Effect of Transcutaneous Electrical Acupoint Stimulation Combined with Transversus Abdominis Plane Block on Postoperative Recovery in Elderly Patients Undergoing Laparoscopic Gastric Cancer Surgery: A Randomized Controlled Trial

Xing, Ruyi; Yang, Yang; Zhang, Min; Wang, Hanyu; Tan, Mengyuan; Chen, Gao; Yang, Chao; Zhai, Mingyu; Xie, Yanhu

doi:10.1007/s40122-022-00429-2

Cited by 17 publications

(14 citation statements)

References 42 publications

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“…We found that the TEAS group had significantly lower incidence of abdominal distension and PONV, which is consistent with findings from several previous studies [ 34 , 35 ]. One possible mechanism for this effect is that acupuncture may increase the release of β-endorphin and promote the secretion of corticosteroids in the brain.…”

Section: Discussionsupporting

confidence: 93%

“…TEAS is a new derivative of traditional acupuncture or electroacupuncture (EA) that may be a viable way to improve the sleep quality after surgery because of its potential to reduce pain and injury, lower infection incidence and improve patient tolerance. Some studies have demonstrated that TEAS can improve sleep quality after video-assisted thoracoscopic surgery and enhance recovery after laparoscopic gastric cancer surgery [ 34 , 35 ]. However, the impacts of TEAS on postoperative GI cancer patients and its underlying mechanism are still unclear.…”

Section: Discussionmentioning

confidence: 99%

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Transcutaneous Electrical Acupoint Stimulation Improves Postoperative Sleep Quality in Patients Undergoing Laparoscopic Gastrointestinal Tumor Surgery: A Prospective, Randomized Controlled Trial

Wang

et al. 2023

Pain Ther

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Introduction This study was conducted to observe the effect of transcutaneous electrical acupoint stimulation (TEAS) on the postoperative sleep quality of patients undergoing gastrointestinal tumor surgery and to verify the possible mechanism. Methods Eighty-three patients were allocated to the TEAS or Sham group. Patients in the TEAS group received TEAS treatment (disperse-dense waves; frequency, 2/100 Hz) on bilateral Shenmen (HT7), Neiguan (PC6) and Zusanli (ST36) points for 30 min each time, total three times in the perioperative period. In the Sham group, electrodes were placed; however, no current was given. Sleep quality was assessed on the day before surgery (P1) and the first and third days after surgery (D1 and D3) using the Pittsburgh Sleep Quality Index (PSQI) and Athens Insomnia Scale (AIS). Postoperative pain was assessed using visual analog scale (VAS) 72 h postoperatively. The incidences of abdominal distension, dizziness, postoperative nausea and vomiting (PONV) and pulmonary complications were recorded. Serum levels of inflammatory cytokines and the expression of key factors of oxidative stress and key molecules of the nuclear factor erythroid 2-related factor 2/antioxidant response element (Nrf2/ARE) signal pathway were measured. Results TEAS ameliorated sleep quality at D1 and D3 (PSQI P < 0.05, AIS P < 0.05) and decreased postoperative pain as demonstrated by lower VAS scores compared to the Sham group ( P < 0.05). The incidences of abdominal distension and PONV were also lower in the TEAS group. Markers of oxidative stress were increased ( P < 0.05), and the serum concentration of interleukin-6 (IL-6) was significantly lower in the TEAS group. The key mediators of the Nrf2/ARE pathway were enhanced after TEAS. Conclusion Perioperative TEAS improved postoperative sleep quality, reduced postoperative pain and alleviated postoperative adverse effects in patients undergoing laparoscopic gastrointestinal tumor surgery resection. This may be associated with activating Nrf2/ARE signal pathway and decreasing its inflammatory actions. Trial registration Chinese Clinical Trial Registry ( http://www.chictr.org.cn/index.aspx ), ChiCTR2100054971.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Transcutaneous Electrical Acupoint Stimulation Improves Postoperative Sleep Quality in Patients Undergoing Laparoscopic Gastrointestinal Tumor Surgery: A Prospective, Randomized Controlled Trial

Wang

et al. 2023

Pain Ther

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“…Five included studies [8,9,11,13,15] documented the incidence of PONV, the result suggested that TEAS reduced the incidence of PONV (RR 0.49, 95%-CI [0.32, 0.74], P = 0.007), as our previous meta-analysis indicated [4] . Additionally, 2 included studies [9,16] recorded the incidence of cough, as well as agitation [8,9] during extubation.…”

Section: Teas Reduced the Incidence Of Adverse Events During Extubationmentioning

confidence: 76%

“…We analyzed the surgical and anesthesia time in this meta-analysis. Nine included studies [8][9][10][11][12][13][14][15]17] recorded the surgical time, and 6 studies [9,10,[12][13][14]17] recorded the anesthesia time. The result suggested TEAS had no effects on surgical (SMD 0.12, 95%-CI [-0.01, 0.26], P = 0.07) and anesthesia time (SMD 0.15, 95%-CI [-0.15, 0.45], P = 0.32).…”

Section: Teas Have No Effects On Surgical and Anesthesia Timementioning

confidence: 99%

Transcutaneous electrical acupoint stimulation shortens the time to extubation after surgery: a systemic review and meta-analysis

Zhong,

Zhu,

Wang

et al. 2024

Preprint

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Background The delayed extubation time after often accompany with many adverse events. The purpose of the study was to evaluate the effects of transcutaneous electrical acupoint stimulation (TEAS) on the extubation time and adverse events after surgery. Methods The randomized controlled trials related to apply TEAS during perioperative period were searched in the database of Cochrane Library, PubMed, Web of Science, Embase, CNKI from the inception to Apil 2024. The main outcome was the extubation time after surgery, and the secondary outcomes were the consumption of analgesics, adverse events during extubation, time of surgery and anesthesia. Data were pooled and analyzed by RevMan 5.3 software. Results The study enrolled 9 studies, including 1039 participants. The current results indicated that the application of TEAS effectively shortened the extubation time after surgery (SMD − 0.55 95%-CI [-0.84; -0.26], P = 0.0002), as well as time to recall after surgery (SMD − 0.18 95%-CI [-0.32; -0.03], P = 0.02). TEAS also reduced the consumption of remifentanail during surgery (SMD − 1.15 95%-CI [-1.72, -0.59], P < 0.00001). In addition, TEAS reduced the incidence of PONV (RR 0.49, 95%-CI [0.32, 0.74], P = 0.007), cough (RR 0.53, 95%-CI [0.31, 0.90], P = 0.02) and agitation (RR 0.31, 95%-CI [0.14, 0.67], P = 0.003) during extubation period. While TEAS have no effects on surgical (SMD 0.12, 95%-CI [-0.01, 0.26], P = 0.07) and anesthesia time (SMD 0.15, 95%-CI [-0.15, 0.45], P = 0.32). Conclusions The study suggested that application of TEAS effectively shortened the time to extubation and recall after surgery. TEAS also reduce the consumption of analgesics, and adverse events after surgery, but have no effects on surgical and anesthesia time. Which may positively improve the enhanced recovery of patients after surgery. Trial registration CRD42018099275

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“…To the Editor, In a single-center double-blind randomized controlled trial with a total of 90 patients undergoing elective laparoscopic gastric cancer surgery, Xing et al [1] assessed the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with transversus abdominis plane block (TAPB) on the outcomes of postoperative recovery. They showed that TEAS combined with TAPB enhanced early postoperative recovery defined by the quality of recovery-15 (QoR-15) score and improved postoperative pain control and immune function.…”

mentioning

confidence: 99%

Letter to the Editor Regarding “Effect of Transcutaneous Electrical Acupoint Stimulation Combined with Transversus Abdominis Plane Block on Postoperative Recovery in Elderly Patients Undergoing Laparoscopic Gastric Cancer Surgery: A Randomized Controlled Trial”

2023

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Effect of Transcutaneous Electrical Acupoint Stimulation Combined with Transversus Abdominis Plane Block on Postoperative Recovery in Elderly Patients Undergoing Laparoscopic Gastric Cancer Surgery: A Randomized Controlled Trial

Cited by 17 publications

References 42 publications

Transcutaneous Electrical Acupoint Stimulation Improves Postoperative Sleep Quality in Patients Undergoing Laparoscopic Gastrointestinal Tumor Surgery: A Prospective, Randomized Controlled Trial

Transcutaneous Electrical Acupoint Stimulation Improves Postoperative Sleep Quality in Patients Undergoing Laparoscopic Gastrointestinal Tumor Surgery: A Prospective, Randomized Controlled Trial

Transcutaneous electrical acupoint stimulation shortens the time to extubation after surgery: a systemic review and meta-analysis

Letter to the Editor Regarding “Effect of Transcutaneous Electrical Acupoint Stimulation Combined with Transversus Abdominis Plane Block on Postoperative Recovery in Elderly Patients Undergoing Laparoscopic Gastric Cancer Surgery: A Randomized Controlled Trial”

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