Description Neiguan (PC6), HT7 (Shenmen), ST36 (Zusanli), and LI4 (Hegu)
Experimental Description
Eighty-five patients were divided into the TEAS group or the control group randomly.
Sample Count
85
Age
40‒65
Control
Sham
control group(n=43)
Experiment
TEAS group(n=42)
Indicator
Sleep qualityVisual analog scale(VAS)Athens insomnia scale(AIS)
Auxiliary Medication
Intramuscular midazolam (0.05 mg/kg) as a premedication was given to patients 60 min before transfer to the operating room. The induction of general anesthesia were propofol (2.0 mg/kg), sufentanil (0.3 μg/kg), and cisatracurium (0.15 mg/kg). Intraoperative anesthetics administration was as follows: continuous propofol infusion at 4‒8 mg/kg/h and a separate 0.15‒0.20 μg/kg/min remifentanil infusion for maintaining sedation and analgesia; and inhalation of sevoflurane (0.6‒2%) to keep a minimum alveolar concentration of ≥ 0.7. Ramosetron (0.3 mg) was given prophylactically, and ketorolac tromethamine 45 mg was given at 30 min before the end of surgery to alleviate postoperative pain. Before chest wall closure, 0.1% ropivacaine solution (7 mL each) was delivered under thoracoscopic guidance at the proximal side of the fourth, fifth, and sixth intercostal nerves. After the surgery, the patients were transferred to the postanesthesia care unit until complete recovery of consciousness and then transferred to a single occupant room. A patient-controlled analgesia (PCA) system was attached after surgery (4 mg butorphanol and 2 g propacetamol in 100 mL saline, every pump press resulting in a 2 mL infusion, with a 15-min lockout interval).
Stimulation Method
TEAS
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
Hwato SDZ-II
Suzhou Medical Appliances Co. Ltd, Suzhou, China
2/10 HZ
-
6-15 mA
30 min
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
-
-
-
Description 2/10 HZ；optimal intensity range is 6 to 15 mA
Anesthesia Method
GA
Clinical Trial Type
random
Effector
Patients usually have sleep disturbances after video-assisted thoracoscopic surgery, such as decreased distribution of each sleep stage, lower sleep efficiency, and higher AIS score. Undergoing TEAS treatment perioperatively can improve sleep quality, and effectively promote the postoperative analgesic effect and alleviate postoperative complications.
"Effects of Transcutaneous Electrical Acupoint Stimulation on the Postoperative Sleep Quality and Pain of Patients After Video-Assisted Thoracoscopic Surgery: A Prospective, Randomized Controlled Trial."
Abstract
OBJECTIVE: Postoperative sleep disturbances have serious adverse effects on postoperative outcomes. Our paper aimed to observe the effect of using transcutaneous electrical acupoint stimulation (TEAS) on sleep quality and complications after surgery in patients undergoing selective video-assisted thoracoscopic surgery. PATIENTS AND METHODS: Eighty-five patients were divided into the TEAS group or the control group randomly. Thirty minutes of TEAS treatment was performed on TEAS group at the following time points: the first night before surgery, at the end of surgery, and before sleeping on the second and third nights after surgery. The Portable Sleep Monitor (PSM) was performed to determine the sleep quality of the two nights before the operation (Sleep preop 2 and Sleep preop 1) and the fi rst and third night after surgery (Sleep POD 1 and Sleep POD 3). The visual analog scale (VAS) was performed to evaluate pain scores after surgery and the Athens Insomnia Scale (AIS) was used for evaluating subjective sleep quality. RESULTS: Participants in the TEAS group had a lower AIS score and higher sleep efficiency at each time point except Sleep preop 2. Participants in the TEAS group showed significantly higher proportion of each sleep stage during Sleep-preop 1, Sleep POD 1, and Sleep POD 3. Patients in the TEAS group had significantly lower VAS scores at 2, 4, and 6 h during the first 24 h after surgery. The incidence of nausea and vomiting and dizziness in the control group was statistically higher than in the TEAS group. CONCLUSION: Patients usually have sleep disturbances after video-assisted thoracoscopic surgery, such as decreased distribution of each sleep stage, lower sleep efficiency, and higher AIS score. Undergoing TEAS treatment perioperatively can improve sleep quality, and effectively promote the postoperative analgesic effect and alleviate postoperative complications."
Souce
Nat Sci Sleep. 2020 Oct 27;12:809-819. doi: 10.2147/NSS.S270739. eCollection 2020.
