Effects of transcutaneous electrical acupoint stimulation on recovery of patients undergoing robotic gynecologic surgery
10.12089/jca.2018.01.003
- VernacularTitle:经皮穴位电刺激对机器人妇科手术患者苏醒质量的影响
- Author:
Yufeng YANG
1
;
Zhihong LU
;
Hailong DONG
;
Min CHEN
;
Dandan CHENG
;
Lize XIONG
Author Information
1. 第四军医大学西京医院麻醉科
- Keywords:
Transcutaneous electrical acupoint stimulation;
Robotic assisted surgery;
Trendelenburg position;
Emergence
- From:
The Journal of Clinical Anesthesiology
2018;34(1):11-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe whether transcutaneous electrical acupoint stimulation (TEAS) could improve the emergence and recovery of patients undergoing robotic gynecologic surgery,and to explore the mechanism behind it.Methods Patients (aged 18-65 years,BMI 18-30 kg/m2,ASA grade Ⅰ or Ⅱ) scheduled for elective robotic gynecologic surgery were screened and randomized into three groups:group TEAS (groups T),no acupoint group (group N) and control group (group C),receiving TEAS (ST-36,SP6,BL59,BL60),stimulation at bilateral hips and no-stimulation respectively.Stimulations were given from 30 min before anesthesia induction to the end of surgery.Recovery measurements during emergence,PACU stay and 24 h after surgery were recorded.Levels of serum AQP4,MMP9 and S100β were analyzed.Results Time to response to verbal command and time to extubation in group T [(18.3± 6.7) min and (19.4 ± 6.6) min respectively] were significantly shorter than those in group C [(21.9±7.3) min and (23.1±7.3) min respectively] (P ＜0.05).Maximum VAS scores during PACU stay were significantly lower in group T than that in groups C and N (P＜0.05).Postoperative AQP4 level in group T significantly decreased compared with baseline (P＜0.05).However,postoperative MMP9 and S100β level in group C significantly in creased compared with the baseline (P＜0.05 or P＜0.01).Conclusion TEAS could fasten emergence of patients after robotic gynecologic surgery and improve postoperative analgesia.Mechanisms involving AQP4,MMP9 and S100β may be involved.
