Transcutaneous acupoint electrical stimulation pain management after surgical abortion: A cohort study

Xu, Feng; Ye, Tianshen; Wang, Zedong; Chen, Xiufang; Cong, Wenjie; Chen, Yong; Chen, Pinjie; Chen, Chong; Shi, Bingjie; Xie, Wei‐Fen

doi:10.1016/j.ijsu.2016.04.042

Cited by 13 publications

(15 citation statements)

References 17 publications

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“…Considered together, the results of the present study are supported by a number of studies that showed that TEAS can be successfully used to manage pain. [24][25][26] In addition, it refined the results of one of our previous studies 13 in determining which patients could benefit the most from TEAS and under which conditions. Nevertheless, this study has some limitations.…”

Section: Discussionmentioning

confidence: 91%

“…At present, TEAS intervention during surgical abortion pain management included only studies in nulliparous women. 13 Considered together, the results showed that the best analgesic effect of TEAS during surgical abortion was achieved in women aged between 25 and 30 years; nulliparous women but at least at their second pregnancy (G ≥2 P 0 A ≥1 ); using the Sanyinjiao (SP 6) and Taichong (LR 3) acupoints; and using a stimulation time of 15 min. In order to reflect the stability and fluctuation of the vital signs, BP, MAP, SPO 2 and HR were monitored, and there were no significant fluctuations during surgical abortion under TEAS.…”

Section: Discussionmentioning

confidence: 98%

“…Therefore, ≤25, between 25 and 30 years and >30 years were selected as age parameters. At present, TEAS intervention during surgical abortion pain management included only studies in nulliparous women . Considered together, the results showed that the best analgesic effect of TEAS during surgical abortion was achieved in women aged between 25 and 30 years; nulliparous women but at least at their second pregnancy (G ≥2 P 0 A ≥1 ); using the Sanyinjiao (SP 6) and Taichong (LR 3) acupoints; and using a stimulation time of 15 min.…”

Section: Discussionmentioning

confidence: 99%

“…As no control group was included in the present study, we cannot conclude from that TEAS decreased pain in all patients as there was no comparator. It has to be inferred from our previous study …”

Section: Discussionmentioning

confidence: 99%

“…6 TEAS is widely used for analgesia, [7][8][9][10][11] especially for gynecological surgery and labor. 12 A previous study by our group showed that TEAS may play a supporting role during surgical abortion, 13 but there is no available study about the TEAS parameters associated with the most appropriate management of pain during surgical abortion.…”

Section: Introductionmentioning

confidence: 99%

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Pain management of surgical abortion using transcutaneous acupoint electrical stimulation: An orthogonal prospective study

Wang

Chen

et al. 2018

J of Obstet and Gynaecol

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AimThis study aimed to evaluate the optimal combination of parameters for the management of pain during surgical abortion using transcutaneous acupoint electrical stimulation (TEAS).MethodsThis study recruited patients scheduled for surgical abortion between October 2014 and August 2015. The treatment protocol was created using three levels for each factor (stimulating time, acupoints, age, and parity). The primary outcomes were intraoperative visual analog scale (VAS), postoperative VAS, cervical relaxation degree and intraoperative blood loss. The secondary outcomes were the vital signs.ResultsStimulation time was associated with intraoperative VAS scores (P < 0.001), acupoints were associated with postoperative VAS scores (P = 0.037), and age was associated with postoperative VAS scores (P < 0.043). Parity (P = 0.025) was associated with heart rate. A comprehensive analysis of the parameters revealed the best levels for each (stimulation time: from 15 min before operation to immediate postoperative; acupoints: SP 6 and LR 3; patient age 25.1–30.0 years; and parity: G≥2P0A≥1). Seven patients did not complete follow‐up. The remaining 135 subjects did not show continuous vaginal bleeding, abdominal pain, fever or any other adverse effect.ConclusionDuring surgical abortion, TEAS stimulation from 15 min before operation to immediate postoperative, SP 6 and LR 3, age 25.1–30.0 years and G≥2P0A≥1 were associated with the best analgesic effect.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pain management of surgical abortion using transcutaneous acupoint electrical stimulation: An orthogonal prospective study

Wang

Chen

et al. 2018

J of Obstet and Gynaecol

Self Cite

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Acupuncture Treatment for Pain: Clinical and Laboratory Research

Wang¹,

Sui²,

Xia

et al. 2019

Translational Acupuncture Research

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Effect of transcutaneous electrical acupoint stimulation on postoperative analgesia after ureteroscopic lithotripsy: a randomized controlled trial

Gan

Shi

et al. 2018

Urolithiasis

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Transcutaneous electrical acupoint stimulation (TEAS) is an effective analgesic measure. We studied the analgesic effect of TEAS by applying it alone after ureteroscopic lithotripsy, rather than applying it as a supplementary analgesic measure. Participants (n = 120) scheduled to undergo ureteroscopic holmium laser lithotripsy, were enrolled and randomly assigned into Group T (TEAS n = 60) and Group C (Control, n = 60). The participants in Group T were treated with TEAS for postoperative analgesia. TEAS were implemented on bilateral Shenyu (BL23) and Yinlingquan (SP9) at the time backward and the time at 4, 8, 12 h postoperatively. TEAS was re-implemented three times on the target acupoints for the next 2 days. When TEAS failed to meet the analgesic effect, the participants were given tramadol hydrochloride tablets of 100 mg. Participants of Group C were given tramadol hydrochloride tablets for postoperative analgesia. The primary outcome of VAS scores at the time backward (T), 4 h (T), 12 h (T), 24 h (T), 48 h (T) postoperatively and the amount of remedy for analgesic consumption within 48 h postoperatively were compared. The secondary outcome of adverse reactions and plasma concentrations of serotonin (5-HT) and substance P (SP) at T, T, T, T, T were detected, respectively. The VAS scores at T, T, T, T postoperatively in two groups were lower than T. Compared to group C, the VAS scores at T (3.68 ± 0.68 vs. 4.79 ± 0.82, P = 0.01), T (2.64 ± 0.72 vs. 3.92 ± 0.88, P = 0.03), T (2.21 ± 0.88 vs. 3.38 ± 0.74, P < 0.01) in Group T were lower, and total remedy of analgesic consumption was significantly lower (127.14 ± 28.46 vs. 415.27 ± 86.37, P < 0.01) within 48 h postoperatively. The plasma concentrations of 5-HT in Group T was lower than Group C at T (348.54 ± 138.49 vs. 418.69 ± 124.68, P = 0.03), T (324.28 ± 112.73 vs. 398.52 ± 114.53, P < 0.01), T (309.64 ± 129.09 vs. 388.46 ± 115.36, P = 0.04) postoperatively and concentrations of SP at T (59.38 ± 24.68 vs. 78.93 ± 26.32, P < 0.01), T (49.36 ± 25.55 vs. 66.49 ± 23.57, P = 0.02), T (42.19 ± 24.36 vs. 64.15 ± 28.16, P = 0.04), T (39.26 ± 19.88 vs. 54.64 ± 20.62, P = 0.02) postoperatively were also lower than Group C. Meanwhile, the occurrences of vertigo (6.7 vs. 18.3%, P < 0.01), nausea and vomiting (11.7 vs. 21.7%, P < 0.01), constipation (10.0 vs. 20.0%, P = 0.03) in Group T were also lower. Application of TEAS alone was associated with effective alleviation of postoperative pain, reduction of postoperative analgesics consumption, decrease of plasma concentration of algogenic substance and the incidence of adverse reactions after ureteroscopic lithotripsy.

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Transcutaneous acupoint electrical stimulation pain management after surgical abortion: A cohort study

Abstract: Transcutaneous acupoint electrical stimulation shows potential as an adjunct to conventional pain treatment following surgical abortion in nulliparae.

Cited by 13 publications

References 17 publications

Pain management of surgical abortion using transcutaneous acupoint electrical stimulation: An orthogonal prospective study

Pain management of surgical abortion using transcutaneous acupoint electrical stimulation: An orthogonal prospective study

Acupuncture Treatment for Pain: Clinical and Laboratory Research

Effect of transcutaneous electrical acupoint stimulation on postoperative analgesia after ureteroscopic lithotripsy: a randomized controlled trial

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