经皮神经电刺激联合胸椎旁神经阻滞对胸腔镜手术术后睡眠质量、疼痛和质量恢复的影响

doi:10.3969/j.issn.2095-378X.2023.03.010

Abstract

Abstract: Objective To observe the effect of transcutaneous electrical acupoint stimulation （TEAS） and thoracic paravertebral block on sleep quality, pain, and quality of recovery after surgery in patients undergoing selective video-assisted thoracoscopic surgery. Methods A total of 60 patients undergoing video-assisted thoracoscopic surgery from June 2022 to March 2023 were selected and divided into the TEAS group or the control group by the random table method. Thirty minutes before anesthesia induction TEAS treatment was performed at Feishu, Neiguan, and Shenmen points bilaterally in the TEAS group until the end of surgery. The control group had the acupuncture electrodes on the same acupuncture point before anesthesia induction without electrical stimulus. The two groups of patients received a TPVB with ropivacaine （0.375%, 25 mL） before anesthesia induction. The visual analog scale （VAS） was used to evaluate pain scores after surgery and Pittsburgh Sleep Quality Index （PSQI） was used for evaluating subjective sleep quality. The PSQI scores were recorded at 24 h before operation （T0）, 24 h （T1）, 48 h （T2）, 7 d （T3）, and 14 d （T4） after operation. 15-item Quality of Recovery scores and VAS scores were also evaluated at 24 h after operation. Postoperative analgesic pump use and postoperative nausea and vomiting （PONV） were also recorded. Results Compared with the control group, the TEAS group showed significantly lower PSQI scores at T1, T2, and T3 （P<0.05）, a higher QoR-15 score at postoperative 24 h （P<0.05）, and lower VAS scores at T1, T2, and T3 （P<0.05）. The frequency of analgesic pump pressing of the TEAS group was lower than that of the control group. In addition, the PONV score of the TEAS group was lower than that of the control group （P<0.05）. There was no difference in other postoperative complications between the two groups （P>0.05）. Conclusion TEAS combined with TPVB can relieve postoperative pain and improve quality of recovery of patients after video-assisted thoracoscopic surgery.

Key words: Thoracic paravertebral block, Transcutaneous electrical acupoint stimulation, Video-assisted thoracoscopic surgery, Quality of recovery, Sleep quality

CLC Number:

R614.2

LI Na, HENG Lei. Effect of transcutaneous electrical acupoint stimulation combined with thoracic paravertebral block on postoperative sleep quality, pain, and quality of recovery of patients after video-assisted thoracoscopic surgery[J]. Surgical Research and New Technique, 2023, 12(3): 197-202.

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Effect of transcutaneous electrical acupoint stimulation combined with thoracic paravertebral block on postoperative sleep quality, pain, and quality of recovery of patients after video-assisted thoracoscopic surgery

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