A combination of electroacupuncture and auricular acupuncture for postoperative pain after abdominal surgery for gynaecological diseases: A randomized controlled trial

医学 针灸科 随机对照试验 电针 剖腹手术 置信区间 麻醉 外科 物理疗法 内科学 病理 替代医学
作者
Wing Lok Lam,Jingxuan Wang,Wing‐Fai Yeung,Chi Wai Cheung,Karen Kar‐Loen Chan,Hys Ngan,Carlos King Ho Wong,Fei Jiang,Paulin Wai Sze,Tsin Wah Leung,Wing Cheong Leung,Tak Chiu Liu,Haiyong Chen,Lixing Lao
出处
期刊:Phytomedicine [Elsevier]
卷期号:104: 154292-154292 被引量:7
标识
DOI:10.1016/j.phymed.2022.154292
摘要

Postoperative pain following laparotomy for gynaecological diseases is a common problem that requires effective management to ensure patient satisfaction and recovery. Despite the wide use of acupuncture for pain management, knowledge of its efficacy in managing postoperative pain is limited. Previous literature used either acupuncture or auricular acupuncture alone. However, the combined use of acupuncture and auricular acupuncture have not been studied yet.This study examined the efficacy and feasibility of combined electroacupuncture and auricular acupuncture compared to a sham control in reducing pain during 5 days after a laparotomy for gynaecological diseases. This combined therapy was hypothesized to provide greater pain reduction than previous studies with less frequent treatment.Randomized sham-controlled, patient- and- assessor-blinded trial.This trial recruited 72 patients scheduled for laparotomy in Hong Kong. Either acupuncture (n = 36) or non-invasive sham acupuncture (n = 36) was performed on the patients preoperatively (1 session) and postoperatively (once a day, up to 6 sessions). The primary outcome was pain at rest, measured using a numerical rating scale from postoperative days 0-5. Secondary outcomes such as analgesics consumption were also assessed. A data and safety monitoring board (DSMB) was established.All 72 randomized patients were included in the analysis. The acupuncture group had a smaller pain score at rest at 22 hrs (mean = 2.6) than the sham control group (mean = 4.0) (Post hoc intention to treat analysis, Linear regression, mean difference = -1.4, 95% confidence interval = [-0.2] -2.7, p = 0.029). No statistically significant between-group difference was found in other outcomes. No serious adverse event was observed.Perioperative acupuncture treatments are safe and feasible, but the efficacy of acupuncture is inconclusive.
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