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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.
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TT group | Experimental | 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 |
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| TE group | Active Comparator | 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 |
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| TA group | Active Comparator | Bilateral transverse abdominal plane block is performed prior to anesthesia |
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| C group | No Intervention | Percutaneous electrical stimulation of acupoints and transverse abdominis plane block are not permitted before anesthesia |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transcutaneous electrical acupoint stimulatios | Other | Percutaneous electrical stimulation technology of acupuncture points is a technology that uses a trace current close to human bioelectricity on the surface of acupuncture points to prevent and treat diseases guided by meridian theory, and is a new treatment of percutaneous nerve electrical stimulation combined with acupuncture points. As one of the related techniques of acupuncture, it is a safe, non-invasive, simple and new acupoint stimulation method |
| Measure | Description | Time Frame |
|---|---|---|
| VAS(visual analogue scale) score | Postoperative pain is assessed after surgery by using visual analogue scoring. A score to assess pain, use a swimming ruler about 10 cm long, marked with 10 scales on one side, with "0" and "10" ends at each end, 0 points means no pain, and 10 points represent the most severe pain that is unbearable. | The day before surgery |
| VAS(visual analogue scale) score | Postoperative pain is assessed after surgery by using visual analogue scoring. A score to assess pain, use a swimming ruler about 10 cm long, marked with 10 scales on one side, with "0" and "10" ends at each end, 0 points means no pain, and 10 points represent the most severe pain that is unbearable. | After the operation 30minute |
| VAS(visual analogue scale) score | Postoperative pain is assessed after surgery by using visual analogue scoring. A score to assess pain, use a swimming ruler about 10 cm long, marked with 10 scales on one side, with "0" and "10" ends at each end, 0 points means no pain, and 10 points represent the most severe pain that is unbearable. | After the operation 6hour |
| VAS(visual analogue scale) score | Postoperative pain is assessed after surgery by using visual analogue scoring. A score to assess pain, use a swimming ruler about 10 cm long, marked with 10 scales on one side, with "0" and "10" ends at each end, 0 points means no pain, and 10 points represent the most severe pain that is unbearable. | After the operation 12hour |
| VAS(visual analogue scale) score | Postoperative pain is assessed after surgery by using visual analogue scoring. A score to assess pain, use a swimming ruler about 10 cm long, marked with 10 scales on one side, with "0" and "10" ends at each end, 0 points means no pain, and 10 points represent the most severe pain that is unbearable. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative nausea and vomiting | After surgery, patients are asked about nausea and vomiting. Postoperative nausea and vomiting is assessed after surgery by using visual analogue scoring. Using a swimming ruler about 10 cm long, marked with 10 scales on one side, with "0" and "10" ends at each end, 0 points means no nausea and vomiting, and 10 points represent the most severe nausea and vomiting that is unbearable. |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D059265 | Visceral Pain |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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The study was primarily a randomized controlled study in which patients were randomly assigned to each group.
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Data collector
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| Bilateral transverse abdominal plane block | Other | Transverse abdominis plane block is a technique in which a local anesthetic is injected into the transverse abdominis plane to block sensory nerves passing through this plane to achieve analgesic effect |
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| After the operation 24hour |
| VAS(visual analogue scale) score | Postoperative pain is assessed after surgery by using visual analogue scoring. A score to assess pain, use a swimming ruler about 10 cm long, marked with 10 scales on one side, with "0" and "10" ends at each end, 0 points means no pain, and 10 points represent the most severe pain that is unbearable. | After the operation 48hour |
| The day before surgery; After the operation 24hours, 48hours |
| Early postoperative recovery of quality | The quality of early postoperative recovery was assessed using The Quality of Recovery-15 scale after surgery, scores range from 0 (QoR very poor) to 150 (QoR excellent), with higher scores representing better quality of recovery | The day before surgery; After the operation 24hours, 48hours |
| Exhaust and bowel movements | Record the time of the patient's first exhaust bowel movement after surgery | After the operation 24hours, 48hours |
| Concentration of serum interleukin-6 | Perioperative venous blood was drawn to detect serum interleukin-6 | the day before surgery; When entering the operating room; 10minutes after peeling; 5 minutes after the operation; The first day after surgery |
| Concentration of serum cortisol | Perioperative venous blood was drawn to detect serum cortisol | the day before surgery; When entering the operating room; 10minutes after peeling; 5 minutes after the operation; The first day after surgery |
| Concentration of serum C-reactive protein | Perioperative venous blood was drawn to detect serum C-reactive protein | the day before surgery; When entering the operating room; 10minutes after peeling; 5 minutes after the operation; The first day after surgery |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D059226 | Nociceptive Pain |