Transcutaneous Electrical Acupoints Stimulation Improves Spontaneous Voiding Recovery After Laparoscopic Cholecystectomy: A Randomized Clinical Trial

被引：5

作者：

Zhang, Yan-Fang ^{[1
]}

Li, Xiang-Yun ^{[1
]}

Liu, Xiu-Yun ^{[2
,3
]}

Zhang, Yuan ^{[1
]}

Gong, Li-Rong ^{[1
]}

Shi, Jia ^{[1
]}

Du, Shi-Han ^{[1
]}

He, Si-Meng ^{[1
]}

Li, Cui ^{[1
]}

Li, Yu-Ting ^{[1
]}

Li, Na ^{[1
]}

Liu, Sha-Sha ^{[1
]}

Wu, Ya ^{[1
]}

Xie, Zi-Lei ^{[1
]}

Pei, Zheng-Cun ^{[2
,3
]}

Yu, Jian-Bo ^{[1
]}

机构：

[1] Tianjin Med Univ, Tianjin Nankai Hosp, Dept Anesthesiol & Crit Care Med, 6 Changjiang Rd, Tianjin, Peoples R China

[2] Tianjin Univ, Coll Precis Instruments & Optoelect Engn, Dept Biomed Engn, Tianjin, Peoples R China

[3] Tianjin Univ, Acad Med Engn & Translat Med, Tianjin, Peoples R China

来源：

WORLD JOURNAL OF SURGERY | 2023年 / 47卷 / 05期

基金：

中国国家自然科学基金;

关键词：

POSTOPERATIVE URINARY RETENTION; PERIOPERATIVE PERIOD; GALLSTONE DISEASE; RAT MODEL; ELECTROACUPUNCTURE; ACUPUNCTURE; BLADDER; NAUSEA; RISK;

D O I：

10.1007/s00268-023-06924-7

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundFacilitating the recurrence of spontaneous voiding is considered to be a way to prevent urinaryretention after surgery, which is of great importance in cholecystectomy. This study aimed to assess the effect oftranscutaneous electrical acupoint stimulation (TEAS) on spontaneous voiding recovery after laparoscopic cholecystectom.MethodsParticipants who underwent elective laparoscopic cholecystectomy were randomly assigned toeither the TEAS group or the sham group. Active TEAS or sham TEAS at specific acupuncture points was conductedintraoperatively and postoperatively. The primary outcome was the recovery speed of spontaneous voiding abilityafter surgery and secondary outcomes included postoperative urinary retention (POUR), voiding dysfunction, pain,anxiety and depression, and early recovery after surgery.ResultsA total of 1,948 participants were recruited and randomized to TEAS (n = 975) or sham (n = 973) between August 2018 and June 2020. TEAS shortens the time delay of the first spontaneous voiding after laparoscopic cholecystectomy (5.6 h [IQR, 3.7-8.1 h] in the TEAS group vs 7.0 h [IQR, 4.7-9.7 h] in the sham group) (p < 0.001). The TEAS group experienced less POUR (p = 0.020), less voiding difficulty (p < 0.001), less anxiety and depression (p < 0.001), reduced pain (p = 0.007), and earlier ambulation (p = 0.01) than the sham group.ConclusionsOur results showed that TEAS is an effective approach toaccelerate the recovery of spontaneous voiding and reduce POUR which facilitates recovery for patients afterlaparoscopic cholecystectomy.

引用

页码：1153 / 1162

页数：10

共 32 条

[1] Acupuncture and related techniques during perioperative period: A literature review [J].