Influence of transcutaneous electrical acupoint stimulation combined with erector spinae plane block on postoperative analgesia effect and inflammatory status in patients with posterior approach lumbar surgery
Objective To explore the influence on analgesia and inflammation in patients undergoing posterior approach lumbar surgery receiving analgesia therapy of transcutaneous electric acupoint stimulation(TEAS)combined with erector spinae plane block(ESPB),so as to provide a reference for clinical optimization of anesthesia regimen for posterior ap-proach lumbar surgery.Methods A total of 108 patients who were admitted to Huairou Hospital,Beijing Chaoyang Hos-pital Affiliated to Capital Medical University and planned to undergo posterior approach lumbar surgery were included from October 2021 to January 2023.According to the simplified randomization method(single-double number method),they were divided into an ESPB group(single number,n=54)and a TEAS group(double number,n=54).The vital signs at each time point,perioperative conditions,inflammatory indicators,pain status(VAS),and incidence rates of anesthe-sia complications were compared between the two groups.Results At Tl-T2,HR,and MAP in the TEAS group were significantly higher than those in the ESPB group(P＜0.05).The awakening time,ambulation time,hospitalization time,propofol dosage,and remifentanil dosage in the TEAS group were significantly shorter or less than those in the ES-PB group(P＜0.05).The levels of white Inflammatory indicators in the two groups increased significantly 1 day after sur-gery(P＜0.05),but the levels in the TEAS group were significantly lower than those in the ESPB group(P＜0.05).Within 24 hours after surgery,the VAS score in both groups decreased significantly(P＜0.05),and the VAS in the TEAS group at 6 h,12 h,and 24 h after surgery were significantly lower than those in the ESPB group(P＜0.05).There was no statistical significance in the total incidence rate of complications between the TEAS group(12.96％,7/54)and the ESPB group(24.07％,13/54,P＞0.05).Conclusion TEAS combined with ESPB can stabilize the vi-tal signs of patients undergoing posterior approach lumbar surgery,and relieve the postoperative pain and inflammatory re-sponse.
Lumbar disc herniationLumbar surgeryTranscutaneous electric acupoint stimulation
维普
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