Effects of Press Needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer: A randomized, single-blind, controlled trial
Objectives: To investigate the effects of press needle therapy on postoperative analgesia and other relevant complications in patients undergoing thoracoscopic pulmonary resection. Design: randomized, single-blind, controlled trial Setting: Teaching hospitals affiliated with universities. Interventi...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Complementary Therapies in Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229923000675 |
| _version_ | 1797685282100740096 |
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| author | Yueyi Jiang Lei Wu Yue Wang Jing Tan Li Wang Jiaqin Cai Yihu Zhou Guowei Sun Zhenghuan Song Lianbing Gu |
| author_facet | Yueyi Jiang Lei Wu Yue Wang Jing Tan Li Wang Jiaqin Cai Yihu Zhou Guowei Sun Zhenghuan Song Lianbing Gu |
| author_sort | Yueyi Jiang |
| collection | DOAJ |
| description | Objectives: To investigate the effects of press needle therapy on postoperative analgesia and other relevant complications in patients undergoing thoracoscopic pulmonary resection. Design: randomized, single-blind, controlled trial Setting: Teaching hospitals affiliated with universities. Interventions: Eighty-six patients were randomized into: the Acu group (press-needle group) and the control group Main outcome measures: Pain levels 24, 48, and three months after surgery were measured using the numeric rating scale (NRS). Perioperative hemodynamics, total and effective pressing numbers of patient-controlled intravenous analgesia (PCIA), and incidence of postoperative pulmonary complications were recorded. Peripheral blood samples were collected to measure the levels of inflammatory mediators Results: Acu group had significantly lower NRS scores at 24 and 48 h after operation (NRS scores on movement at 24 h after surgery: Acu vs. Control, 3 (2,3) vs. 3 (3,5), Z = −3.393, P < 0.01 and NRS scores on movement at 48 h after surgery: 2 (1,3) vs. 3 (2,5), Z = −3.641, P < 0.01), lower number of PCIA attempts and effective rates (mean total pressing numbers: 4(2,8) vs. 6(3,19), Z = −1.994, P = 0.046 and mean effective pressing numbers: 3(2,8) vs. 6(3,16), Z = −2.116, P = 0.034). The Acu group had significantly reduced IL-1 (14.52 ± 3.84 vs. 16.36 ± 3.30, mean difference (MD): − 1.85, 95% confidence interval (CI): − 3.46, − 0.23, P = 0.026), HIF-1α (10.15 ± 1.71 vs. 10.96 ± 1.73, MD: −0.81, 95% CI: −1.59, −0.04, P = 0.040) and the incidence of pulmonary complications after surgery. Conclusion: Press needles are a non-invasive and feasible adjunctive intervention for postoperative analgesic management in patients undergoing thoracoscopic pulmonary resection. |
| first_indexed | 2024-03-12T00:41:56Z |
| format | Article |
| id | doaj.art-1fe6ab549cd049cb9f717d40f2f4609c |
| institution | Directory Open Access Journal |
| issn | 0965-2299 |
| language | English |
| last_indexed | 2024-03-12T00:41:56Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj.art-1fe6ab549cd049cb9f717d40f2f4609c2023-09-15T04:39:08ZengElsevierComplementary Therapies in Medicine0965-22992023-10-0177102980Effects of Press Needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer: A randomized, single-blind, controlled trialYueyi Jiang0Lei Wu1Yue Wang2Jing Tan3Li Wang4Jiaqin Cai5Yihu Zhou6Guowei Sun7Zhenghuan Song8Lianbing Gu9Nanjing Medical University, Nanjing, People’s Republic of ChinaDepartment of Anesthesiology, Jiangsu Cancer Hospital, Nanjing, People’s Republic of ChinaNanjing Medical University, Nanjing, People’s Republic of ChinaDepartment of Anesthesiology, Jiangsu Cancer Hospital, Nanjing, People’s Republic of ChinaDepartment of Anesthesiology, Jiangsu Cancer Hospital, Nanjing, People’s Republic of ChinaXuzhou Medical University, Xuzhou, People’s Republic of ChinaNanjing Medical University, Nanjing, People’s Republic of ChinaDalian Medical University, Dalian, People’s Republic of ChinaDepartment of Anesthesiology, Jiangsu Cancer Hospital, Nanjing, People’s Republic of China; Corresponding author.Nanjing Medical University, Nanjing, People’s Republic of China; Department of Anesthesiology, Jiangsu Cancer Hospital, Nanjing, People’s Republic of China; Corresponding author at: Nanjing Medical University, Nanjing, People’s Republic of China.Objectives: To investigate the effects of press needle therapy on postoperative analgesia and other relevant complications in patients undergoing thoracoscopic pulmonary resection. Design: randomized, single-blind, controlled trial Setting: Teaching hospitals affiliated with universities. Interventions: Eighty-six patients were randomized into: the Acu group (press-needle group) and the control group Main outcome measures: Pain levels 24, 48, and three months after surgery were measured using the numeric rating scale (NRS). Perioperative hemodynamics, total and effective pressing numbers of patient-controlled intravenous analgesia (PCIA), and incidence of postoperative pulmonary complications were recorded. Peripheral blood samples were collected to measure the levels of inflammatory mediators Results: Acu group had significantly lower NRS scores at 24 and 48 h after operation (NRS scores on movement at 24 h after surgery: Acu vs. Control, 3 (2,3) vs. 3 (3,5), Z = −3.393, P < 0.01 and NRS scores on movement at 48 h after surgery: 2 (1,3) vs. 3 (2,5), Z = −3.641, P < 0.01), lower number of PCIA attempts and effective rates (mean total pressing numbers: 4(2,8) vs. 6(3,19), Z = −1.994, P = 0.046 and mean effective pressing numbers: 3(2,8) vs. 6(3,16), Z = −2.116, P = 0.034). The Acu group had significantly reduced IL-1 (14.52 ± 3.84 vs. 16.36 ± 3.30, mean difference (MD): − 1.85, 95% confidence interval (CI): − 3.46, − 0.23, P = 0.026), HIF-1α (10.15 ± 1.71 vs. 10.96 ± 1.73, MD: −0.81, 95% CI: −1.59, −0.04, P = 0.040) and the incidence of pulmonary complications after surgery. Conclusion: Press needles are a non-invasive and feasible adjunctive intervention for postoperative analgesic management in patients undergoing thoracoscopic pulmonary resection.http://www.sciencedirect.com/science/article/pii/S0965229923000675AnalgesiaLung surgeryPostoperative pulmonary complicationsPress needle acupunctureVideo-assisted thoracoscopic surgery |
| spellingShingle | Yueyi Jiang Lei Wu Yue Wang Jing Tan Li Wang Jiaqin Cai Yihu Zhou Guowei Sun Zhenghuan Song Lianbing Gu Effects of Press Needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer: A randomized, single-blind, controlled trial Complementary Therapies in Medicine Analgesia Lung surgery Postoperative pulmonary complications Press needle acupuncture Video-assisted thoracoscopic surgery |
| title | Effects of Press Needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer: A randomized, single-blind, controlled trial |
| title_full | Effects of Press Needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer: A randomized, single-blind, controlled trial |
| title_fullStr | Effects of Press Needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer: A randomized, single-blind, controlled trial |
| title_full_unstemmed | Effects of Press Needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer: A randomized, single-blind, controlled trial |
| title_short | Effects of Press Needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer: A randomized, single-blind, controlled trial |
| title_sort | effects of press needling combined with general anesthesia on postoperative analgesia in thoracoscopic pulmonary resection for lung cancer a randomized single blind controlled trial |
| topic | Analgesia Lung surgery Postoperative pulmonary complications Press needle acupuncture Video-assisted thoracoscopic surgery |
| url | http://www.sciencedirect.com/science/article/pii/S0965229923000675 |
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