Effects of transcutaneous electrical acupoint stimulation on recovery after
internal spinal fixation: a randomised controlled trial
#MMPMID41162852
Zhang YC
; Zhao DX
; Fan HY
; Zhou YF
; Huang PF
; Liu F
; Xu WP
BMC Anesthesiol
2025[Oct]; 25
(1
): 530
PMID41162852
show ga
BACKGROUND: This study investigated the effect of transcutaneous electrical
acupoint stimulation (TEAS) on postoperative recovery in patients undergoing
internal spinal-fixation surgery. METHODS: Seventy-four patients scheduled for
elective internal spinal fixation surgery at the First People's Hospital of
Pinghu City between August 2024 and April 2025 were enrolled. Patients were aged
19-78 years, of either gender, with American Society of Anesthesiologists class
II or III and a body mass index of 17-33 kg/m(2). They were randomly assigned to
a TEAS-assisted general anaesthesia group (Group T) or a general anaesthesia-only
group (Group G) using a random number table, with 37 patients per group. In Group
T, TEAS was initiated 30 min before anaesthesia induction. The Neiguan, Hegu, and
Ashansanli acupoints were electrically stimulated at a frequency of 2 Hz/100 Hz
and an intensity of 8-12 mA, continuing until completion of incision suturing. In
Group G, electrode pads were placed at the same acupoints, but no electrical
stimulation was administered. The primary outcome was Quality of Recovery-15
(QoR-15) scores at 24 h postoperatively. The secondary outcomes were
intraoperative remifentanil and propofol dosages, QoR-15 scores at 72 h
postoperatively, time to first postoperative analgesic pump use, and total opioid
consumption during the 72 h postoperative period. Other outcomes were length of
hospitalization, satisfaction scores at discharge, and incidence of adverse
events during hospitalization. RESULTS: Group T had significantly higher QoR-15
scores at both 24 h and 3 d postoperatively, lower intraoperative remifentanil
consumption, longer time to first postoperative use of the analgesic pump, lower
opioid consumption during the 72 h postoperative period, and higher satisfaction
scores at discharge (P < 0.05), than Group G. CONCLUSIONS: TEAS improves the
quality of postoperative recovery in patients undergoing internal spinal-fixation
surgery. TRIAL REGISTRATION: ITMCTR2025000399. http://itmctr.ccebtcm.org.cn.
|*Acupuncture Points
[MESH]
|*Spinal Fusion/methods
[MESH]
|*Transcutaneous Electric Nerve Stimulation/methods
[MESH]
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