induced unconsciousness that is controlled by the extent and duration of administered agents. Whether inhalation or intravenous in formulation, such agents may interfere with normal sleep–wake cycles, impairing postoperative sleep quality and creating complications. Electroacupuncture is a new approach widely applied in clinical practice during recent years. This particular technology helps regulate neurotransmitter concentrations in the brain, lowering norepinephrine and dopamine levels to improve sleep quality. It also alleviates surgical pain that degrades postoperative sleep quality after general anesthesia by downregulating immune activity (SP, NK-1, and COX-1) and upregulating serotonin receptor (5-HT1AR, 5-HT2AR) and endocannabinoid expression levels. However, large-scale, multicenter studies are still needed to determine the optimal duration, frequency, and timing of electroacupuncture for such use.

Keywords: general anesthesia, sleep quality, acupoints, electroacupuncture

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