Randomized Controlled Trial of Transcutaneous Electrical Acupoint Stimulation for Early Postoperative Sleep Disorders in Patients with Lung Cancer
Objective To investigate the effects of transcutaneous electrical acupoint stimulation(TEAS)on the early sleep disorder of patients with lung cancer after operation.Methods Purposive sampling of 100 patients that scheduled for lung cancer surgery in Tangdu Hospital of Air Force Military Medical University from March to July 2023 was conducted.Among them,84 patients were enrolled,and the participants were randomized into 2 groups(42 cases):transcutaneous electrical acupoint stimulation group(TEAS group)and control group(CON group).TEAS was applied to bilateral Shenmen(HT7),Neiguan(PC6)and Sanyinjiao(SP6)on TEAS group from 30 min before anesthesia induction to the end of surgery.In CON group,only electrodes were pasted to the electrical stimulator,but no power supply was connected.The Pittsburgh Sleep Quality Index(PSQI)and Athens Insomnia Scale(AIS)were performed to determine the sleep quality of at four time points:24 h before surgery,24 h and 72 h after surgery and before discharge.The Visual Analog Scale(VAS)was performed to evaluate pain scores after surgery.Multivariate regression analysis was used to analyze the main factors affecting postoperative sleep quality.Results The total scores of PSQI,AIS and VAS in TEAS group were lower than those in CON group at 24 h and 72 h after surgery and before discharge(P＜0.05).The incidence of sleep disorders in the TEAS group(58.8％)was lower than that in the CON group(80.5％).Incision pain and inability to turn over were risk factors for postoperative sleep disorders(OR=19.584,9.745),and TEAS was a protective factor(OR=0.228).The incidence of sleep disorders in the TEAS group(58.8％)was lower than that in the CON group(80.5％),The difference was statistically significant(P＜0.01,P＜0.05).Conclusions TEAS treatment can improve early sleep disorders to a certain extent after lung cancer surgery.Incisional pain and inability to turn over are risk factors for postoperative sleep disorders,and TEAS is a protective factor for postoperative sleep disorders.(Chinese Clinical Trial Registry,No.ChiCTR2300075751)
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