Tahmasbi Fateme, Sanaie Sarvin, Eslami Sahand, Rahimi-Mamaghani Alireza
Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz, University of Medical Sciences, Tabriz, Iran; Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Pain Manag Nurs. 2025 Feb;26(1):111-124. doi: 10.1016/j.pmn.2024.12.005. Epub 2025 Jan 11.
Transcutaneous Electrical Acupoint Stimulation (TEAS) is a noninvasive technique that involves the application of electrical stimulation to specific acupoints on the skin. This meta-analysis aimed to evaluate the clinical efficacy of TEAS in alleviating postoperative pain after gynecological surgeries.
A systematic search of multiple electronic databases was carried out to identify relevant studies that investigated the use of TEAS for postoperative pain management in gynecological surgery settings.
After screening and data extraction, a total of 10 randomized controlled trials (RCTs) were included in the meta-analysis. The results of the meta-analysis showed that TEAS was associated with reduction in postoperative pain intensity compared to control interventions, such as sham stimulation or conventional analgesics. However, this reduction was statistically insignificant (p > .05). Additionally, TEAS was found to be effective in reducing the consumption of analgesic medications and improving patient satisfaction with pain management. The assessment of certainty of evidence revealed a grading of low to moderate.
Overall, the findings of this meta-analysis suggest that TEAS may be a promising adjunctive therapy for alleviating postoperative pain in gynecological surgery patients. However, caution should be exercised when interpreting the results and making clinical recommendations based on the low to moderate quality of the current evidence. Further high-quality studies are needed to confirm these results and establish optimal treatment protocols for TEAS in this patient population.
经皮穴位电刺激（TEAS）是一种非侵入性技术，涉及对皮肤上特定穴位施加电刺激。本荟萃分析旨在评估TEAS在减轻妇科手术后疼痛方面的临床疗效。
对多个电子数据库进行系统检索，以识别在妇科手术环境中研究使用TEAS进行术后疼痛管理的相关研究。
经过筛选和数据提取，共有10项随机对照试验（RCT）纳入荟萃分析。荟萃分析结果显示，与假刺激或传统镇痛药等对照干预措施相比，TEAS与术后疼痛强度降低相关。然而，这种降低在统计学上不显著（p>.05）。此外，发现TEAS在减少镇痛药消耗和提高患者对疼痛管理的满意度方面有效。证据确定性评估显示为低到中等等级。
总体而言，本荟萃分析结果表明，TEAS可能是减轻妇科手术患者术后疼痛的一种有前景的辅助治疗方法。然而，鉴于当前证据质量低到中等，在解释结果和提出临床建议时应谨慎。需要进一步的高质量研究来证实这些结果，并为该患者群体建立TEAS的最佳治疗方案。
