Effect of transcutaneous electrical acupoint stimulation on postoperative nausea and vomiting after laparoscopic non-gastrointestinal surgery:a meta-analysis
- VernacularTitle:经皮穴位电刺激对腹腔镜非胃肠手术后恶心呕吐影响的Meta分析
- Author:
Caihong WANG
1
;
Xiaotao WEI
;
Yongqiang ZHAO
;
Ziqing XU
;
Yiyang CUI
;
Ting ZHOU
;
Jianjun XUE
Author Information
- Keywords: Transcutaneous electrical acupoint stimulation; Postoperative nausea and vomiting; Laparoscopy; Meta-analysis
- From: The Journal of Clinical Anesthesiology 2024;40(9):959-965
- CountryChina
- Language:Chinese
- Abstract: Objective To systematically evaluate the effect of transcutaneous electrical acupoint stimulation(TEAS)in the treatment of postoperative nausea and vomiting(PONV)after laparoscopic non-gastrointestinal surgery.Methods Databases such as PubMed,Cochrane library,Web of Science,Embase,CNKI,Wanfang,and Chinese biomedical database(CBM)were searched to find and screen ran-domized controlled trials(RCTs)of TEAS in the prevention and treatment of PONV after laparoscopic non-gastrointestinal surgery.The retrieval time was from the establishment of the database to July 2023.Meta-a-nalysis was performed using RevMan 5.3 software.Results Twenty-two RCTs involving 3 538 patients were included,including 1 799 in the TEAS group and 1 739 in the control group.The results of meta-analysis showed that the total incidence of PONV in the TEAS group was significantly lower than that in the control group 0-24 hours after operation(RR=0.54,95％CI 0.44-0.68,P＜0.001),and the incidence of postoperative remedial antiemetic was significantly reduced(RR=0.54,95％CI 0.38-0.77,P＜0.001).There was no significant difference in the incidence of postoperative acupoint stimulation-related adverse reactions between the two groups(RR=0.62,95％CI 0.15-2.51,P=0.500).Conclusion TEAS has good clinical efficacy and safety in the treatment of PONV after laparoscopic non-gastrointestinal surgery.
