Transcutaneous Electrical Acupoint Stimulation Accelerates the Recovery of Patients Undergoing Laparoscopic Myomectomy: A Randomized Controlled Trial

Abstract

Purpose

To evaluate transcutaneous electrical acupoint stimulation (TEAS) on the perioperative rehabilitation of patients undergoing laparoscopic myomectomy.

Patients and Methods

One hundred and five women undergoing laparoscopic hysteromyomectomy were randomly divided into TEAS group (Group T) and control group (Group C). Propofol and remifentanil were used to stabilize patient blood pressure and keep BIS between 40 and 60. Group T patients received TEAS at LI4/PC6 30 minutes before the operation and lasting until the end of anesthesia, followed by TEAS at ST36/SP6 for 30 minutes in PACU. All required indicators were recorded.

Results

Group T patients required lower dosages of remifentanil and vasoactive drugs, and had a reduced incidence of propofol injection pain and intraoperative hypotension compared to Group C. Group T also had a lower maximum NRS score in PACU, lower NRS scores at 1 hour and 24 hours, and a lower incidence of vomiting within 24 hours. In addition, the QoR-40 score for Group T at 24 hours after operation was higher in terms of physical comfort, emotional state, pain and total score.

Conclusion

TEAS can reduce the amount of anesthetic, maintain hemodynamic stability, reduce postoperative pain, reduce postoperative vomiting, enhance the recovery of gastrointestinal function, increase the quality of postoperative recovery and thus accelerate overall patient recovery.

Keywords:

• TEAS
• laparoscopic myomectomy
• QoR-40

Data Sharing Statement

Once received, the clinical datasets generated during and/or analyzed during the current study are available from Junlu WANG ([email protected]) on reasonable request within 6 months.

Acknowledgment

We thank all the individuals who contributed to this study. This work was supported by the National Foundation of Natural Science of China (No.81573742 and 82104622) and the Wenzhou Municipal Science and Technology Bureau (No:Y20180568),the Yuhuan Municipal Science and Technology Bureau (No:Y202211).

Disclosure

The authors report no conflicts of interest in this work.