Li Hao, Wen Qian, Hu Hang-Qi, He Ying, Pan Hui, Li Ning
Department of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Rehabilitation Medicine, West China Fourth Hospital, Sichuan University.
Zhongguo Zhen Jiu. 2023 Feb 12;43(2):135-40. doi: 10.13703/j.0255-2930.20220505-0002.
To observe the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with electroacupuncture (EA) on rehabilitation after abdominal surgery.
A total of 320 patients undergoing abdominal surgery were randomly divided into a combination group (80 cases), a TEAS group (80 cases, 1 case discontinued), an EA group (80 cases, 1 case discontinued) and a control group (80 cases, 1 case discontinued). The patients in the control group received enhance recovery after surgery (ERAS) standardized perioperative management. On the basis of the treatment in the control group, the TEAS group was treated with TEAS at Liangmen (ST 21) and Daheng (SP 15); the EA group was treated with EA at Neiguan (PC 6), Hegu (LI 4), Zusanli (ST 36), Shangjuxu (ST 37) and Xiajuxu (ST 39); the combination group was treated with TEAS combined with EA, with continuous wave, 2-5 Hz in frequency, and the intensity was tolerable to the patients, 30 min each time, once a day, from the first day after surgery, until the anus resumed spontaneous defecation and the oral intake of solid food was tolerated. The gastrointestinal-2 (GI-2) time, first exhaust time, first defecation time, first tolerance of oral intake of solid food time, time of first get out of bed and hospital stay were observed in all the groups; the pain visual analogue scale (VAS) score and incidence rates of nausea and vomiting 1, 2, 3 days after surgery were compared in all the groups; after treatment, the acceptability of each treatment was evaluated by patients in each group.
Compared with the control group, the GI-2 time, first exhaust time, first defecation time, first tolerance of oral intake of solid food time were shortened (<0.05), the VAS scores 2, 3 days after surgery were decreased (<0.05) in the combination group, the TEAS group and the EA group; those in the combination group were shorter and lower than the TEAS group and the EA group (<0.05). Compared with the control group, the time of hospital stay in the combination group, the TEAS group and the EA group were shortened (<0.05), and that in the combination group was shorter than the TEAS group (<0.05).
TEAS combined with EA can accelerate the recovery of gastrointestinal function in patients after abdominal surgery, relieve postoperative pain, and shorten hospital stay.
观察经皮穴位电刺激（TEAS）联合电针（EA）对腹部手术后康复的影响。
将320例行腹部手术的患者随机分为联合组（80例）、TEAS组（80例，1例退出）、EA组（80例，1例退出）和对照组（80例，1例退出）。对照组患者接受术后加速康复（ERAS）标准化围手术期管理。在对照组治疗的基础上，TEAS组于梁门（ST21）、大横（SP15）行TEAS治疗；EA组于内关（PC6）、合谷（LI4）、足三里（ST36）、上巨虚（ST37）和下巨虚（ST39）行EA治疗；联合组采用TEAS联合EA治疗，连续波，频率2 - 5Hz，强度以患者耐受为宜，每次30分钟，每天1次，自术后第1天开始，直至肛门恢复自主排便且能耐受固体食物经口摄入。观察所有组的胃肠功能恢复-2（GI-2）时间、首次排气时间、首次排便时间、首次耐受固体食物经口摄入时间、首次下床时间和住院时间；比较所有组术后1、2、3天的疼痛视觉模拟评分（VAS）及恶心呕吐发生率；治疗后，评估各组患者对各治疗方法的接受度。
与对照组比较，联合组、TEAS组和EA组的GI-2时间、首次排气时间、首次排便时间、首次耐受固体食物经口摄入时间均缩短（<0.05），术后2、3天的VAS评分降低（<0.05）；联合组的上述指标短于和低于TEAS组和EA组（<0.05）。与对照组比较，联合组、TEAS组和EA组的住院时间缩短（<0.05），联合组短于TEAS组（<0.05）。
TEAS联合EA可促进腹部手术后患者胃肠功能恢复，减轻术后疼痛，缩短住院时间。
