Effect of Preoperative Acupuncture on Peri-operative Pain in Patients Following a Thoracotomy

Zhu, Y.

Zhou, H.

Min, Y.

J Acupunct Tuina Sci

2011

9(2)

79-83

RCT

Objective: To observe the effect of preoperative effect on peti-operative pain in patients following a thoracotomy. Methods: 120 cases following lung-cancer thoracotomy were randomly allocated into four groups, 30 in each group. Cases in group A and B were treated with acupuncture analgesia 3 d before operation; cases in group A and C were treated with acupuncture analgesia after operation; and cases in group D were treated with general anesthesia. The pain management indexes in four groups were all controlled below 3. After that, analgesia-related 13-endorphin and stress-related cortisol were observed before and after operation. In addition, the specific doses of postoperative analgesic-Fentanyl in four groups were compared. Results: The comparison of I3-endorphin between group A, C and D showed P<0.05 one day before operation, so did group B, C and D 1 day before operation. The infra-group comparison of cortisol between the day of admission and 1 day after extubation and between 1 day before operation and one day after extubation in group A, B and D showed P<0.05, so did group C between the day of admission and 1 day after extubation. In addition, the contents of Fentanyl in postoperative analgesic pump in four groups showed P<0.05 through one-factor analysis of variance, showing a significant difference. Conclusion: Preemptive analgesia could increase the I3-endorphin in patients following a thoracotomy and showed remarkable advantage when compared with the conventional postoperative analgesia. It did not cause significant difference regarding stress index cortisol. Acupuncture has no remarkable advantage when compared with operation and extubation for the major immediate stress. Additionally, postoperative acupuncture could be a substitute for the dose of pain killers and the match can be reduced by 20%.

Date of Input: 2/12/2015; Date Modified: 2/12/2015; Availability: --In File--; Priority: Normal; Acupuncture Anethesia Research Room, Shanghai Pulmonary Hospital, Shanghai 200433, P.R. China

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