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| Clinical observation on the assistant analgesic effect of transcutanclus electrical acupoint stimulation in patients with anterior cruciate ligament reconstruction |
| Hits 908 Download times 522 Received:December 10, 2020 |
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| DOI
10.11656/j.issn.1672-1519.2021.05.15 |
| Key Words
anterior cruciate ligament reconstruction;multimodal analgesia;transcutanclus electrical acupoint stimulation |
| Author Name | Affiliation | E-mail | | GUO Jie | Department of Anesthesiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Privince Hospital of Chinese Medicine, Nanjing 210029, China | | | ZHAN Weifang | Department of Anesthesiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Privince Hospital of Chinese Medicine, Nanjing 210029, China | | | ZHU Juan | Department of Anesthesiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Privince Hospital of Chinese Medicine, Nanjing 210029, China | | | TIAN Weiqian | Department of Anesthesiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Privince Hospital of Chinese Medicine, Nanjing 210029, China | twq1972@163.com。 | | JI Fangbing | Department of Anesthesiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Privince Hospital of Chinese Medicine, Nanjing 210029, China | | | ZHENG Man | Department of Anesthesiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Privince Hospital of Chinese Medicine, Nanjing 210029, China | |
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| Abstract
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| [Objective] To observe whether transcutanclus electrical acupoint stimulation (TEAS) can enhance the analgesic effect of nerve block and drugs on postoperative pain of patients with anterior cruciate ligament reconstruction.[Methods] Sixty patients,ASA Ⅰ-Ⅱ grade,who were to undergo anterior cruciate ligament surgery were randomly divided into TEAS group (Group A) and non-TEAS group (Group B). The two groups were operated under spinal anesthesia. The analgesic scheme:adductor canal block after successful anesthesia,intravenous injection of parecoxib sodium at the end of the operation. Patients in group A were treated with TEAS at bilateral Hegu,Taichong,Xiajuxu and Sanyinjiao at 6 h after operation,and on the first and second days after operation. Patients in group B selected the same acupoints as those in group A,and only placed electrode sheets in the corresponding areas without electricity. Tramadol (100 mg) was given for remedial analgesia when postoperative pain control was poor. The visual analogue scale (VAS) of resting pain,postoperative tramadol dosage,postoperative nausea and vomiting,sleep quality satisfaction score and overall satisfaction score of two groups were recorded before and after surgery at 4,6,8,12,24 and 48 h.[Results] The VAS scores of group A at 8,12,24 and 48 h after operation were lower than those of group B (P<0.05),but there was no significant difference in VAS scores between two groups before operation and at 4 h and 6 h after operation (P>0.05). Compared with group B,patients in group A used less tramadol after operation (P<0.05),and the incidence of nausea and vomiting decreased (P<0.05). Patients in group A were better than those in group B in their sleep quality satisfaction scores and overall satisfaction scores at 24 h and 48 h after operation (P<0.05).[Conclusion] TEAS is used to assist the postoperative analgesia of patients with anterior cruciate ligament under knee arthroscope,which can effectively reduce the postoperative analgesia score,reduce the amount of tramadol,reduce the incidence of postoperative nausea and vomiting,and improve the sleep quality and overall satisfaction of patients after surgery. |
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