上海针灸杂志2026，Vol.45Issue(5)：485-490,6.DOI:10.13460/j.issn.1005-0957.2025.14.0019
经皮穴位电刺激对妇科腹腔镜术后早期康复的影响
Effect of transcutaneous electrical acupoint stimulation on early postoperative recovery after gynecological laparoscopic surgery
摘要
Abstract
Objective To observe the effects of perioperative application of transcutaneous electrical acupoint stimulation(TEAS)combined with the enhanced recovery after surgery(ERAS)protocol on early postoperative recovery in patients undergoing gynecological laparoscopic surgery.Method Eighty patients scheduled for elective laparoscopic resection of benign gynecological tumors were randomly assigned to an observation group(TEAS group,T group)and a control group(C group),with 40 patients in each group.Both groups were managed under the ERAS protocol.In the T group,TEAS was applied perioperatively;in the C group,electrode pads were placed at the same acupoints and time points as in the T group,but without electrical stimulation.The preoperative anxiety scores;intraoperative remifentanil consumption;intraoperative blood pressure stability index;reduction in blood glucose levels 30 min after skin incision compared with baseline;postoperative pain visual analog scale(VAS)scores;postoperative nausea and vomiting(PONV)VAS scores;Pittsburgh sleep quality index(PSQI)score on the night after surgery;incidence of abdominal distension;time to first postoperative flatus;and quality of recovery-15(QoR-15)score at 24 h postoperatively were observed.Result Compared with the C group,the T group showed significantly lower preoperative anxiety scores on the morning of surgery,reduced intraoperative remifentanil consumption,and a lower blood pressure stability index(P＜0.05).Postoperative pain and PONV VAS scores at 30 min,6 h,and 24 h after surgery were significantly lower in the T group than in the C group(P＜0.05).The PSQI score on the night after surgery and the incidence of abdominal distension were also lower in the T group(P＜0.05).The QoR-15 score at 24 h postoperatively was higher in the T group(P＜0.05),and the time to first postoperative flatus was significantly shorter than that in the C group(P＜0.05).Conclusion Perioperative application of TEAS combined with the ERAS protocol can alleviate preoperative anxiety,reduce intraoperative remifentanil consumption,relieve postoperative pain,accelerate recovery of gastrointestinal function,improve sleep quality,enhance patient comfort,and promote early postoperative recovery in patients undergoing gynecological laparoscopic surgery.关键词
穴位疗法/电刺激疗法/经皮穴位电刺激/术后加速康复/妇科/腹腔镜/手术后并发症Key words
Acupoint therapy/Electrical stimulation therapy/Transcutaneous electrical acupoint stimulation/Enhanced recovery after surgery/Gynecology/Laparoscopy/Postoperative complications分类
医药卫生引用本文复制引用
陈丽,朱静德,刘欢欢,黄捷思,吕东森,康力,姜斌,张春如..经皮穴位电刺激对妇科腹腔镜术后早期康复的影响[J].上海针灸杂志,2026,45(5):485-490,6.基金项目
深圳市宝安区科技创新局科研立项项目(2021JD193) （2021JD193）
