Efficacy of Transcutaneous Electrical Acupoint Stimulation Applied During the Post-Anesthesia Recovery Period in Improving Postoperative Recovery Quality After Gynecological Laparoscopic Surgery: A Randomized Controlled Trial.

IF 2.8 3区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics
Therapeutics and Clinical Risk Management Pub Date : 2025-07-24 eCollection Date: 2025-01-01 DOI:10.2147/TCRM.S507856
Zhihu Zhou, Xiang Yang, Min Shi, Liqiao Huang, Danping Wu, Huailong Yang, Xu Zhang
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Abstract

Purpose: Transcutaneous electrical acupoint stimulation (TEAS) has emerged as a promising non-pharmacological intervention to enhance postoperative recovery. However, its application during the post-anesthesia recovery period remains underexplored. This study investigated the impact of TEAS during the post-anesthesia recovery period on postoperative recovery quality in patients undergoing laparoscopic gynecological surgery.

Patients and methods: In this single-center, randomized, double-blinded, sham-controlled trial, 100 patients undergoing elective gynecological laparoscopic surgery were randomly allocated to receive either TEAS or sham stimulation at bilateral Hegu (LI4), Neiguan (PC6), Zusanli (ST36), and Sanyinjiao (SP6) acupoints for 30 minutes during the post-anesthesia recovery period in the post-anesthesia care unit (PACU). The primary outcome was the Quality of Recovery-15 (QoR-15) score assessed on postoperative days (POD) 1, 2, and 3. Secondary outcomes included pain, postoperative nausea and vomiting (PONV), recovery times, and adverse events.

Results: Ninety-seven patients completed the study, with 48 in the TEAS group and 49 in the Sham group. The TEAS group exhibited significantly higher QoR-15 scores on POD 1 compared to the Sham group, with improvements in emotional state, physical comfort, and pain dimensions. On POD 2, the TEAS group had significantly higher pain dimension scores. The TEAS group also reported lower resting VAS scores on POD 1 and lower exercise VAS scores on POD 1 and 2. The incidence of PONV was lower on POD 1, with fewer patients requiring rescue antiemetics. Additionally, the TEAS group experienced shorter times to first flatus and ambulation. Adverse events were comparable between the groups, with no local skin irritation noted in the TEAS group.

Conclusion: TEAS applied during the post-anesthesia recovery period significantly improves early postoperative recovery quality, reduces pain and PONV, and accelerates functional recovery in patients undergoing gynecological laparoscopic surgery.

Abstract Image

Abstract Image

麻醉后恢复期经皮穴位电刺激对提高妇科腹腔镜手术术后恢复质量的疗效:一项随机对照试验。
目的:经皮穴位电刺激(TEAS)已成为一种有希望的非药物干预措施,以提高术后恢复。然而,其在麻醉后恢复期的应用仍有待探索。本研究探讨了麻醉后恢复期tea对腹腔镜妇科手术患者术后恢复质量的影响。患者和方法:在本单中心、随机、双盲、假对照试验中,100例选择性妇科腹腔镜手术患者在麻醉后护理病房(PACU)麻醉后恢复期,随机分配接受双侧合谷(LI4)、内关(PC6)、足三里(ST36)、三阴角(SP6)穴位的tea或假刺激30分钟。主要终点是术后1、2和3天的恢复质量-15 (QoR-15)评分。次要结局包括疼痛、术后恶心和呕吐(PONV)、恢复时间和不良事件。结果:97例患者完成了研究,其中tea组48例,Sham组49例。与Sham组相比,TEAS组在POD 1上的QoR-15评分明显更高,情绪状态、身体舒适度和疼痛维度均有改善。在POD 2上,tea组的疼痛维度得分明显更高。tea组还报告了POD 1的静止VAS评分较低,POD 1和2的运动VAS评分较低。POD 1组PONV发生率较低,需要抢救止吐药的患者较少。此外,tea组首次放屁和行走的时间更短。两组之间的不良事件具有可比性,tea组没有局部皮肤刺激。结论:麻醉后恢复期应用TEAS可显著提高妇科腹腔镜手术患者术后早期恢复质量,减轻疼痛和PONV,加速功能恢复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Therapeutics and Clinical Risk Management
Therapeutics and Clinical Risk Management HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.30
自引率
3.60%
发文量
139
审稿时长
16 weeks
期刊介绍: Therapeutics and Clinical Risk Management is an international, peer-reviewed journal of clinical therapeutics and risk management, focusing on concise rapid reporting of clinical studies in all therapeutic areas, outcomes, safety, and programs for the effective, safe, and sustained use of medicines, therapeutic and surgical interventions in all clinical areas. The journal welcomes submissions covering original research, clinical and epidemiological studies, reviews, guidelines, expert opinion and commentary. The journal will consider case reports but only if they make a valuable and original contribution to the literature. As of 18th March 2019, Therapeutics and Clinical Risk Management will no longer consider meta-analyses for publication. The journal does not accept study protocols, animal-based or cell line-based studies.
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