The Impact of Transcutaneous Electrical Nerve Stimulation (TENS) on Acute Pain and Other Postoperative Outcomes: A Systematic Review with Meta-Analysis

被引:13
作者
Viderman, Dmitriy [1 ,2 ]
Nabidollayeva, Fatima [3 ]
Aubakirova, Mina [1 ]
Sadir, Nurzhamal [1 ]
Tapinova, Karina [1 ]
Tankacheyev, Ramil [4 ]
Abdildin, Yerkin G. [3 ]
机构
[1] Nazarbayev Univ, Sch Med, Dept Surg, Astana 010000, Kazakhstan
[2] Natl Res Oncol Ctr, Dept Anesthesiol Intens Care & Pain Med, Astana 010000, Kazakhstan
[3] Nazarbayev Univ, Sch Engn & Digital Sci, Dept Mech & Aerosp Engn, Astana 010000, Kazakhstan
[4] Natl Res Neurosurg Ctr, Dept Minimally Invas Surg, Astana 010000, Kazakhstan
关键词
acute pain; postoperative pain; transcutaneous electrical nerve stimulation; adverse events; hospital stay; POSTTHORACOTOMY PAIN; REGIONAL ANESTHESIA; RELIEF; MANAGEMENT; FREQUENCY; SURGERY; ANALGESIA; REQUIREMENT; CONSUMPTION; MECHANISMS;
D O I
10.3390/jcm13020427
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study aimed to investigate the efficacy and safety of transcutaneous electrical nerve stimulation (TENS) in postoperative acute pain control. PubMed, Scopus, and Cochrane Library were searched on 1-8 December 2022, for randomized controlled trials on the analgesic effects of TENS. The outcomes were pain intensity and opioid use (primary), and postoperative (PO) adverse events, blood pressure, and the duration of hospital stay (secondary); PROSPERO CRD42022333335. A total of 40 articles were included in the meta-analysis. Pain intensity at rest and during coughing for all types of surgeries combined was lower in the TENS group (standardized mean difference (SMD) = -0.51 [-0.61, -0.41], p < 0.00001, 29 studies, and -1.28 [-2.46, -0.09], p-value = 0.03, six studies, respectively). There was a statistically significant decrease in morphine requirements, as well as in the incidence of postoperative nausea and vomiting, dizziness, and pruritus. There was no difference between the groups in postoperative pain intensity during walking, in blood pressure, and only a borderline difference in the length of hospital stay. The subgroup analysis by surgery type did not show significant differences between the groups in pain severity at rest. Thus, TENS has a potential for pain control and postoperative recovery outcomes.
引用
收藏
页数:24
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