经皮穴位电刺激联合小潮气量肺通气策略 改善腹腔镜胃肠道手术患者术后复苏质量——一项前瞻性随机对照研究
Transcutaneous Electrical Acupoint Stimulation Combined with Low Tidal Volume Ventilation Strategy Improving Postoperative Recovery Quality in Patients Undergoing Laparoscopic Gastrointestinal Surgery—A Prospective Randomized Controlled Trial
摘要: 目的：通过大样本、随机、双盲、安慰治疗对照的临床研究，对经皮穴位电刺激(TEAS)疗法联合小潮气量肺通气策略能否改善腹腔镜胃肠道手术患者术后复苏质量进行研究。方法：选择2022年8月~2025年8月在广西壮族自治区人民医院内行腹腔镜胃肠道手术患者220例随机分为对照组和TEAS组，每组各110例。TEAS组选择在麻醉诱导前30 min，采用双侧内关穴、足三里穴和肺俞穴，使用疏密波、频率2/100 Hz、电流强度(7~11 mA)进行经皮穴位电刺激。对照组采用同样的穴位粘贴电极，但不给予电剌激，无能量输出。术中两组均采用小潮气量通气策略。结果：与对照组比较，TEAS组术中阿片类药物消耗量减少，术后拔管时间缩短，在术后镇静控制和促进麻醉恢复方面效果更优。结论：TEAS联合小潮气量肺通气策略可以明显改善腹腔镜胃肠道手术患者的术后复苏质量，TEAS在围术期的使用具有较高的临床推广价值。
Abstract: Objective: To investigate whether transcutaneous electrical acupoint stimulation (TEAS) combined with low tidal volume ventilation strategy can improve postoperative recovery quality in patients undergoing laparoscopic gastrointestinal surgery through a large-sample, randomized, double-blind, placebo-controlled clinical study. Methods: A total of 220 patients who underwent laparoscopic gastrointestinal surgery in Guangxi Zhuang Autonomous Region People’s Hospital from August 2022 to August 2025 were randomly divided into a control group and a TEAS group, with 110 cases in each group. In the TEAS group, bilateral Neiguan (PC6), Zusanli (ST36), and Feishu (BL13) acupoints were stimulated with sparse-dense waves, a frequency of 2/100 Hz, and a current intensity of 7~11 mA, starting 30 minutes before anesthesia induction. The control group received electrode placement at the same acupoints but without electrical stimulation (no energy output). Both groups received low tidal volume ventilation strategy during surgery. Results: Compared with the control group, the TEAS group had reduced intraoperative opioid consumption, shorter postoperative extubation time, and better effects in postoperative sedation control and promoting anesthesia recovery. Conclusion: TEAS combined with low tidal volume ventilation strategy can significantly improve postoperative recovery quality in patients undergoing laparoscopic gastrointestinal surgery, and TEAS has high clinical promotion value in the perioperative period.
文章引用：黄元巳, 王亚峰, 朱蔚琳, 何并文, 高录. 经皮穴位电刺激联合小潮气量肺通气策略 改善腹腔镜胃肠道手术患者术后复苏质量——一项前瞻性随机对照研究[J]. 临床医学进展, 2026, 16(2): 990-997. https://doi.org/10.12677/acm.2026.162478

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