Clinical Effect of Wrist-ankle Acupuncture on Postoperative Pain after Laparoscopic Cholecystectomy
WANG Mei-ping,ZHANG Ke-jun
Department of Internal Medicine and Hepatobiliary Surgery, Xinchang County Hospital of Traditional Chinese Medicine, Shaoxing, Zhejiang (312500), China
Abstract:
Objective To investigate the clinical effect of wrist-ankle acupuncture combined with veincontrolled analgesic pump in the treatment of pain after laparoscopic cholecystectomy (LC). Methods 90 patients with LC who were treated in our hospital from July 2019 to July 2020 were selected and divided into group A, group B and group C according to the random number table method, with 30 cases each. Group A did not use any treatment before the induction of anesthesia and the intravenous self-controlled analgesic pump was used after the operation. Group B received auricular acupressure therapy before the anesthesia induction and the intravenous automatic analgesic pump was used after the operation. Group C was treated with wrist and ankle acupuncture before induction of anesthesia and the intravenous automatic analgesic pump was used after the operation. The analgesia and sedation scores of patients in three groups after operation at different time points,the number of effective compressions after operation, the total dosage and the incidence of adverse reactions were compared. Results Numerical rating scale (NRS) score of group B was significantly lower than that of group A at 12 h, 24 h and 48 h (P <0.05), and the NRS score of group C was significantly lower than that of group A and B (P <0.05). The sedation score of group B was significantly higher than that of group A at 12 h, 24 h and 48 h (P <0.05), and the sedation score of group C was significantly higher than that of group A and B (P <0.05). The amount of PCIA and the number of effective compressions in group B were significantly lower than those in group A (P <0.05). The amount of PCIA and the number of effective compressions in group C were significantly lower than those in groups A and B (P <0.05). The total incidence of postoperative adverse reactions in group B was significantly lower than that in group A (P <0.05), and the total incidence of postoperative adverse reactions in group C was signi.cantly lower than that in group A and B (P<0.05). Conclusion The treatment of wrist-ankle acupuncture combined with vein-controlled analgesic pump can significantly relieve postoperative pain in LC patients, improve the sedative effect as well as effectively reduce the use of intravenous analgesic drugs and the incidence of postoperative adverse reactions.
