Effect of transcutaneous electrical acupoint stimulation on postoperative gastrointestinal function during perioperative period:a meta-analysis
10.12089/jca.2024.02.012
- VernacularTitle:围术期经皮穴位电刺激对术后胃肠功能影响的Meta分析
- Author:
Meilu YU
1
;
Xiao LIANG
;
Juan ZHU
;
Weiqian TIAN
;
Saiya ZHANG
;
Aonan HONG
Author Information
1. 210004 南京中医药大学附属医院麻醉科
- Keywords:
Transcutaneous electrical acupoint stimulation;
Postoperative gastrointestinal function;
Meta-analysis;
Perioperative period
- From:
The Journal of Clinical Anesthesiology
2024;40(2):170-177
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the clinical effect of transcutaneous electrical acupoint stimulation(TEAS)on promoting postoperative gastrointestinal function recovery.Methods Randomized controlled trials(RCTs)related to postoperative gastrointestinal function using TEAS were re-trieved from the CNKI,WanFang,VIP,Embase,and PubMed database.RCTs on the effects of TEAS on postoperative gastrointestinal function were included.Methodological quality was evaluated using the quality evaluation tools recommended in Cochrane evaluation manual 5.1.Meta-analysis was performed using Rev-Man 5.3 and Stata 15.Results Thirty-four RCTs involving 3 593 patients were included.There were 1 781 patients in the TEAS group and 1 812 patients in the non-TEAS group.Compared with the non-TEAS group,the incidence of nausea(RR = 0.46,95%CI 0.36 to 0.59,P＜0.001)and vomiting(RR = 0.47,95%CI 0.37 to 0.59,P＜0.001)within 24 hours after surgery was significantly reduced in the TEAS group,and the postoperative recovery time of bowel sound(MD =-6.42 hours,95%CI-8.53 to-4.32 hours,P＜0.001),first exhaust time(MD =-8.72 hours,95%CI-10.64 to-6.80 hours,P＜0.001),andfirstdefecationtime(MD =-11.83hours,95%CI-14.67 to-8.98 hours,P＜0.001)were significantly shortened.Conclusion TEAS can promote postoperative gastrointestinal function recovery,significantly reducing the incidence of postoperative nausea and vomiting within 24 hours after sur-gery,and shortening the time of first anal exhaust and defecation after surgery.
