|Table of Contents|

Effect of transcutaneous electrical stimulation on postoperative intestinal function in patients with colorectal cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2020 04
Page:
611-614
Research Field:
Publishing date:

Info

Title:
Effect of transcutaneous electrical stimulation on postoperative intestinal function in patients with colorectal cancer
Author(s):
Zhang Hailiang1; Hao Jingjing2; Bai Yanbin1; Lu Yuqing1
1.Department of Anesthesia;2.Neonatal Pediatrics,Yan'an University Affiliated Hospital,Shaanxi Yan'an 716000,China.
Keywords:
colorectal surgery; transcutaneous electrical stimulation; intestinal function recovery
PACS:
R735.3
DOI:
10.3969/j.issn.1672-4992.2020.04.020
Abstract:
Objective：To observe the effect of transcutaneous electrical stimulation on the recovery of gastrointestinal function in patients after colorectal surgery.Methods:90 patients（59 males and 31 females) undergoing elective operation for colorectal cancer were selected.The age was ≥18 years old.ASA grade was Ⅰ-Ⅲ.The patients were randomly divided into TEAS group and control group.TEAS group:Bilateral Zusanli was performed at the same time after extubation of hand and within 3 days after operation,and TEAS was performed once at the point of Sanyinjiao,30 minutes each time.The dense wave of 2 Hz was selected at the same time period after extubation of hand and within 3 days after operation.The maximum strength of the patient was 10~25 mA.The control group was operated the same as the TEAS group,but the power supply was not turned on.All the patients were subjected to intravenous anesthesia combined with general anesthesia,preoperative ultrasound-guided（TAP) block of the transverse abdominal muscle,electroencephalogram（BIS),body temperature,invasive blood pressure monitoring and pulmonary protection ventilation strategy,and postoperative patient-controlled intravenous analgesia（PCEA).The general condition of each group was observed and recorded（gender,age,weight,operation time,intraoperative bleeding,volume of fluid rehydration,urine volume).The recovery of intestinal peristalsis,the first anal exsufflation,drinking,feeding time,abdominal distension,nausea and vomiting within 3 days after operation were recorded in the two groups,and the serum motilin concentrations were recorded before operation,12,24,48,72 hours after operation in the two groups.Results:There was no statistical difference between the two groups in general.The recovery time of intestinal peristalsis,the first exhaust time and drinking time of anus in TEAS group were significantly shorter than those in control group（P＜0.05).The incidence of abdominal distension,nausea and vomiting within 3 days after operation was significantly lower than that in control group（P＜0.05).Conclusion:Transcutaneous electrical stimulation can promote the early recovery of intestinal function in patients with colorectal cancer after operation,and can reduce the incidence of postoperative complications.

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Memo

Memo:
陕西省自然科学基础研究一般项目（面上）（编号：2018JM7067）
Last Update: 2019-12-26