Effects of Transcutaneous Electrical Acupoint Stimulation on Postoperative Analgesic Consumption and Adverse Reactions in Total Knee Arthroplasty
10.19879/j.cnki.1005-5304.202407424
- VernacularTitle:经皮穴位电刺激对全膝关节置换术后镇痛药物用量及其不良反应的影响
- Author:
Hongkai PENG
1
;
Ting CHENG
;
Pengcheng SHAN
;
Hongjie WANG
;
Yueling XU
;
Yifei WEI
;
Guannan WEN
;
Tianyu BAI
Author Information
1. 中国中医科学院望京医院,北京 100102
- Publication Type:Journal Article
- Keywords:
transcutaneous electrical acupoint stimulation;
total knee arthroplasty;
analgesic drugs;
effectiveness;
safety evaluation
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2025;32(2):169-174
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of transcutaneous electrical acupoint stimulation(TEAS)in reducing the consumption of analgesics after total knee arthroplasty(TKA).Methods Totally 124 patients undergoing unilateral TKA were included and divided into an intervention group and a control group according to random number table method,with 62 cases in each group.Both groups received routine postoperative analgesic protocols,with the intervention group additionally receiving TEAS treatment,30 min per time,twice a day.The additional doses of intravenous patient-controlled analgesia pumps and opioid analgesic consumption in two groups of patients after surgery were analyzed,as well as the adverse events and laboratory test results(WBC,PLT,SCr,BUN,ALT and AST)in both groups.Results The number of additional doses in the intervention group with the patient-controlled analgesia pump and the consumption of opioid analgesic were both lower than those in the control group(P<0.05);the incidence of postoperative nausea symptoms in the intervention group was lower than that in the control group,while other adverse reactions showed no significant difference(P>0.05).There was no significant difference in laboratory test results(WBC,PLT,SCr,BUN,ALT and AST)between the two groups on the day before surgery and on the 1st and 7th days after surgery(P>0.05).Conclusion TEAS can reduce the consumption of analgesics after TKA,decrease some adverse reactions associated with the use of analgesics,and has good safety.
