2026 年第 8 期 第 21 卷

经皮穴位电刺激对日间腹腔镜手术后早期恢复质量的影响

Effect of transcutaneous electrical acupoint stimulation on early recovery quality after ambulatory laparoscopic surgery

作者：方艳1黄明辉1夏艳春1周文1龙胜平2揭欢欢1黄毅升1

英文作者：Fang Yan1 Huang Minghui1 Xia Yanchun1 Zhou Wen1 Long Shengping2 Jie Huanhuan1 Huang Yisheng1

单位：1南方医科大学南方医院赣州医院（赣州市人民医院）麻醉科，赣州341000；2江西省龙南市第一人民医院麻醉科，龙南341706

英文单位：1Department of Anesthesiology Ganzhou Hospital of Nanfang Hospital Southern Medical University (Ganzhou People′s Hospital) Ganzhou 341000 China; 2Department of Anesthesiology the First People′s Hospital of Longnan Jiangxi Province Longnan 341706 China

关键词：经皮穴位电刺激；日间手术；术后恢复质量；术后恶心呕吐；腹腔镜胆囊切除术

英文关键词：Transcutaneouselectricalacupointstimulation;Ambulatorysurgery;Qualityofpostoperativerecovery;Postoperativenauseaandvomiting;Laparoscopiccholecystectomy

• 摘要：

• 目的 探讨经皮穴位电刺激（TEAS）对日间腹腔镜手术后早期恢复质量的影响。方法 选取2023年4月6日至2024年11月25日于南方医科大学南方医院赣州医院行腹腔镜胆囊切除术（LC）的日间手术患者作为研究对象。采用随机数字表法将患者分为对照组和观察组，每组30例。观察组在术前半小时及术中采用TEAS；对照组不进行TEAS。比较2组一般资料、术中情况、术前1 h和术后24 h的恢复质量、达到最小临床重要差异值（MCID）的患者比例、术后各时段恶心呕吐的发生率与严重程度、疼痛评分、镇痛药使用次数及满意度评分。结果 2组患者性别、美国麻醉医师协会分级比例、年龄、体重指数、麻醉时间比较差异均无统计学意义（均P＞0.05）。观察组术后24 h 15项恢复质量(QoR-15)量表评分高于对照组，QoR-15量表评分差值≥MCID的患者比例低于对照组，差异均有统计学意义（均P＜0.05）。2组患者术后各时点的视觉模拟量表评分、曲马多追加次数比较差异均无统计学意义（均P＞0.05）。术后2~<6 h、6~<12 h、12~<24 h，观察组术后恶心呕吐的发生率均低于对照组；观察组患者满意度整体高于对照组［90.0%（27/30）比63.3%(19/30)］；观察组的术后恶心呕吐严重程度轻于对照组，差异均有统计学意义（均P＜0.05）。结论 TEAS能够改善日间LC患者早期恢复质量，降低术后恶心呕吐的发生率，提高患者满意度。

• Objective To investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) on early recovery quality after ambulatory laparoscopic surgery. Methods Ambulatory surgical patients undergoing laparoscopic cholecystectomy (LC) at Ganzhou Hospital of Nanfang Hospital, Southern Medical University from April 6, 2023 to November 25, 2024 were enrolled. Patients were divided into control group and observation group using a random number table, with 30 cases in each group. The observation group received TEAS half an hour before and during surgery; the control group received no TEAS. General data, intraoperative conditions, recovery quality at 1 h before surgery and 24 h after surgery, proportion of patients reaching the minimal clinically important difference (MCID), incidence and severity of nausea and vomiting at various postoperative time points, pain scores, times of analgesic use, and satisfaction scores were compared between the two groups. Results There were no significant differences in gender, proportion of American Society of Anesthesiologists physical status classification, age, body mass index, or anesthesia duration between the two groups (all P>0.05). The 15-item quality of recovery (QoR-15) scale score at 24 h after surgery in the observation group was higher than that in the control group, and the proportion of patients with a QoR-15 scale score difference ≥ MCID was lower than that in the control group (all P<0.05). There were no significant differences in visual analogue scale scores at each postoperative time point or additional times of tramadol use between the two groups (all P>0.05). The incidence of postoperative nausea and vomiting in the observation group was lower than that in the control group at 2-<6 h, 6-<12 h, and 12-<24 h after surgery; overall patient satisfaction in the observation group was higher than that in the control group ［90.0%（27/30） vs 63.3%(19/30)］; and the severity of postoperative nausea and vomiting in the observation group was less than that in the control group (all P<0.05). Conclusion TEAS can improve early recovery quality, reduce the incidence of postoperative nausea and vomiting, and enhance patient satisfaction in ambulatory LC patients.