Effect of transcutaneous auricular vagus nerve stimulation on postoperative recovery of gastrointestinal function in patients with gynecological laparoscopic surgery
10.11958/20242049
- VernacularTitle:经皮耳迷走神经刺激对妇科腹腔镜手术患者术后胃肠功能恢复的影响
- Author:
Ying LIU
1
;
Dongjian GE
;
Xuanzi ZHU
;
Wen XIANG
;
Mingyue GENG
;
Wei CHENG
Author Information
1. 徐州医科大学麻醉学院(邮编 221004)
- Publication Type:Journal Article
- Keywords:
transcutaneous electric nerve stimulation;
vagus nerve stimulation;
laparoscopy;
gynecological surgery;
postoperative gastrointestinal function
- From:
Tianjin Medical Journal
2025;53(2):189-193
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of transcutaneous auricular vagus nerve stimulation(taVNS)on postoperative recovery of gastrointestinal function in gynecological laparoscopic surgery patients.Methods Ninety-six patients who underwent elective laparoscopic total hysterectomy were selected.According to the random number table method,patients were divided into the taVNS group(group T)and the sham stimulation group(group F)with 48 patients in each group.The conventional general anesthesia method was used in both groups.The group T received taVNS once before surgery and once in the anaesthesia recovery room with 30 min per stimulation,while the group F was given sham stimulation for 30 min each.Postoperative recovery time of anal gas and defecation,the I-FEED scores on the 1st,2nd and 3rd postoperative days,the GSRS score on the 3rd postoperative day were recorded.The NRS scores on the 1st and 2nd postoperative days,postoperative remedial analgesia,occurrence of postoperative adverse effects and duration of postoperative hospitalization were recorded.Results Compared with the group F,the time to first postoperative anal exhaust and defecation was significantly shorter in the group T.The I-FEED scores on the 1st,2nd and 3rd postoperative days,and the GSRS score on 3rd postoperative day were significantly decreased in the group T.The proportion of patients with postoperative gastrointestinal intolerance and postoperative gastrointestinal dysfunction were reduced in the group T(P＜0.05).NRS scores at postoperative days 1,and 2 were decreased and the incidence of postoperative nausea was lower(P＜0.05).There were no significant differences in postoperative remedial analgesia,the occurrence of postoperative vomiting,dizziness,bradycardia and hypotension,and duration of postoperative hospitalization in the two groups of patients(P＞0.05).Conclusion taVNS can improve the recovery of postoperative gastrointestinal function,reduce postoperative nausea and alleviate postoperative pain in laparoscopic total hysterectomy patients.
