The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial
Background: Postoperative nausea and vomiting (PONV) is one of the most common complications after general anesthesia. The traditional comprehensive management of PONV usually uses one or two drugs, but this regimen fails to meet the requirements of the latest version of PONV guidelines. The purpose...
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MDPI AG
2023-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/3/1192 |
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| author | Jiazhu Qin Xiaoxiao Ye Changzhou Ye Xuliang Huang Huanhuan Sun Xinyu Zhao Yao Tong Manala Mazomba Yunchang Mo |
| author_facet | Jiazhu Qin Xiaoxiao Ye Changzhou Ye Xuliang Huang Huanhuan Sun Xinyu Zhao Yao Tong Manala Mazomba Yunchang Mo |
| author_sort | Jiazhu Qin |
| collection | DOAJ |
| description | Background: Postoperative nausea and vomiting (PONV) is one of the most common complications after general anesthesia. The traditional comprehensive management of PONV usually uses one or two drugs, but this regimen fails to meet the requirements of the latest version of PONV guidelines. The purpose of this study was to evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) on high-risk PONV patients who are undergoing laparoscopic gynecological surgery. Methods: In total, 162 high-risk PONV patients were randomly divided into an experimental group (<i>n</i> = 81) and a control group (<i>n</i> = 81). Both groups were injected with 4 mg of dexamethasone and 0.25 mg of palonosetron. In the experimental group, Nei-guan (PC6) and He-gu (LI4) were stimulated by a transcutaneous acupoint electrical stimulation instrument (HANS200E) 30 min before the surgery. The control group also received electrodes but no stimulation. Variance analysis and rank sum test were used to compare the differences between the two groups. Results: The results of the incidence of postoperative nausea, vomiting, NRS score, degree of abdominal distension, and time to first flatus in the experimental group were lower than those in the control group. Nursing satisfaction of the experimental group was higher than that of the control group. Conclusions: The study demonstrates that TEAS combined with dexamethasone and palonosetron can effectively prevent PONV, reduce postoperative abdominal distension and postoperative pain, and shorten the first postoperative flatus time in high-risk patients with PONV. At the same time, it can improve nursing satisfaction. |
| first_indexed | 2024-03-11T09:38:24Z |
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| language | English |
| last_indexed | 2024-03-11T09:38:24Z |
| publishDate | 2023-02-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-df749dc635744f31ad25ff31f25180472023-11-16T17:13:04ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01123119210.3390/jcm12031192The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled TrialJiazhu Qin0Xiaoxiao Ye1Changzhou Ye2Xuliang Huang3Huanhuan Sun4Xinyu Zhao5Yao Tong6Manala Mazomba7Yunchang Mo8Anesthesia Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, ChinaAnesthesia Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, ChinaAnesthesia Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, ChinaAnesthesia Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, ChinaAnesthesia Department, Taizhou Hospital of Zhejiang Province, Taizhou 318000, ChinaAnesthesia Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, ChinaAnesthesia Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, ChinaInstitute of International Education, Wenzhou Medical University, Ouhai District, Wenzhou 325000, ChinaAnesthesia Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, ChinaBackground: Postoperative nausea and vomiting (PONV) is one of the most common complications after general anesthesia. The traditional comprehensive management of PONV usually uses one or two drugs, but this regimen fails to meet the requirements of the latest version of PONV guidelines. The purpose of this study was to evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) on high-risk PONV patients who are undergoing laparoscopic gynecological surgery. Methods: In total, 162 high-risk PONV patients were randomly divided into an experimental group (<i>n</i> = 81) and a control group (<i>n</i> = 81). Both groups were injected with 4 mg of dexamethasone and 0.25 mg of palonosetron. In the experimental group, Nei-guan (PC6) and He-gu (LI4) were stimulated by a transcutaneous acupoint electrical stimulation instrument (HANS200E) 30 min before the surgery. The control group also received electrodes but no stimulation. Variance analysis and rank sum test were used to compare the differences between the two groups. Results: The results of the incidence of postoperative nausea, vomiting, NRS score, degree of abdominal distension, and time to first flatus in the experimental group were lower than those in the control group. Nursing satisfaction of the experimental group was higher than that of the control group. Conclusions: The study demonstrates that TEAS combined with dexamethasone and palonosetron can effectively prevent PONV, reduce postoperative abdominal distension and postoperative pain, and shorten the first postoperative flatus time in high-risk patients with PONV. At the same time, it can improve nursing satisfaction.https://www.mdpi.com/2077-0383/12/3/1192transcutaneous electrical acupoint stimulation (TEAS)high-risk patients with PONVnausea and vomitingrandomized controlled trial |
| spellingShingle | Jiazhu Qin Xiaoxiao Ye Changzhou Ye Xuliang Huang Huanhuan Sun Xinyu Zhao Yao Tong Manala Mazomba Yunchang Mo The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial Journal of Clinical Medicine transcutaneous electrical acupoint stimulation (TEAS) high-risk patients with PONV nausea and vomiting randomized controlled trial |
| title | The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial |
| title_full | The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial |
| title_fullStr | The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial |
| title_full_unstemmed | The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial |
| title_short | The Effect of Transcutaneous Electrical Acupoint Stimulation on High-Risk Patients with PONV Undergoing Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial |
| title_sort | effect of transcutaneous electrical acupoint stimulation on high risk patients with ponv undergoing laparoscopic gynecologic surgery a randomized controlled trial |
| topic | transcutaneous electrical acupoint stimulation (TEAS) high-risk patients with PONV nausea and vomiting randomized controlled trial |
| url | https://www.mdpi.com/2077-0383/12/3/1192 |
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