The effect of TEAS on the quality of early recovery in patients undergoing gynecological laparoscopic surgery: a prospective, randomized, placebo-controlled trial

Autor: Fangxiang Zhang, Bingning Chen, Xiangdi Yu
Rok vydání: 2020
Předmět:
Adult
Laparoscopic surgery
Time Factors
Nausea
Visual analogue scale
medicine.medical_treatment
Placebo-controlled study
Medicine (miscellaneous)
Zusanli
MMSE
QoR-40
03 medical and health sciences
Gynecologic Surgical Procedures
0302 clinical medicine
030202 anesthesiology
Preoperative Care
Humans
Pain Management
Medicine
Pharmacology (medical)
Prospective Studies
Gynecological laparoscopic surgery
Pain Measurement
Analgesics
Pain
Postoperative
lcsh:R5-920
business.industry
Incidence
Research
Incidence (epidemiology)
Middle Aged
Mental Status and Dementia Tests
Treatment Outcome
Transcutaneous electric acupoint stimulation (TEAS)
Anesthesia
Postoperative Nausea and Vomiting
Transcutaneous Electric Nerve Stimulation
Vomiting
Antiemetics
Female
Laparoscopy
VAS
medicine.symptom
lcsh:Medicine (General)
business
Acupuncture Points
030217 neurology & neurosurgery
Postoperative nausea and vomiting
Zdroj: Trials, Vol 21, Iss 1, Pp 1-9 (2020)
Trials
ISSN: 1745-6215
DOI: 10.1186/s13063-019-3892-4
Popis: Introduction In current study we assessed the effect of transcutaneous electrical acupoint stimulation (TEAS) on the quality of early recovery in patients undergoing gynecological laparoscopic surgery. Methods Sixty patients undergoing gynecological laparoscopic surgery were randomly assigned to TEAS (TEAS group) or control group (Con group). TEAS consisted of 30 min of stimulation (12–15 mA, 2/100 Hz) at the acupoints of Baihui (GV20), Yingtang (EX-HN-3), Zusanli (ST36) and Neiguan (PC6) before anesthesia. The patients in the Con group had the electrodes applied, but received no stimulation. Quality of recovery was assessed using a 40-item questionnaire as a measure of quality of recovery (QoR-40; maximum score 200) scoring system performed on preoperative day 1 (T0), postoperative day 1 (T1) and postoperative day 2 (T2); 100-mm visual analogue scale (VAS) scores at rest, mini-mental state examination (MMSE) scores, the incidence of nausea and vomiting, postoperative pain medications, and antiemetics were also recorded. Results: QoR-40 and MMSE scores of T0 showed no difference between two groups (QoR-40: 197.50 ± 2.57 vs. 195.83 ± 5.17), (MMSE: 26.83 ± 2.74 vs. 27.53 ± 2.88). Compared with the Con group, QoR-40 and MMSE scores of T1 and T2 were higher in the TEAS group (P P P Conclusion The use of TEAS significantly promoted the quality of early recovery, improved MMSE scores and reduced the incidence of pain, nausea and vomiting in patients undergoing gynecological laparoscopic surgery. Trial registration ClinicalTrials.gov, NCT02619578. Registered on 2 December 2015. Trial registry name: https://clinicaltrials.gov
Databáze: OpenAIRE
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