Wrist and ankle acupuncture relief moderate to severe postoperative pain after functional endoscopic sinus surgery: A randomized controlled study.

IF 1.3 Q4 CLINICAL NEUROLOGY

British Journal of Pain Pub Date : 2025-04-01 Epub Date: 2024-06-24 DOI:10.1177/20494637241264941

Suying Guo, Yaqin Wang, Jianwei Ai, Jingyi Zhao, Shaoting Huang, Junge Wang

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引用次数: 0

Abstract

Introduction: The study aimed to validate the effectiveness of Wrist and Ankle Acupuncture (WAA) in attenuating moderate to severe postoperative pain following Functional Endoscopic Sinus Surgery (FESS).

Methods: Participants were randomly allocated into a treatment group (n = 57) and a control group (n = 58). The treatment group underwent WAA treatment, while the control group received sham acupuncture treatment. The Numeric Rating Scale (NRS) was employed to assess postoperative pain. The sleep efficiency, the amount of rescue medication, and the adverse events were also evaluated for both groups.

Results: A significant immediate reduction in NRS scores was observed in the treatment group (p < .01). At 2, 4, 8, 22, and 24 h after first treatment, pain intensity decreased in the WAA group compared with the control group (p < .01). Moreover, the WAA group demonstrated superior sleep efficiency relative to the control group on the night after surgery (p < .01). And the mean number of rescue tablets used on the WAA group was obviously lower than the control group (p < .01). There were no serious adverse events in both groups, and all adverse events completely disappeared within 3 days.

Conclusion: WAA effectively alleviated postoperative discomfort associated with nasal packing subsequent to FESS and enhanced sleep quality during the postoperative night. The anatomical superficiality of the acupuncture points employed reduces the risk of adverse events while yielding effective analgesic results, thus validating its suitability for clinical application.

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腕踝针灸缓解功能性内窥镜鼻窦手术后中度至重度术后疼痛：一项随机对照研究。

简介：本研究旨在验证腕踝针刺（WAA）减轻功能性内窥镜鼻窦手术（FESS）术后中至重度疼痛的有效性。方法：将参与者随机分为治疗组（n = 57）和对照组（n = 58）。治疗组采用WAA治疗，对照组采用假针刺治疗。采用数字评定量表（NRS）评估术后疼痛。对两组患者的睡眠效率、抢救用药量及不良事件发生率进行评价。结果：治疗组患者NRS评分即刻显著降低（p < 0.01）。第一次治疗后2、4、8、22、24 h， WAA组疼痛强度较对照组降低（p < 0.01）。此外，WAA组在术后当晚的睡眠效率优于对照组（p < 0.01）。WAA组患者平均用药次数明显低于对照组（p < 0.01）。两组均未见严重不良事件发生，不良事件均在3 d内完全消失。结论：WAA可有效缓解FESS术后鼻塞不适，提高术后夜间睡眠质量。所采用的穴位解剖浅表性降低了不良事件的风险，同时产生了有效的镇痛效果，从而验证了其临床应用的适用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Pain CLINICAL NEUROLOGY-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： British Journal of Pain is a peer-reviewed quarterly British journal with an international multidisciplinary Editorial Board. The journal publishes original research and reviews on all major aspects of pain and pain management. Reviews reflect the body of evidence of the topic and are suitable for a multidisciplinary readership. Where empirical evidence is lacking, the reviews reflect the generally held opinions of experts in the field. The Journal has broadened its scope and has become a forum for publishing primary research together with brief reports related to pain and pain interventions. Submissions from all over the world have been published and are welcome. Official journal of the British Pain Society.