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Acupoint Stimulation for Enhanced Recovery After Colon Surgery: A Prospective Multicenter Randomized Controlled Trial

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单位: [1]Fourth Mil Med Univ, Xijing Hosp, Dept Anaesthesiol & Perioperat Med, Xian, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Anaesthesiol, Wuhan, Peoples R China [3]Chongqing Med Univ, Affiliated Hosp 5, Dept Anaesthesiol, Chongqing, Peoples R China [4]Fourth Mil Med Univ, Dept Med Stat, Xian, Peoples R China [5]Fourth Mil Med Univ, Xijing Hosp Digest Dis, Xian, Peoples R China [6]Tongji Univ Sch Med, Shanghai Peoples Hosp 4, Translat Res Inst Brain & Brain Like Intelligence, Dept Anesthesiol, Shanghai, Peoples R China [7]Fourth Mil Med Univ, Xijing Hosp, Dept Anesthesiol & Perioperat Med, Changle West Road127, Xian 710032, Shaanxi, Peoples R China
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关键词: transcutaneous electrical acupoint stimulation colon surgery laparoscopy ERAS

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Purpose: The aim of this study was to evaluate the efficacy of transcutaneous electrical acupoint stimulation (TEAS) in improving bowel function and thus shortening hospital stay after laparoscopic colon surgery within the ERAS pathway.Patients and Methods: From November 2016 to March 2018, 100 patients who underwent elective colon surgery were enrolled and 94 finished study (n = 47 for each) in three university hospitals. Patients in the TEAS group received TEAS 30 min before surgery and once a day for 3 days after surgery, while those in the Control Group received no stimulation. Primary outcome was the time to discharge. Results: Compared with standardized postoperative care, TEAS resulted in a shorter time to first flatus (P=0.03) and time to first defecation (P=0.03), as well as a reduction in the length of hospital stay (P=0.02). Median patient-controlled analgesia (PCA) deliveries and PCA attempts at 24h, 48h and 72h after surgery were less in the TEAS group (P<0.01). No evidence of significant advantages in postoperative pain intensity, nausea, vomiting, sleeping quality and expenses was found in the TEAS group.Conclusion: Perioperative TEAS further shortens the time to meet discharge criteria after laparoscopic colon surgery in patients under ERAS strategy.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 卫生保健与服务
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 卫生保健与服务
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出版当年[2020]版:
Q3 HEALTH CARE SCIENCES & SERVICES
最新[2023]版:
Q2 HEALTH CARE SCIENCES & SERVICES

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第一作者单位: [1]Fourth Mil Med Univ, Xijing Hosp, Dept Anaesthesiol & Perioperat Med, Xian, Peoples R China [7]Fourth Mil Med Univ, Xijing Hosp, Dept Anesthesiol & Perioperat Med, Changle West Road127, Xian 710032, Shaanxi, Peoples R China
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通讯机构: [1]Fourth Mil Med Univ, Xijing Hosp, Dept Anaesthesiol & Perioperat Med, Xian, Peoples R China [6]Tongji Univ Sch Med, Shanghai Peoples Hosp 4, Translat Res Inst Brain & Brain Like Intelligence, Dept Anesthesiol, Shanghai, Peoples R China [7]Fourth Mil Med Univ, Xijing Hosp, Dept Anesthesiol & Perioperat Med, Changle West Road127, Xian 710032, Shaanxi, Peoples R China
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