Transcutaneous Electrical Acupoint Stimulation Improves the Postoperative Quality of Recovery and Analgesia after Gynecological Laparoscopic Surgery: A Randomized Controlled Trial

Yusheng Yao, Qiuyan Zhao, Cansheng Gong, Yihuan Wu, Ying Chen, Liangcheng Qiu, Xiaodan Wu, Yanqing Chen, Yusheng Yao, Qiuyan Zhao, Cansheng Gong, Yihuan Wu, Ying Chen, Liangcheng Qiu, Xiaodan Wu, Yanqing Chen

Abstract

Background. We conducted this prospective, randomized, double-blind, placebo-controlled study to evaluate the effects of transcutaneous electric acupoint stimulation (TEAS) on the quality of recovery (QoR) and postoperative analgesia after gynecological laparoscopic surgery. Methods. 74 American Society of Anesthesiologists physical status (ASA) I or II patients undergoing gynecological laparoscopic surgery were randomly allocated to TEAS or control groups. The primary outcome was the quality of recovery, which was assessed on the day before surgery and 24 h after surgery using a 40-item questionnaire. Secondary outcomes included postoperative pain scores, the incidence of postoperative nausea and vomiting (PONV), duration of postanesthesia care unit (PACU) stay, and patient's satisfaction. Results. The TEAS group had higher QoR scores than control group upon 24 h after surgery (177 versus 165; P < 0.001). Compared with the control group, postoperative pain scores and the cumulative number of opioids administered were lower in the TEAS group patients (P = 0.04). TEAS reduced the incidence of PONV and dizziness, as well as duration of PACU stay. Simultaneously, the patient's satisfaction scores were higher in the TEAS group (P = 0.002). Conclusion. Preoperative TEAS enhances QoR, improves postoperative analgesia and patient's satisfaction, alleviates postoperative side effects, and accelerates discharge after general anesthesia for gynecological laparoscopic surgery.

Figures

Figure 1
Figure 1
Location of Hegu (LI4), Neiguan (PC6), Zusanli (ST36), and Sanyinjiao (SP6) acupoints.
Figure 2
Figure 2
Consolidated Standards of Reporting Trials (CONSORT) flow diagram depicting the progress of subject through the trail. TEAS: transcutaneous electric acupoint stimulation group.
Figure 3
Figure 3
Postoperative visual analogue scores in patients receiving transcutaneous electrical acupoint stimulation (white square) or control treatment (grey square). Error bars are interquartile range. ∗P < 0.05.

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