Application of Transcutaneous Electrical Acupoint Stimulation in Laparoscopic Cholecystectomy

Yangzhou University

Status: Not yet enrolling

Conditions: Postoperative Recovery; Pain Postoperative

Treatments: Other: Transcutaneous electrical acupoint stimulatios; Other: Bilateral transverse abdominal plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT05936918

2023-YKL04- (ke04)

Details and patient eligibility

About

To explore the application of transcutaneous electrical acupoint stimulation combined with transverse abdominis plane block in Laparoscopic cholecystectomy, in order to reduce postoperative pain and promote postoperative recovery.

Full description

Percutaneous electrical acupoint stimulation has been applied in preoperative prophylaxis, intraoperative anesthesia and postoperative rehabilitation, and can reduce perioperative anxiety, improve the efficacy of preoperative smoking cessation and alcohol abstinence, and shorten the preoperative fasting time. During surgery, it can reduce the amount of anesthetic drugs, anti-inflammatory and anti-stress effects, stabilize circulation, and protect important organs; After surgery, improve the speed and quality of wake-up of patients, promote the recovery of maintenance function, regulate immune function, and reduce postoperative adverse reactions such as postoperative pain, postoperative nausea and vomiting, postoperative urinary retention, etc. As one of the common nerve blocks, transverse abdominis block is used clinically, and its main function is to relieve perioperative pain and reduce the amount of traumatic stress and analgesic drugs

Enrollment: 120 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists (ASA) class I and II
• Age 18-65 years
• Laparoscopic cholecystectomy for the first time
• There is no rupture, infection in the acupoint pasting site
• The patient knows and signs the informed consent form

Exclusion criteria

• People with visual impairment, hearing impairment and alcoholism
• History of diabetes, myocardial infarction or cerebrovascular accident, liver and kidney dysfunction
• Those who are allergic to non-steroidal drugs, anticholinergic drugs, and anesthetic drugs
• Those who are unable to cooperate or refuse to participate in the research or request to withdraw during the research process
• Those with contraindications to percutaneous electrical stimulation, including local skin damage, infection or implantation of electrophysiological devices in the body

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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120 participants in 4 patient groups

TT group

Experimental group

Description:

Bilateral Neiguan acupuncture points (PC6), Hegu acupuncture points (LI4), Zusanli (ST36) were selected, and percutaneous acupuncture points were electrically stimulated with electronic acupuncture equipment 30min before anesthesia, and then bilateral abdominal transverse plane blockade was performed

Treatment:

Other: Bilateral transverse abdominal plane block

Other: Transcutaneous electrical acupoint stimulatios

TE group

Active Comparator group

Description:

Bilateral Neiguan acupuncture points (PC6), Hegu acupuncture points (LI4), Zusanli (ST36) were selected, and percutaneous acupuncture points were electrically stimulated with electronic acupuncture equipment 30min before anesthesia

Treatment:

Other: Transcutaneous electrical acupoint stimulatios

TA group

Active Comparator group

Description:

Bilateral transverse abdominal plane block is performed prior to anesthesia

Treatment:

Other: Bilateral transverse abdominal plane block

C group

No Intervention group

Description:

Percutaneous electrical stimulation of acupoints and transverse abdominis plane block are not permitted before anesthesia