Treatment duration of wrist-ankle acupuncture for relieving post-thyroidectomy pain: A randomized controlled trial

医学 针灸科 随机对照试验 可视模拟标度 恶心 止痛药 麻醉 甲状腺切除术 呕吐 脚踝 外科 置信区间 内科学 甲状腺 病理 替代医学
作者
Xinrui Han,Wei Yue,Huichao Chen,Wei He,Jiang-he LUO,Shan-xia Chen,Na Liu,Ming Yang
出处
期刊:Journal of Integrative Medicine [Elsevier BV]
卷期号:21 (2): 168-175 被引量:5
标识
DOI:10.1016/j.joim.2023.02.001
摘要

Treatment duration of wrist-ankle acupuncture (WAA) is uncertain for post-thyroidectomy pain relief. This study evaluated the effect of different WAA treatment duration on post-operative pain relief and other discomforts associated with thyroidectomy. This randomized controlled trial was conducted at a single research site in Guangzhou, China. A total of 132 patients receiving thyroidectomy were randomly divided into the control group (sham WAA, 30 min) and three intervention groups (group 1: WAA, 30 min; group 2: WAA, 45 min; group 3: WAA, 60 min), with group allocation ratio of 1:1:1:1. Acupuncture was administered within 1 hour of leaving the operating room. Primary outcome was patients’ pain at the surgical site assessed by visual analogue scale (VAS) at the moment after acupuncture treatment (post-intervention). Secondary outcomes included the patients’ pain VAS scores at 6, 12, 24, 48 and 72 h after the thyroidectomy, the 40-item Quality of Recovery (QoR-40) score, the grade of post-operative nausea and vomiting (PONV), and the use of additional analgesic therapy. The adjusted mean difference (AMD) in VAS scores from baseline to post-intervention in group 1 was −0.89 (95% confidence interval [CI], −1.02 to −0.76). The decrease in VAS score at post-intervention was statistically significant in group 1 compared to the control group (AMD, −0.43; 95% CI, −0.58 to −0.28; P < 0.001), and in groups 2 and 3 compared to group 1 (group 2 vs group 1: AMD, −0.65; 95% CI, −0.81 to −0.48; P < 0.001; group 3 vs group 1: AMD, −0.66; 95% CI, −0.86 to −0.47; P < 0.001). The VAS scores in the four groups converged beyond 24 h after the operation. Fewer patients in group 2 and group 3 experienced PONV in the first 24 h after operation. No statistical differences were measured in QoR-40 score and the number of patients with additional analgesic therapy. Compared with the 30 min intervention, WAA treatment with longer needle retention time (45 or 60 min) had an advantage in pain relief within 6 h after surgery. WAA’s analgesic effect lasted for 6–12 h post-operatively. Please cite this article as: Han XR, Yue W, Chen HC, He W, Luo JH, Chen SX, Liu N, Yang M. Treatment duration of wrist-ankle acupuncture for relieving post-thyroidectomy pain: A randomized controlled trial. J Integr Med. 2023; 21(2): 168–175.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
111发布了新的文献求助10
刚刚
1秒前
2秒前
99完成签到,获得积分10
2秒前
英姑应助hu采纳,获得10
2秒前
大大王发布了新的文献求助10
3秒前
4秒前
猴哥完成签到,获得积分10
5秒前
Frank发布了新的文献求助10
5秒前
7秒前
7秒前
Hello应助Tiamo采纳,获得10
8秒前
8秒前
充电宝应助LLLLL采纳,获得10
8秒前
9秒前
10秒前
雨季不再来完成签到 ,获得积分10
10秒前
10秒前
多情易蓉完成签到,获得积分10
11秒前
xmuchem发布了新的文献求助10
11秒前
胖芭蕉完成签到,获得积分10
12秒前
12秒前
12秒前
12秒前
12秒前
Zx_1993应助111采纳,获得10
13秒前
13秒前
量子星尘发布了新的文献求助10
14秒前
jieni完成签到 ,获得积分10
14秒前
多情易蓉发布了新的文献求助10
14秒前
14秒前
15秒前
弱水完成签到 ,获得积分10
16秒前
17秒前
17秒前
朴素的紫安完成签到 ,获得积分10
17秒前
jiozz发布了新的文献求助10
18秒前
科研通AI6应助科研小白鼠采纳,获得30
18秒前
yangyang完成签到 ,获得积分10
18秒前
共享精神应助单纯的柚子采纳,获得10
19秒前
高分求助中
(应助此贴封号)【重要!!请各用户(尤其是新用户)详细阅读】【科研通的精品贴汇总】 10000
Zeolites: From Fundamentals to Emerging Applications 1500
Architectural Corrosion and Critical Infrastructure 1000
Early Devonian echinoderms from Victoria (Rhombifera, Blastoidea and Ophiocistioidea) 1000
Hidden Generalizations Phonological Opacity in Optimality Theory 1000
Comprehensive Computational Chemistry 2023 800
2026国自然单细胞多组学大红书申报宝典 800
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 内科学 生物化学 物理 计算机科学 纳米技术 遗传学 基因 复合材料 化学工程 物理化学 病理 催化作用 免疫学 量子力学
热门帖子
关注 科研通微信公众号,转发送积分 4911267
求助须知:如何正确求助?哪些是违规求助? 4186820
关于积分的说明 13001311
捐赠科研通 3954578
什么是DOI,文献DOI怎么找? 2168351
邀请新用户注册赠送积分活动 1186772
关于科研通互助平台的介绍 1094177