Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients

• DOI: 10.1186/s12871-022-01875-3
• Publication Date: 2022-11-08T05:02:37Z
• Authors: Xinyuan Wu; Jieling Huang; Yuling Zhang; Luying Chen; Yandong Ji; Wuhua Ma; Yuhui Li
• Keywords: Zusanli; Acupressure

Abstract Background Lumbar disc herniation is seen in 5–15% of patients with lumbar back pain and the most common spine disorder demanding surgical correction. Spinal surgery one effective management for these patients. However, current techniques still present complications such as chronic 10–40% all who underwent surgery, which has a significant impact on patients’ quality life. Research studies have shown that transcutaneous electrical acupoint stimulation (TEAS) may reduce cumulative dosage intraoperative anesthetics well postoperative medications Objective To investigate effect pTEAS clinical outcome major spinal Methods We conducted prospective, randomized, double-blind study to verify improving after surgery. Patients (n = 90) posterior fusion were randomized into two groups: pTEAS, 45) Control 45). The group received acupoints Zusanli (ST.36), Sanyinjiao (SP.6), Taichong (LR.3), Neiguan (PC.6). same electrode placement but no output. Postoperative scores, outcome, perioperative hemodynamics, nausea vomiting (PONV), dizziness recorded. Results Intraoperative outcomes compared Control: consumption remifentanil was significantly lower ( P < 0.05); heart rate at end operation tracheal extubation there lesser blood loss 0.05). outcomes: visual analogue scale (VAS) score during first days PONV (on Day-5) Day-1 Conclusion could manage effectively improve outcomes. It be used complementary technique short-term management, especially undergoing surgeries. Trial registration ChiCTR1800014634, retrospectively registered 25/01/2018. http://medresman.org/uc/projectsh/projectedit.aspx?proj=183