Acupoint Stimulation for Enhanced Recovery After Colon Surgery: A Prospective Multicenter Randomized Controlled Trial

作者全名："Lu, Zhihong; Luo, Ailin; Min, Su; Dong, Hailong; Xiong, Qiuju; Li, Xinhua; Deng, Qingzhu; Liu, Tingting; Yang, Xue; Li, Chen; Zhao, Qingchuan; Xiong, Lize"

作者地址："[Lu, Zhihong; Dong, Hailong; Liu, Tingting; Yang, Xue; Xiong, Lize] Fourth Mil Med Univ, Xijing Hosp, Dept Anaesthesiol & Perioperat Med, Xian, Peoples R China; [Luo, Ailin; Li, Xinhua; Deng, Qingzhu] Huazhong Univ Sci & Technol, Tongji Hosp, Dept Anaesthesiol, Wuhan, Peoples R China; [Min, Su; Xiong, Qiuju] Chongqing Med Univ, Affiliated Hosp 5, Dept Anaesthesiol, Chongqing, Peoples R China; [Li, Chen] Fourth Mil Med Univ, Dept Med Stat, Xian, Peoples R China; [Zhao, Qingchuan] Fourth Mil Med Univ, Xijing Hosp Digest Dis, Xian, Peoples R China; [Xiong, Lize] Tongji Univ Sch Med, Shanghai Peoples Hosp 4, Translat Res Inst Brain & Brain Like Intelligence, Dept Anesthesiol, Shanghai, Peoples R China; [Lu, Zhihong; Xiong, Lize] Fourth Mil Med Univ, Xijing Hosp, Dept Anesthesiol & Perioperat Med, Changle West Road127, Xian 710032, Shaanxi, Peoples R China"

通信作者："Lu, ZH; Xiong, LZ (通讯作者)，Fourth Mil Med Univ, Xijing Hosp, Dept Anesthesiol & Perioperat Med, Changle West Road127, Xian 710032, Shaanxi, Peoples R China."

来源：JOURNAL OF MULTIDISCIPLINARY HEALTHCARE

ESI学科分类：　

WOS号：WOS:000902038100001

JCR分区：Q2

影响因子：3.3

年份：2022

卷号：15

期号：　

开始页：2871

结束页：2879

文献类型：Article

关键词：transcutaneous electrical acupoint stimulation; colon surgery; laparoscopy; ERAS

摘要："Purpose: The aim of this study was to evaluate the efficacy of transcutaneous electrical acupoint stimulation (TEAS) in improving bowel function and thus shortening hospital stay after laparoscopic colon surgery within the ERAS pathway.Patients and Methods: From November 2016 to March 2018, 100 patients who underwent elective colon surgery were enrolled and 94 finished study (n = 47 for each) in three university hospitals. Patients in the TEAS group received TEAS 30 min before surgery and once a day for 3 days after surgery, while those in the Control Group received no stimulation. Primary outcome was the time to discharge. Results: Compared with standardized postoperative care, TEAS resulted in a shorter time to first flatus (P=0.03) and time to first defecation (P=0.03), as well as a reduction in the length of hospital stay (P=0.02). Median patient-controlled analgesia (PCA) deliveries and PCA attempts at 24h, 48h and 72h after surgery were less in the TEAS group (P<0.01). No evidence of significant advantages in postoperative pain intensity, nausea, vomiting, sleeping quality and expenses was found in the TEAS group.Conclusion: Perioperative TEAS further shortens the time to meet discharge criteria after laparoscopic colon surgery in patients under ERAS strategy."

基金机构：National Key Basic Research Program of China [2014CB543200]; National Natural Science Foundation of China [81871028]; National Cultivation and Development Program [2021ZY019]; Aeromedical Flow Principal Investigator Program of Air Force Medical University [2022HYPI02]

基金资助正文："This work was supported by the National Key Basic Research Program of China (No. 2014CB543200), the National Natural Science Foundation of China (No. 81871028), the National Cultivation and Development Program (2021ZY019) and the Aeromedical Flow Principal Investigator Program of Air Force Medical University (2022HYPI02) ."