Postoperative chronic pain and quality of recovery
Conditions
Interventions
Experimental group:Transcutaneous electrical acupoint stimulation
Control group:Routine perioperative management measures
Sponsors
Shengjing Hospital of China Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: The lung cancer root was treated by elective general anesthesia Both sexes aged 18-75 years; ASA?~? Patients agreed to participate and signed an informed consent form.
Exclusion criteria
Exclusion criteria: Emergency surgery; Acupuncture or TEAS was performed within 1 month Contraindications to TEAS (scars or skin lesions at the acupoint site of irritation, pacemaker or other medical electronic devices in the body) Previous chest wall surgery; A history of chronic pain; Hepatic and renal insufficiency; Cardiac insufficiency or severe hypertension (systolic blood pressure =180mmHg, diastolic blood pressure =110mmHg); A history of opioid abuse or alcohol abuse; Patients with a history of epilepsy, mental illness, or communication difficulties
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of pain (defined as chronic pain in the surgical incision and chest on the surgical side) was evaluated 6 months after surgery.; | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS score at 24h, 48h, and incidence of pain at 1 month and 3 months after surgery (VAS score if pain was present) were evaluated.;The number of analgesic pump presses and the need for additional analgesics within 48h after surgery;Intraoperative consumption of propofol, sufentanil and remifentanil;The levels of ß-endorphin, white blood cell count, percentage of neutrophil in plasma, serum IL-10,IL-6 and tumor necrosis factor-a (TNF-a) were measured before and 48 hours after TEAS in the first 10% of the sample size.;Blood gas analysis: after intubation and at the end of one-lung ventilation (oxygen partial pressure, blood lactate, blood glucose levels recorded);Spontaneous breathing time and extubation time;The time of first ambulation, the time of chest tube removal and the length of postoperative hospital stay were recorded;The anxiety of patients was evaluated before TEAS and on the 3rd day, 1 month, 3 months, and 6 months after TEAS;The sleep quality of patients was evaluated 1 day before surgery and 3 days, 1 month, 3 months, and 6 months after surgery;To evaluate the incidence of postoperative delirium 3 days after surgery in elderly patients (=65 years old);The incidence of postoperative fever (body temperature =37.3) and atelectasis was evaluated; | — |
Countries
China
Contacts
Public Contactzhao ping
Shengjing Hospital of China Medical University
Outcome results
None listed