Effect of transcutaneous electrical acupoint stimulation at Neiguan combined with Danzhong on peri-operative pain in patients undergoing radical mastectomy
- VernacularTitle:内关穴联合膻中穴经皮穴位电刺激对乳腺癌根治术患者围术期疼痛的影响
- Author:
Mengyu LI
1
;
Xiaoshuang TUO
;
Jingwen FU
;
Zhihong LU
Author Information
- Keywords: Transcutaneous electrical acupoint stimulation; Acupuncture points; Remifentanil; Postoperative pain; Radical mastectomy
- From: The Journal of Clinical Anesthesiology 2024;40(7):714-718
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effects of transcutaneous electrical acupoint stimulation at Neiguan combined with Danzhong on intraoperative remifentanil dosage and early postoperative pain in pa-tients undergoing radical mastectomy.Methods A total of 153 female patients undergoing radical mastecto-my under general anaesthesia aged 18-64 years,BMI 18.5-30.0 kg/m2 and ASA physical status Ⅰ or Ⅱwere enrolled.The patients were randomly assigned into three groups:single-acupoint(Neiguan)group,dual-acupoint(Neiguan and Danzhong)group and control group,51 patients in each group.TEAS for 30 minutes at different points(Neiguan combined with Danzhong for the dual-acupoint group,Neiguan for the single-acupoint group,no stimulation for the sham group)were given before anaesthesia induction.30 mi-nutes of disperse/dense stimulation of 2/10 Hz with an intensity of 4-11 mA was used.The consumption of remifentanil,time to recall and to extubation were recorded.The visual analogue scale(VAS)pain score in PACU and 24 hours after surgery,and patient satisfaction scores was recorded.Results The intra-operative remifentanil consumption in the dual-acupoint group was significantly less than groups single-acupoint and sham(P＜0.05).Patient satisfaction score 24 hours after surgery was significantly higher in the dual-acu-point group than those in groups single-acupoint and sham(P＜0.05).The VAS scores in PACU and 24 hours after surgery had no significantly differences among the three groups.Conclusion Compared with single-acupoint,stimulation at Neiguan combined with Danzhong in patients undergoing radical mastectomy induced stronger remifentanil-sparing effect and higher patients'satisfaction after radical mastectomy.
