Pain Postoperative, Postoperative Recovery
Conditions
Keywords
Transcutaneous electrical acupoint stimulation, Postoperative pain, Visceral pain, Early recovery after surgery
Brief summary
To explore the application of transcutaneous electrical acupoint stimulation combined with transverse abdominis plane block in Laparoscopic cholecystectomy, in order to reduce postoperative pain and promote postoperative recovery.
Detailed description
Percutaneous electrical acupoint stimulation has been applied in preoperative prophylaxis, intraoperative anesthesia and postoperative rehabilitation, and can reduce perioperative anxiety, improve the efficacy of preoperative smoking cessation and alcohol abstinence, and shorten the preoperative fasting time. During surgery, it can reduce the amount of anesthetic drugs, anti-inflammatory and anti-stress effects, stabilize circulation, and protect important organs; After surgery, improve the speed and quality of wake-up of patients, promote the recovery of maintenance function, regulate immune function, and reduce postoperative adverse reactions such as postoperative pain, postoperative nausea and vomiting, postoperative urinary retention, etc. As one of the common nerve blocks, transverse abdominis block is used clinically, and its main function is to relieve perioperative pain and reduce the amount of traumatic stress and analgesic drugs
Interventions
OTHERTranscutaneous electrical acupoint stimulatios
Percutaneous electrical stimulation technology of acupuncture points is a technology that uses a trace current close to human bioelectricity on the surface of acupuncture points to prevent and treat diseases guided by meridian theory, and is a new treatment of percutaneous nerve electrical stimulation combined with acupuncture points. As one of the related techniques of acupuncture, it is a safe, non-invasive, simple and new acupoint stimulation method
Transverse abdominis plane block is a technique in which a local anesthetic is injected into the transverse abdominis plane to block sensory nerves passing through this plane to achieve analgesic effect
Sponsors
Yangzhou University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Data collector
Intervention model description
The study was primarily a randomized controlled study in which patients were randomly assigned to each group.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologists (ASA) class I and II * Age 18-65 years * Laparoscopic cholecystectomy for the first time * There is no rupture, infection in the acupoint pasting site * The patient knows and signs the informed consent form
Exclusion criteria
* People with visual impairment, hearing impairment and alcoholism * History of diabetes, myocardial infarction or cerebrovascular accident, liver and kidney dysfunction * Those who are allergic to non-steroidal drugs, anticholinergic drugs, and anesthetic drugs * Those who are unable to cooperate or refuse to participate in the research or request to withdraw during the research process * Those with contraindications to percutaneous electrical stimulation, including local skin damage, infection or implantation of electrophysiological devices in the body
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS(visual analogue scale) score | The day before surgery | Postoperative pain is assessed after surgery by using visual analogue scoring. A score to assess pain, use a swimming ruler about 10 cm long, marked with 10 scales on one side, with 0 and 10 ends at each end, 0 points means no pain, and 10 points represent the most severe pain that is unbearable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Early postoperative recovery of quality | The day before surgery; After the operation 24hours, 48hours | The quality of early postoperative recovery was assessed using The Quality of Recovery-15 scale after surgery, scores range from 0 (QoR very poor) to 150 (QoR excellent), with higher scores representing better quality of recovery |
| Exhaust and bowel movements | After the operation 24hours, 48hours | Record the time of the patient's first exhaust bowel movement after surgery |
| Postoperative nausea and vomiting | The day before surgery; After the operation 24hours, 48hours | After surgery, patients are asked about nausea and vomiting. Postoperative nausea and vomiting is assessed after surgery by using visual analogue scoring. Using a swimming ruler about 10 cm long, marked with 10 scales on one side, with 0 and 10 ends at each end, 0 points means no nausea and vomiting, and 10 points represent the most severe nausea and vomiting that is unbearable. |
| Concentration of serum cortisol | the day before surgery; When entering the operating room; 10minutes after peeling; 5 minutes after the operation; The first day after surgery | Perioperative venous blood was drawn to detect serum cortisol |
| Concentration of serum C-reactive protein | the day before surgery; When entering the operating room; 10minutes after peeling; 5 minutes after the operation; The first day after surgery | Perioperative venous blood was drawn to detect serum C-reactive protein |
| Concentration of serum interleukin-6 | the day before surgery; When entering the operating room; 10minutes after peeling; 5 minutes after the operation; The first day after surgery | Perioperative venous blood was drawn to detect serum interleukin-6 |
Outcome results
None listed