title: Transcutaneous Electrical Acupoint Stimulation Improves the Postoperative Quality of Recovery and Analgesia after Gynecological Laparoscopic Surgery: A Randomized Controlled Trial.
abstract: Background. We conducted this prospective, randomized, double-blind, placebo-controlled study to evaluate the effects of transcutaneous electric acupoint stimulation (TEAS) on the quality of recovery (QoR) and postoperative analgesia after gynecological laparoscopic surgery. Methods. 74 American Society of Anesthesiologists physical status (ASA) I or II patients undergoing gynecological laparoscopic surgery were randomly allocated to TEAS or control groups. The primary outcome was the quality of recovery, which was assessed on the day before surgery and 24 h after surgery using a 40-item questionnaire. Secondary outcomes included postoperative pain scores, the incidence of postoperative nausea and vomiting (PONV), duration of postanesthesia care unit (PACU) stay, and patient's satisfaction. Results. The TEAS group had higher QoR scores than control group upon 24 h after surgery (177 versus 165; P < 0.001). Compared with the control group, postoperative pain scores and the cumulative number of opioids administered were lower in the TEAS group patients (P = 0.04). TEAS reduced the incidence of PONV and dizziness, as well as duration of PACU stay. Simultaneously, the patient's satisfaction scores were higher in the TEAS group (P = 0.002). Conclusion. Preoperative TEAS enhances QoR, improves postoperative analgesia and patient's satisfaction, alleviates postoperative side effects, and accelerates discharge after general anesthesia for gynecological laparoscopic surgery.
authors.affiliation: Department of Anesthesiology, The Shengli Clinical Medical College of Fujian Medical University and Fujian Provincial Hospital, Fuzhou 350001, China.
authors.forename: Yusheng
authors.initials: Y
authors.lastname: Yao
authors.affiliation: Department of Anesthesiology, The Shengli Clinical Medical College of Fujian Medical University and Fujian Provincial Hospital, Fuzhou 350001, China.
authors.forename: Qiuyan
authors.initials: Q
authors.lastname: Zhao
authors.affiliation: Department of Anesthesiology, The Shengli Clinical Medical College of Fujian Medical University and Fujian Provincial Hospital, Fuzhou 350001, China.
authors.forename: Cansheng
authors.initials: C
authors.lastname: Gong
authors.affiliation: Department of Anesthesiology, The Shengli Clinical Medical College of Fujian Medical University and Fujian Provincial Hospital, Fuzhou 350001, China.
authors.forename: Yihuan
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Traditional Chinese Medicine, Fujian Provincial Hospital, Fuzhou 350001, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Anesthesiology, The Shengli Clinical Medical College of Fujian Medical University and Fujian Provincial Hospital, Fuzhou 350001, China.
authors.forename: Liangcheng
authors.initials: L
authors.lastname: Qiu
authors.affiliation: Department of Anesthesiology, The Shengli Clinical Medical College of Fujian Medical University and Fujian Provincial Hospital, Fuzhou 350001, China.
authors.forename: Xiaodan
authors.initials: X
authors.lastname: Wu
authors.affiliation: Department of Anesthesiology, The Shengli Clinical Medical College of Fujian Medical University and Fujian Provincial Hospital, Fuzhou 350001, China.
authors.forename: Yanqing
authors.initials: Y
authors.lastname: Chen