Sleeping model can be affected after surgery. Anesthetics may be involved in the change. The changing of sleeping mode may exert adverse effect on postoperative recovery. Acupuncture and related techniques has been used for treating sleeping disorder. In this study, the effect of transcutaneous electrical acupoint stimulation on sleeping model after general anesthesia will be observed.
Sleep is a necessary, naturally occurring physiologic state that is especially critical to cognition and physical functioning in surgical settings.Poor postoperative sleep is associated with many significant deleterious effects. Therefore, improving overall sleep during postoperative rehabilitation is desirable. Transcutaneous electrical acupoint stimulation (TEAS) is a non-invasive acupuncture therapy combining the transcutaneous electrical nerve stimulation, and has been utilized in clinical settings for many years. Previous study demonstrated that TEAS combined with anesthesia can upregulate the levels of melatonin and aminobutyric acid to relief central inhibition, thus improve patients'sleep efficiency, prolong total sleep time (TST) and promote sleep quality. The current study is to examine the effect of perioperative TEAS on subjective and objective sleep quality among patients who have undergone Gynecological laparoscopic surgery under general anesthesia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
274
Electrodes will be attached on the surface of acupoints and electrical stimulation will given.
Northwest Women's and Children's Hospital
Xi'an, Shaanxi, China
the First Affiliated Hospital of the Air Force Military Medical University
Xi'an, Shaanxi, China
The Second Affiliated Hospital of Xi 'an Jiaotong University
Xi'an, Shaanxi, China
Xi 'an Hospital of Traditional Chinese Medicine
Xi'an, Shaanxi, China
total sleeping time during the first postoperative night
The primary outcome is the total sleep time on the first postoperative night according to the sleep diary monitored by actigraphy.
Time frame: the first postoperative night
Total sleep time during the first 24h after surgery
total sleep time recorded on the actigraphy on the first perioperative night
Time frame: from discharge from post-anesthesia care unit to 24hours later, totally 24 hours
the Pittsburgh Sleep Quality Index (PSQI) questionnaire for the last month before surgery
The PSQI is used to indicate the sleep quality in the last 1 month.
Time frame: the 1 month before hospitalization
The Athens Insomnia Scale (AIS) score
The highest score on the Athens Scale is 24, while the lowest score is 0. The higher the score, the more serious the sleep disorder
Time frame: from discharge from post-anesthesia care unit to 24hours later, totally 24 hours
the Epworth Sleepiness Scale (ESS) score
ESS scores range from 0 to 24, with higher scores indicating higher levels of sleepiness
Time frame: from discharge from post-anesthesia care unit to 24hours later, totally 24 hours
the 15-item Quality of Recovery Scale (QoR-15) score
The QoR-15 score ranges from 0 to 150, and the higher the score, the better the postoperative recovery
Time frame: from discharge from post-anesthesia care unit to 24hours later, totally 24 hours
Total intraoperative propofol dosage
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the total dosage used for the anesthetic induction and maintenance
Time frame: From the time of anesthetic induction to the end of the surgery
Times for the needs of rescue analgesics
Times for the needs of rescue analgesics in the first 24h.
Time frame: from discharge from operation room to 24 hours later, totally 24 hours
Number of episodes of postoperative adverse events
Number of episodes of postoperative adverse events such as nausea and vomiting, delirium, pulmonary edema, septic shock, arrhythmia, etc after surgery.
Time frame: from discharge from the operation room to 48 hours later, totally 48 hours
time of intestinal recovery after surgery
time to first flatus, time to food intake, catheter remove and ambulation
Time frame: from discharge from the operation room to 48 hours later, totally 48 hours
length of postoperative hospital stay
length of postoperative hospital stay
Time frame: from date of randamization until the time of discharge from the hospital from any cause,assessed up to 5 days
total wake time during the first 24h after surgery
recorded on the actigraphy on the first perioperative night
Time frame: from discharge from post-anesthesia care unit to 24hours later, totally 24 hours]