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Efficacy observation of acupuncture plus point application for pain after thoracoscopic radical lung cancer surgery

针刺联合穴位敷贴治疗胸腔镜肺癌根治术后疼痛疗效观察

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Abstract

Objective

To observe the clinical efficacy of acupuncture plus point application in managing pain after thoracoscopic radical lung cancer surgery (TRLCS).

Methods

A total of 120 patients undergoing TRLCS were randomized into a treatment group and a control group, with 60 cases in each group. Both groups received patient-controlled intravenous analgesia (PCIA) to relieve postoperative wound pain. The control group did not receive any other interventions. The treatment group started acupuncture treatments 4 h after the surgery with point application between two acupuncture sessions; the acupuncture treatment was conducted 4, 24, 48, and 72 h after the surgery. At the above 4 time points, the visual analog scale (VAS) score and additional PCIA drug consumption were recorded. The 5-hydroxytryptamine (5-HT) content in the peripheral blood was determined 4 h and 72 h after the surgery.

Results

The treatment group was superior to the control group in comparing the total effective rate (P<0.05). After the intervention, the VAS score decreased in both groups (P<0.05); the VAS score presented different decreasing patterns at each time point in the two groups, and the score dropped more significantly in the treatment group than in the control group (P<0.05). The total PICA drug consumption varied in the two groups after the surgery; the additional analgesic consumption was notably smaller in the treatment group than in the control group (P<0.05). The decrease in the 5-HT content in the peripheral blood also varied in the two groups; the peripheral blood 5-HT content was significantly lower in the treatment group than in the control group (P<0.05).

Conclusion

Acupuncture plus point application can significantly relieve wound pain after TRLCS.

摘要

目的

观察针刺联合穴位敷贴治疗胸腔镜肺癌根治术后疼痛的临床疗效。

方法

把120例胸腔镜辅助下行肺 癌根治手术的患者随机分成治疗组和对照组, 每组60例。两组患者均使用静脉镇痛泵来缓解术后创口疼痛。对照 组不接受其他干预。治疗组从术后4 h起行针刺治疗, 在两次针刺治疗间隔期间增加穴位敷贴治疗, 针刺治疗的时间 点为术后4、24、48和72 h。记录每组患者四个时间点疼痛的视觉模拟量表(VAS)评分和镇痛泵使用药物添加剂量, 并于术后4 h及72 h检测患者周围静脉血中5-羟色胺(5-HT)含量。

结果

治疗组总有效率优于对照组(P<0.05)。两组治 疗后VAS评分均较治疗前降低(P<0.05); 两组不同时间VAS评分下降趋势不同, 治疗组下降程度大于对照组(P<0.05)。 两组术后镇痛泵使用药物总剂量不同, 治疗组镇痛药的添加量明显低于对照组, 差异有统计学意义(P<0.05)。两组 治疗后外周血5-HT含量下降程度不同, 治疗组患者外周血5-HT含量明显低于对照组, 差异有统计学意义(P<0.05)。

结论

针刺结合穴位贴敷的治疗方法可以明显缓解胸腔镜肺癌根治术后患者创口的疼痛。

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Acknowledgments

This work was supported by the Health Industry Clinical Research Youth Project of Shanghai Municipal Health Commission (上海市卫生健康委员会卫生行业临床研究青年项目, No. 20194Y0503).

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Authors and Affiliations

  1. Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China

    Kun Zhang  (张琨), Qiquan Yu  (俞杞泉), Qi Bao  (包祺), Wentao Guo  (郭文韬) & Weizhen Shou  (寿伟臻)

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  1. Kun Zhang  (张琨)
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  2. Qiquan Yu  (俞杞泉)
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  3. Qi Bao  (包祺)
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Correspondence to Weizhen Shou  (寿伟臻).

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Informed consent was obtained from all individual participants.

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First Author: ZHANG Kun, M.M., attending physician

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Zhang, K., Yu, Q., Bao, Q. et al. Efficacy observation of acupuncture plus point application for pain after thoracoscopic radical lung cancer surgery. J. Acupunct. Tuina. Sci. 21, 455–459 (2023). https://doi.org/10.1007/s11726-023-1404-2

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  • DOI: https://doi.org/10.1007/s11726-023-1404-2

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