Efficacy of transcutaneous electrical acupoint stimulation for the prevention of postoperative nausea and vomiting after laparoscopic surgery:a Meta-analysis

CHEN Jinfu; SHENG Hengwei

doi:10.13703/j.0255-2930.20240915-k0001

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Efficacy of transcutaneous electrical acupoint stimulation for the prevention of postoperative nausea and vomiting after laparoscopic surgery:a Meta-analysis

Literature Research | 更新时间：2026-04-16

- Efficacy of transcutaneous electrical acupoint stimulation for the prevention of postoperative nausea and vomiting after laparoscopic surgery:a Meta-analysis
- Chinese Acupuncture & Moxibustion Vol. 46, Issue 4, Pages: 655-668(2026)
- 作者机构：
  
  广东医科大学第一临床医学院，湛江　524023
  佛山市三水区人民医院麻醉科，广东佛山　528100
  深圳市宝安区中医院麻醉科，广东深圳　518000
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240915-k0001
  CLC：
- Received：15 September 2024，
  
  Revised：2026-01-23，
  
  Online First：29 January 2026，
  
  Published：12 April 2026
- 稿件说明：
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CHEN Jinfu, SHENG Hengwei. Efficacy of transcutaneous electrical acupoint stimulation for the prevention of postoperative nausea and vomiting after laparoscopic surgery:a Meta-analysis[J]. Chinese Acupuncture & Moxibustion, 2026, 46(4): 655-668.
DOI：

CHEN Jinfu, SHENG Hengwei. Efficacy of transcutaneous electrical acupoint stimulation for the prevention of postoperative nausea and vomiting after laparoscopic surgery:a Meta-analysis[J]. Chinese Acupuncture & Moxibustion, 2026, 46(4): 655-668. DOI： 10.13703/j.0255-2930.20240915-k0001.

摘要

目的：

系统评价经皮穴位电刺激（TEAS）防治腹腔镜术后恶心呕吐（PONV）的疗效。

方法：

用计算机检索中国生物医学文献服务系统（SinoMed）、中国期刊全文数据库（CNKI）、万方数据知识服务平台（Wanfang）、维普资讯中文期刊服务平台（VIP）、读秀学术搜索（Duxiu）、PubMed、EMbase、Web of Science、Cochrane Library、Scopus、ProQuest和Ovid数据库，检索时间为建库以来至2024年6月6日，纳入关于TEAS防治腹腔镜手术PONV的随机对照试验（RCT）。由2名研究者独立完成文献筛选、数据提取和文献质量评价，并采用RevMan5.3和StataMP14软件对提取的数据进行Meta分析。

结果：

共纳入33篇文献，腹腔镜手术患者共6 271例，其中TEAS组3 372例，对照组2 899例。Meta分析结果显示：与对照组比较，TEAS组腹腔镜术后24 h内PONV发生率降低[

=0.52，95%

（0.46，0.58），

=10.58，

0.000 01

]

，术后治疗性止吐药需求率降低[

=0.68，95%

（0.55，0.85），

=3.42，

0.001

]

，以及术后48 h内PONV评分降低[

=-0.67，95%

（-0.92，-0.41），

=5.08，

0.000 01

]

。

结论：

采用TEAS疗法能有效降低腹腔镜手术患者的PONV发生率、术后治疗性止吐药需求率以及PONV严重程度，有利于患者恢复。

Abstract

Objective

To systematically evaluate the efficacy of transcutaneous electrical acupoint stimulation (TEAS) in the prevention and treatment of postoperative nausea and vomiting (PONV) after laparoscopic surgery.

Methods

Computerized searches were conducted in databases of SinoMed

CNKI

Wanfang

VIP

Duxiu

PubMed

EMbase

Web of Science

Cochrane Library

Scopus

ProQuest

and Ovid

covering the period from database inception to June 6

2024. Randomized controlled trials (RCTs) on TEAS for the prevention and treatment of PONV after laparoscopic surgery were included. Two researchers independently completed literature screening

data extraction

and quality assessment. Meta-analysis of the extracted data was performed using RevMan5.3 and StataMP14 software.

Results

A total of 33 studies were included

involving 6 271 laparoscopic surgery patients

with 3 372 in the TEAS group and 2 899 in the control group. The Meta-analysis results showed that

compared with the control group

the incidence of PONV within 24 hours after laparoscopic surgery was lower in the TEAS group [

=0.52

95%

(0.46

0.58)

=10.58

0.000 01

]

; the postoperative need for rescue antiemetic medication was lower [

=0.68

95%

(0.55

0.85)

=3.42

0.001

]

; and the PONV score within 48 hours postoperatively was lower [

=-0.67

95%

(-0.92

-0.41)

=5.08

0.000 01

]

Conclusion

TEAS could effectively reduce the incidence of PONV

the requirement for postoperative rescue antiemetics

and the severity of PONV in patients undergoing laparoscopic surgery

thereby promoting patient recovery.

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Related Institution

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