Effect of Acupuncture Assisted Treatment at Zusanli,Taichong and Hegu Acupoints on Postoperative Rehabilitation,TCM Syndrome Score and Complications of Patients Undergoing Gynecological Laparoscopic Under General Anesthesia

NING Fenghua; JIA Peng; SONG Meimei

doi:10.3969/j.issn.1002-3429.2024.16.013

Abstract：Objective To explore the effect of acupuncture assisted treatment at Zusanli,Taichong and Hegu acu-points on postoperative rehabilitation,traditional Chinese medicine(TCM)syndrome score and complications of patients un-dergoing gynecological laparoscopic surgery under general anesthesia.Methods A total of 90 patients who underwent gyneco-logical laparoscopic surgery under general anesthesia from January 2023 to March 2024 were selected and divided into conven-tional group and TCM group by random number table method,with 45 cases in each group.The conventional group was given routine treatment after operation,and the TCM group was given Zusanli,Taichong and Hegu acupoints on the basis of routine treatment.Postoperative gastrointestinal function and postoperative pain[visual analogue scale(VAS)score]were compared between the two groups.TCM syndrome scores,rehabilitation status[Enhanced Recovery after Surgery(ERAS)rehabilitation score,the time of first off-bed activity,length of hospital stay],and levels of inflammatory factors[C reactive protein(CRP),calcitonin,interleukin-8(IL-8)]were compared between the two groups before treatment and at 14 d after treat-ment.The incidence of complications(nausea,vomiting,infection,abdominal pain,abdominal distension,headache)in the two groups during treatment was analyzed.Results The time of postoperative exhaust,postoperative defecation,postoperative food intake,bowel sound recovery time,time of off-bed activity and the length of hospital stay time in TCM group were shorter than those in conventional group(P＜0.05).At 6,12 and 24 h after operation,the VAS pain score in the TCM group was lower than that in the conventional group(P＜0.05).At 14 d after treatment,the levels of CRP,calcitonin,IL-8 and TCM syndrome scores in the two groups were lower than before treatment,and lower in the TCM group than in the conventional group(P＜0.05).At 14 d after treatment,ERAS rehabilitation score of the two groups was higher than that before treatment,which was higher in the TCM group than in the conventional group(P＜0.05).The total complication rate of TCM group was lower than that of conventional group(P＜0.05).Conclusion Acupuncture assisted treatment at Zusanli,Taichong and Hegu acupoints can effectively improve postoperative gastrointestinal function,relieve postoperative pain and inflammation,al-leviate clinical symptoms,promote postoperative rehabilitation and reduce complications in patients undergoing gynecological laparoscopic surgery under general anesthesia.