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

• Published in: Current controlled trials in cardiovascular medicine 2020-01, Vol.21 (1), p.43-9, Article 43
• Main Authors: Yu, Xiangdi, Zhang, Fangxiang, Chen, Bingning
• Format: Article
• Language: English
• Subjects: Acupuncture; Acupuncture Points; Adult; Analgesia; Analgesics; Analgesics - therapeutic use; Anesthesia; Antiemetics - therapeutic use; Body mass index; Clinical trials; Cognitive ability; Data collection; Electrodes; Female; Gastrointestinal agents; Gynecologic Surgical Procedures - adverse effects; Gynecological laparoscopic surgery; Gynecology; Hospitals; Humans; Incidence; Laparoscopy; Laparoscopy - adverse effects; Laparotomy; Medical personnel; Mental Status and Dementia Tests; Middle Aged; MMSE; Nausea; Pain; Pain management; Pain Management - methods; Pain Measurement; Pain, Postoperative - diagnosis; Pain, Postoperative - drug therapy; Pain, Postoperative - epidemiology; Pain, Postoperative - prevention & control; Patient satisfaction; Postoperative Nausea and Vomiting - drug therapy; Postoperative Nausea and Vomiting - epidemiology; Postoperative Nausea and Vomiting - etiology; Postoperative Nausea and Vomiting - prevention & control; Postoperative pain; Preoperative Care - methods; Prospective Studies; QoR-40; Recovery (Medical); Statistical analysis; Surgery; Time Factors; Transcutaneous electric acupoint stimulation (TEAS); Transcutaneous Electric Nerve Stimulation - methods; Treatment Outcome; VAS
• ISSN: 1745-6215; 1745-6215
• DOI: 10.1186/s13063-019-3892-4

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. 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. 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