Study And Application Of Transcutaneous Electrical Acupoint Stimulation During The Perioperative Period Of Open Gynecological Surgery

Objective:Transcutaneous electrical acupoint stimulation(TEAS)refers to a physical method that uses electrical stimulation therapy devices to output low-frequency pulse currents to treat diseases.It has been a hot topic in interdisciplinary research in recent years,and its application effects in various disciplines have been confirmed.At present,the rapid recovery of patients after gynecological laparotomy still faces enormous challenges.Therefore,this project aims to investigate the role of transcutaneous electrical acupoint stimulation in the rapid recovery of gynecological open surgery patients during the perioperative period,providing a theoretical basis for the application of electrical stimulation in the perioperative period of gynecological open surgery,and achieving an enhanced recovery after surgery(ERAS)perioperative management mode to better serve surgical patients.Methods:From June 2021 to January 2023,60 patients who underwent total abdominal hysterectomy(TAH)at the Department of Gynecology,Taixing Clinical College,Bengbu Medical College were selected.The eligible patients were randomly divided into a control group(sham stimulation group)of 30 cases and an observation group(low-frequency electrical stimulation group)of 30 cases.Both groups of patients underwent perioperative management of ERAS.The observation group received transcutaneous electrical acupoint stimulation treatment,while the control group selected the same acupoints as the observation group and pasted electrode pads without current stimulation.Compare the degree of postoperative pain and the extent of pain reduction between the two groups of patients,the time from the end of surgery to the first exhaust and defecation,the relevant risk factors for thrombosis,and sleep status.Postoperative rapid recovery related indicators and number of adverse reactions.Use IMB SPSS Statistics 24.0 software to conduct statistical analysis of the data.Results:(1)Analysis of visual analog scale(VAS)scoring indicators for postop-erative pain: compared with the control group(4.59±1.27),the observation g-roup(3.47±1.07)had a statistically significant difference in VAS score at 48 hours after surgery,with a statistically significant difference.Compared with the control group(3.17±1.28),the observation group(1.73±0.87)had a statistically significant difference in VAS score at 72 hours after surgery,with a statistically significant difference.Compared with the control group,the decrease in VAS scores in the observation group was(4.23±0.97)VS(2.69±0.85),P < 0.05,with a statistically significant difference.There was a statistically significant difference between the observation group(5.83±1.05)and the control group(4.41±1.05)in the decrease in VAS scores from 6 hours to 72 hours after surgery,P < 0.05.(2)The time from the end of surgery to the first anal exhaust in the observation group was significantly shorter(25.61±5.96)hours than in the control group(33.56±11.83)hours,P<0.05,with a statistically significant difference.The time from the end of surgery to the first anal defecation in the observation group was significantly shorter(48.18±4.65)hours than in the control group(62.00±12.82)hours,P<0.05,with a statistically significant difference.(3)Index analysis of risk factors for thrombosis: The D-dimer level in the observation group increased(230.47±124.73)ng/m L before and 3 days after surgery,compared with the control group’s D-dimer level increased(312.55±166.61)ng/m L before and 3 days after surgery,with a statistically significant difference(P < 0.05).There was a statistically significant difference in thrombocytopenia(67.67±54.31)*10^9/L between the observation group and the control group(45.03 ± 44.70)*10^9/L before and 3 days after surgery,P < 0.05.The hemoglobin in the observation group decreased by(13.33±6.32)g/L before and 3 days after surgery,compared with(16.45 ± 4.55)g/L in the control group before and 3 days after surgery,with a statistically significant difference(P<0.05).This indicates that transcutaneous electrical acupoint stimulation can alleviate the risk factors of venous thrombosis in lower limbs.(4)The difference between the pittsburgh sleep quality index(PSQI)scores before and on the third day after TEAS treatment(1.9±0.8)was not statistically significant compared with the difference between the PSQI scores before and on the third day after surgery in the control group(2.1±0.7),P > 0.05.Conclusion:TEAS treatment can reduce postoperative pain,reduce the pain level,shorten the time of abdominal distension,shorten the time of first exhaust and defecation,and reduce the risk of risk factors for lower limb thrombosis.The treatment is safe and effective.In perioperative sleep disorders,there was no significant difference between the observation group and the control group.