Effect of transcutaneous electrical acupoint stimulation on early postoperative quality of recovery in patients undergoing cardiopulmonary bypass cardiac surgery
Objective To explore the effect of transcutaneous electrical acupoint stimulation on early postoperative quality of recovery in patients undergoing cardiopulmonary bypass cardiac surgery.Methods A total of 60 patients who undergoing cardiac valve replacement surgery from March to December 2022 were randomly divided into the control group and the observation group by using the randomized number table method,with 30 patients in each group.In the observation group,TEAS was performrd on bilateral Hegu,Neiguan,Shenmen,Zhongfu,Yunmen,and Dabao acupoints 30 minutes before anesthesia induction to comple-tion,1 day,2 days and 3 days after operation,twice a day for 30 minutes each time.In the control group,the e-lectrodes were only connected at the same time point without electrical stimulation.Two groups of patients were compared in terms of the quality of recovery-40 questionnaire(QoR-40)scores and the insomnia severity index(ISI)scores at 1 day before surgery,1 day,2 days and 3 days after operation;postoperative mechanical ventilation time and ICU stay time;the incidence of postoperative nausea and vomiting,the effective number of patient controlled intravenous analgesia(PCIA)compressions,the total number of PCIA compressions,and the salvage analgesia rate after 24 hours of tracheal intubation removal.Results Compared with control group,the total score of QoR-40,thescales of emotional state,physical comfortand pain scores were increased,while the score of ISI was decreased in observation group at 1 day,2 days and 3 days after operation,with statistical significance(P＜0.05).The postoperative mechanical ventilation time,ICU stay time,the incidence of postop-erative nausea and vomiting,the effective number of patient controlled intravenous analgesia(PCIA)compres-sions,the total number of PCIA compressions,and the salvage analgesia rate were lower in observation group after 24 hours of tracheal intubation removal,with statistical significance(P＜0.05).Conclusion Periopera-tive TEAS at bilateral Neiguan,Shenmen,Hegu,Zhongfu,Yunmen,and Dabao acupoints can improve the ear-ly postoperative recovery quality of patients undergoing cardiac surgery,shorten the postoperative mechanical ventilation time and ICU stay time,and alleviate postoperative pain and nausea and vomiting.
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