经皮穴位电刺激对腹腔镜结直肠癌根治术后疼痛和快速康复的影响

Effects of transcutaneous electrical acupoint stimulation on pain and rapid recovery after laparoscopic radical resection of colorectal cancer

目的探讨经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS)对腹腔镜结直肠癌根治术后疼痛和快速康复的影响。方法选取2021年7~12月于温州医科大学附属第一医院择期全身麻醉下行腹腔镜结直肠癌根治术的患者作为研究对象,根据Stata SE 15生成的随机数将患者分为TEAS组和对照组。TEAS组患者在麻醉诱导前30min应用刺激仪于双侧足三里和三阴交进行电刺激,刺激时间30min;对照组患者在相同穴位贴电极片,但不予任何电刺激处理。观察两组患者的术后疼痛和快速康复相关指标。结果TEAS组患者拔管后躁动等级显著低于对照组(P<0.01)。TEAS组患者拔管后数字评分量表(numeric rating scale,NRS)评分显著低于对照组(P<0.01),术后24h、48h活动时和静息时的躯体痛、内脏痛NRS评分均显著低于对照组(P<0.05)。TEAS组患者术后首次进水时间早于对照组(P<0.05)。结论术前给予腹腔镜结直肠癌根治术患者TEAS,可显著减轻术后躯体、内脏疼痛,减少术后躁动的发生,提高患者术后的舒适度和康复质量。

Objective To investigate the effect of transcutaneous electrical acupoint stimulation(TEAS)on pain and rapid recovery in patients after laparoscopic radical resection of colorectal cancer.Methods Patients who underwent elective laparoscopic radical resection of colorectal cancer under general anesthesia in the First Affiliated Hospital of Wenzhou Medical University from July to December 2021 were selected as the research subjects.According to the random numbers generated by Stata SE 15,the patients were divided into TEAS group and control group.The patients in TEAS group were electrically stimulated with a stimulator on the bilateral Zusanli and Sanyinjiao acupoints 30 minutes before induction of anesthesia,stimulation time 30min.The patients in control group got electrode pads stick on the above acupoints but did not receive any electrical stimulation.The postoperative pain and fast recovery related indicators were observed in two groups.Results Grade of agitation after extubation in TEAS group was significantly lower than control group(P<0.01).Numeric rating scale(NRS)score after extubation in TEAS group was significantly lower than control group(P<0.01).At 24h and 48h after operation,the NRS scores of physical pain and visceral pain and at activity and rest were significantly lower than those in control group(P<0.05).The postoperative first water intake time of TEAS group was earlier than that in control group(P<0.05).Conclusion TEAS is used for patients undergoing laparoscopic radical resection of colorectal cancer,which can significantly improve postoperative body and visceral pain,reduce postoperative agitation,improve postoperative comfort and recovery quality.