经皮穴位电刺激对鼻内镜手术患者术后恢复质量的影响：随机对照试验

赵倩文; 苏丹丹; 汪美如; 闫莉; 孙斌; 高飞; 孟宣; 王立伟

doi:10.13703/j.0255-2930.20231123-0001

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经皮穴位电刺激对鼻内镜手术患者术后恢复质量的影响：随机对照试验

临床研究 | 更新时间：2024-10-12

- 经皮穴位电刺激对鼻内镜手术患者术后恢复质量的影响：随机对照试验
- Effect of transcutaneous electrical acupoint stimulation on postoperative recovery quality in patients undergoing endoscopic sinus surgery: a randomized controlled trial
- 中国针灸 2024年44卷第10期页码：1133-1138
- 作者机构：
  
  1.徐州医科大学徐州临床学院，江苏徐州　221004
  2.徐州医科大学麻醉学院
  3.徐州市中心医院麻醉科，江苏徐州　221009
  4.徐州市中医院针灸脑病科
- 作者简介：
  
  赵倩文，徐州医科大学硕士研究生。E-mail：15090322057@163.com
  ☒王立伟，主任医师。E-mail：doctorlww@sina.com
- 基金信息：
  
  江苏省医学重点实验室建设项目(JSDW202231);江苏省老年健康科研重点课题项目(LKZ2023016);徐州市医学领军人才培养项目(XWRCHT20210033);彭城英才医学青年后备人才培养项目(XWRCSL20220135)
- DOI：10.13703/j.0255-2930.20231123-0001
  中图分类号：
- 收稿：2023-11-23，
  
  网络首发：2024-07-29，
  
  纸质出版：2024-10-12
- 稿件说明：
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赵倩文, 苏丹丹, 汪美如, 等. 经皮穴位电刺激对鼻内镜手术患者术后恢复质量的影响：随机对照试验[J]. 中国针灸, 2024,44(10):1133-1138.

ZHAO Qianwen, SU Dandan, WANG Meiru, et al. Effect of transcutaneous electrical acupoint stimulation on postoperative recovery quality in patients undergoing endoscopic sinus surgery: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(10): 1133-1138.
赵倩文, 苏丹丹, 汪美如, 等. 经皮穴位电刺激对鼻内镜手术患者术后恢复质量的影响：随机对照试验[J]. 中国针灸, 2024,44(10):1133-1138. DOI： 10.13703/j.0255-2930.20231123-0001.

ZHAO Qianwen, SU Dandan, WANG Meiru, et al. Effect of transcutaneous electrical acupoint stimulation on postoperative recovery quality in patients undergoing endoscopic sinus surgery: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(10): 1133-1138. DOI： 10.13703/j.0255-2930.20231123-0001.

摘要

目的：

观察经皮穴位电刺激（TEAS）对择期鼻内镜手术患者术后恢复情况及疼痛的影响。

方法：

将106例接受择期鼻内镜手术患者随机分为观察组和对照组，每组53例。两组患者于静脉麻醉诱导前30 min至手术结束分别给予TEAS或安慰TEAS，穴位均选取双侧内关和足三里。于手术前1 d（T

）、手术后1 d（T

）、手术后2 d（T

）、手术后3 d（T

），观察两组15项恢复质量（QoR-15）量表评分；于T

、T

，观察两组疼痛视觉模拟量表（VAS）评分；于T

、T

，观察两组阿森斯失眠量表（AIS）评分；记录两组术后恶心呕吐和头晕头痛的发生率，补救镇痛药使用情况和镇痛泵按压次数，以及拔管时间。

结果：

、T

时，观察组患者QoR-15量表评分高于对照组（

0.01，

0.001），AIS评分低于对照组（

0.001）。T

、T

时，观察组患者疼痛VAS评分低于对照组（

0.001）。观察组术后恶心呕吐和头晕头痛的发生率分别为24.5%（13/53）、37.7%（20/53），分别低于对照组的56.6%（30/53）、66.0%（35/53，

0.01）。两组患者术后补救镇痛药使用率及镇痛泵按压次数比较，差异无统计学意义（

0.05）。观察组拔管时间短于对照组（

0.001）。

结论：

经皮穴位电刺激能够提高接受择期鼻内镜手术患者术后恢复质量，缓解术后疼痛，改善术后睡眠质量，降低术后恶心呕吐发生率。

Abstract

Objective

To observe the effects of transcutaneous electrical acupoint stimulation (TEAS) on postoperative recovery and pain in patients undergoing elective endoscopic sinus surgery.

Methods

One hundred and six patients scheduled for elective endoscopic sinus surgery were randomly divided into an observation group and a control group

with 53 patients in each group. Patients in both groups received TEAS or sham TEAS

respectively

from 30 min before intravenous anesthesia induction until the end of surgery. Acupoints selected were bilateral Neiguan (PC 6) and Zusanli (ST 36). The quality of requirements-15 (QoR-15) scores were assessed on the day before surgery (T0) and on postoperative days 1 (T1)

2 (T2) and 3 (T3). Pain visual analogue scale (VAS) scores were recorded at T1

T2 and T3. Athens insomnia scale (AIS) scores were measured at T0

T2 and T3 in the two groups. The incidence of postoperative nausea-vomiting and dizziness-headache

usage of analgesics

number of patient-controlled analgesia (PCA) pump presses

and extubating time were also recorded in the two groups.

Results

At T1

T2 and T3

the observation group had higher QoR-15 scores (

0.01

0.001) and lower AIS scores (

0.001) than the control group. At T1 and T2

the observation group had lower pain VAS scores than the control group (

0.001). The incidence of postoperative nausea-vomiting and dizziness-headache was 24.5% (13/53) and 37.7% (20/53) in the observation group

which were lower than 56.6% (30/53) and 66.0% (35/53) in the control group (

0.01). There were no statistically significant differences in the use of rescue analgesics or the number of PCA pump presses between the two groups (

0.05). The extubating time was shorter in the observation group compared with that in the control group (

0.001).

Conclusion

TEAS could improve postoperative recovery quality

alleviate postoperative pain

improve sleep quality

and reduce the incidence of postoperative nausea and vomiting in patients undergoing elective endoscopic sinus surgery.

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