The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial

被引:11
作者
Qin, Jiazhu [1 ]
Ye, Xiaoxiao [1 ]
Ye, Changzhou [1 ]
Huang, Xuliang [1 ]
Sun, Huanhuan [2 ]
Zhao, Xinyu [1 ]
Tong, Yao [1 ]
Mazomba, Manala [3 ]
Mo, Yunchang [1 ]
机构
[1] Wenzhou Med Univ, Anesthesia Dept, Affiliated Hosp 1, Wenzhou 325000, Peoples R China
[2] Taizhou Hosp Zhejiang Prov, Anesthesia Dept, Taizhou 318000, Peoples R China
[3] Wenzhou Med Univ, Inst Int Educ, Ouhai Dist, Wenzhou 325000, Peoples R China
基金
中国国家自然科学基金;
关键词
transcutaneous electrical acupoint stimulation (TEAS); high-risk patients with PONV; nausea and vomiting; randomized controlled trial; POSTOPERATIVE NAUSEA; P6; ACUPRESSURE; MANAGEMENT; DEXAMETHASONE; COMBINATION; PREVENTION;
D O I
10.3390/jcm12031192
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Postoperative nausea and vomiting (PONV) is one of the most common complications after general anesthesia. The traditional comprehensive management of PONV usually uses one or two drugs, but this regimen fails to meet the requirements of the latest version of PONV guidelines. The purpose of this study was to evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) on high-risk PONV patients who are undergoing laparoscopic gynecological surgery. Methods: In total, 162 high-risk PONV patients were randomly divided into an experimental group (n = 81) and a control group (n = 81). Both groups were injected with 4 mg of dexamethasone and 0.25 mg of palonosetron. In the experimental group, Nei-guan (PC6) and He-gu (LI4) were stimulated by a transcutaneous acupoint electrical stimulation instrument (HANS200E) 30 min before the surgery. The control group also received electrodes but no stimulation. Variance analysis and rank sum test were used to compare the differences between the two groups. Results: The results of the incidence of postoperative nausea, vomiting, NRS score, degree of abdominal distension, and time to first flatus in the experimental group were lower than those in the control group. Nursing satisfaction of the experimental group was higher than that of the control group. Conclusions: The study demonstrates that TEAS combined with dexamethasone and palonosetron can effectively prevent PONV, reduce postoperative abdominal distension and postoperative pain, and shorten the first postoperative flatus time in high-risk patients with PONV. At the same time, it can improve nursing satisfaction.
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页数:13
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