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| Meta-analysis of postoperative outcomes of patients undergoing hip arthroplasty with transcutaneous electrical acupoint stimulation |
| YANG Min1 YAN Chunwen2 XING Yehong1 PAN Li3 |
1.Department of Orthopedics Ⅱ, Hainan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Hainan Province, Haikou 570203, China;
2.Operating Room, Hainan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Hainan Province, Haikou 570203, China;
3.Office of Hospital, Hainan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Hainan Province, Haikou 570203, China |
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Abstract Objective To systematically evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) on postoperative regression of patients undergoing hip arthroplasty (HA). Methods Randomized controlled trials of TEAS in the treatment of HA were searched by computer in CNKI, Wanfang Data, VIP, CBM, PubMed, Embase, the Cochrane Library, Web of Science, Medline, and Ovid databases. The retrieval time limit was from the inception to July 2021. Meta-analysis of pain, inflammatory factors, cognitive function, related indicators of brain metabolism, and the incidence of adverse reactions after surgery were compared between the experimental group and control group by Revman 5.3 software. Results A total of 16 literatures were included, involving 1039 patients. The results of meta-analysis showed that VAS scores of experimental group at 12, 24, and 48 h after surgery were lower than those in control group (P ＜ 0.05). Interleukin (IL) -1β of experimental group at 24 and 72 h after surgery were lower than those in control group, tumor necrosis factor-α at 24 h after surgery was lower than that in control group, and IL-6 and IL-10 within 2 h after surgery, and at 24, 72 h after surgery were lower than those in control group (P ＜ 0.05). The mini mental status examination score of experimental group at 72 h after surgery was higher than that in control group, the incidence of cognitive dysfunction at 24 and 72 h after surgery were lower than those in control group, S100β protein after surgery was lower than that in control group, and the cervical venous oxygen contents at 20 and 40 min after hypotension and 20 min after hypotension stopped were higher than those in control group, arterio-mixed venous oxygen content differences at 20 min after hypotension was lower than that in control group (P ＜ 0.05). The incidence of nausea and vomiting, vertigo in experimental group was lower than that in control group (P ＜ 0.05). Funnel plot showed no publication bias. Conclusion TEAS can relieve postoperative pain in HA patients, control the level of inflammatory factors, improve cognitive function, reduce the incidence of postoperative nausea and vomiting, vertigo, and further promote clinical value.
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